Adolescent boys with obesity: The lived experiences

This study explored and described the lived experiences of adolescent boys who are obese. Participants were a purposive sample of nine boys between the ages of 13 and 18, six of them currently with obesity and with BMI levels at or above the 95th percentile for weight for height, and three with a history of obesity. Data were collected using in-depth phenomenological interviews, direct observations and field notes. Thematic coding was applied during the analysis process. Four themes emerged from the thematic analysis to characterise the adolescent boys’ experiences of being obese: living an empty life in a full body; vulnerable self-concept and low self-esteem; and being teased and humoured. They reported to cope with lived obesity by actively using motivation such as fear of death to lose weight and passively coping by wearing a mask. Obesity carries significant physical and psychological health risk to children in adolescence.     

Circling a memory: a layered reflective method for generating subjective knowledge about childhood and teacher identity

This paper describes a memory and life story process engaged in by three former early childhood teachers. The reflective process was based in interpretative phenomenological analysis (IPA) and proceeded in a recursive and layered manner, circling around the participants’ memory narratives. The aims of the study were: (1) to develop a critical approach to generating knowledge about childhood, and (2) to consider a teaching strategy for memory work in teacher education programs.     

Autobiographical reflections on what it means to experience disruption

Accepting disruption as an inevitable occurrence in life, five nurse-teacher-researchers explore their experience with being disruptive/being disrupted. Reflection on the all-encompassing embodied experience of disruption takes us through a process of exploration and meaning-making. We pause to show what it is like to be in-between the known and unknown in creating a life in academia through stories. Plotlines such as being in-between family and work; transplanted outsider seeking a sense of belonging; going into the chaos while feeling invisible; and self-induced disruption in response to loss illuminate our reflection. The metaphor of the breathturn allows us to reconstruct our experience and to discern possibilities beyond the usual negative connotations.     

Exploring athletes' perceptions of the relationship between mental toughness and dispositional flow in sport

ObjectivesDespite considerable scholarly attention over the last two decades, little is known about the influence of dispositional attributes on flow in sport. In achievement settings, mental toughness (MT) is a personal capacity supporting the process of high performance. Based on common overlaps with peak performance, confidence, control, concentration, and thriving in demanding situations, the present research aimed to explore the relationship between MT and dispositional flow and elucidate the psychological variables underlying dispositional flow.DesignA mixed method explanatory participant-selection design was adopted, whereby a quantitative approach was used to identify individuals for a qualitative follow-up phase to explore the relationship between MT and dispositional flow.MethodAn intensity sampling strategy was used to identify individuals with higher/lower MT and dispositional flow. Semi-structured interviews were conducted with 16 athletes (M age = 25, SD = 3.24; female n = 10; male n = 6). An inductive content analysis was undertaken to interpret data.ResultsSeven general dimensions describing the psychological attributes related to dispositional flow in athletes with higher and lower MT emerged. Specifically, differences in confidence, perfectionism, goal orientation, coping mechanism selection, locus of control, optimism and concentration were apparent and could account for differences in dispositional flow.ConclusionWhile all athletes experienced flow, there were differences in dispositional flow and the processes involved in entering, maintaining and restoring flow between higher and lower MT subgroups. Findings are discussed in relation to the existing literature, and recommendations for future research into the MT-flow relationship are outlined.     

Predictive model for early math skills based on structural equations

Early math skills are determined by higher cognitive processes that are particularly important for acquiring and developing skills during a child's early education. Such processes could be a critical target for identifying students at risk for math learning difficulties. Few studies have considered the use of a structural equation method to rationalize these relations. Participating in this study were 207 preschool students ages 59 to 72 months, 108 boys and 99 girls. Performance with respect to early math skills, early literacy, general intelligence, working memory, and short‐term memory was assessed. A structural equation model explaining 64.3% of the variance in early math skills was applied. Early literacy exhibited the highest statistical significance (β = 0.443, p < 0.05), followed by intelligence (β = 0.286, p < 0.05), working memory (β = 0.220, p < 0.05), and short‐term memory (β = 0.213, p < 0.05). Correlations between the independent variables were also significant (p < 0.05). According to the results, cognitive variables should be included in remedial intervention programs.     

Lower limb mechanics during moderate high-heel jogging and running in different experienced wearers

The aim of this study is to investigate the differences in lower limb kinematics and kinetics between experienced (EW) and inexperienced (IEW) moderate high-heel wearers during jogging and running. Eleven experienced female wearers of moderate high-heel shoes and eleven matched controls participated in jogging and running tests. A Vicon motion analysis system was used to capture kinematic data and a Kistler force platform was used to collect ground reaction force (GRF). There were no significant differences in jogging and running speed respectively. Compared with IEW, EW adopted larger stride length (SL) with lower stride frequency (SF) at each corresponding speed. During running, EW enlarged SL significantly while IEW increased both SL and SF significantly. Kinematic data showed that IEW had generally larger joint range of motion (ROM) and peak angles during stance phase. Speed effect was not obvious within IEW. EW exhibited a significantly increased maximal vertical GRF (F_z2) and vertical average loading rate (VALR) during running, which was potentially caused by overlong stride. These suggest that both EW and IEW are at high risk of joint injuries when running on moderate high heels. For wearers who have to do some running on moderate high heels, it is crucial to control joint stability and balance SL and SF consciously.     

Trust or Distrust Toward Healthcare Services: Breast Screening in the North and South of Italy

This article follows a previous study that has recently been published in Narrare I Gruppi and explored the reasons for the large numeric gap between the regions of the North and South of Italy, referring to the breast cancer screening program adherence rate sponsored by the Italian Healthcare System, that addresses all women living in Italy ranging in age between 48 and 69 years, and proposes a free mammogram every two years. The effectiveness of cancer early detections has been widely demonstrated by medical research; this kind of diagnosis is particularly important in the case of breast cancer. A diagnosis of this form of cancer at its early phases in 97% of cases allows women to survive at least five years after it. However, the different level of trust women feel for healthcare structures is the discriminating element between the North and South of Italy for their access to the screening program. This topic will be thoroughly analyzed by presenting the results of research aimed at evaluating the meaning given to the outcomes of a first exploratory study, this second study also offers the opportunity to share our results within the social context that has generated them. The outcomes of the present research have been presented to a group of “privileged witnesses” living in the South (Naples and its surroundings): 12 women aging from 49 to 65, and 5 healthcare workers (one doctor, 25 two nurses, and two Local Health Authority supervisors); they took part in three Focus Groups for an in-depth look of the theme in question. The analyses of the groups' debates, carried out by means of a software for text analysis (T-LAB), confirmed the results of the previous research: the diffidence and lack of synergy between institutions and healthcare workers are the causes of southern women's lack of participation to the breast cancer screening program. In particular, the comparison between women's and workers' viewpoints shows a different emotional connotation about the possibility to improve participation to the screening: the workers' optimism countervails women's distrust and pessimism.