Accessing adequate healthcare, particularly essential services like physical therapy, presents a significant challenge for individuals with Down syndrome. This demographic often encounters obstacles such as limited accessibility, scarce resources, and a lack of tailored solutions that specifically address their unique needs. The resulting disparity leads to inconsistent care and suboptimal healthcare experiences. Recognizing the importance of eliminating these barriers is crucial to create a more inclusive healthcare environment for individuals with Down syndrome. Rainbow Monster Madness serves as a multifaceted solution to the social determinants of health that significantly impact individuals with Down syndrome. The game's design directly tackles several of these determinants by offering accessible, engaging, and family-centered therapy. In terms of healthcare access and quality, the game empowers parents to actively participate in their child's therapy, ensuring the correct administration of exercises and the consistent provision of quality care. The game's design addresses neighborly and built environment determinants by providing an accessible and inclusive therapy option that can be implemented within the comfort of one's home. This approach fosters a sense of safety and familiarity for children undergoing therapy, promoting a more relaxed and conducive environment. Additionally, Rainbow Monster Madness encourages social community engagement by fostering a collaborative atmosphere between parents and children during therapy sessions. This collaborative approach creates a supportive and engaging environment, positively impacting the overall therapeutic experience. Adhering to the principles of Self-Determination Theory, the game cultivates intrinsic motivation and psychological well-being among children with Down syndrome. This approach enables active engagement in therapy and contributes to their overall health and well-being. The exercises included in Rainbow Monster Madness are carefully selected to cater to the unique needs of individuals with Down syndrome. This regimen combines muscle-strengthening, cardio, and balance exercises, tailored to this specific population. The modification of exercises and thematic design ensures that children remain enthusiastic about their therapy, ultimately promoting better adherence and more effective results. In summary, Rainbow Monster Madness represents a comprehensive solution to the multitude of challenges faced by individuals with Down syndrome in accessing healthcare. Simultaneously, it addresses the broader social determinants of health, thereby fostering a healthier and more inclusive future for this deserving population.

Given the growing reports of toxic gymnastics culture and evidence of mental health issues in gymnasts, this study aims to fill in the gaps surrounding the causes of poor mental health and wellbeing of gymnasts as a result of negative gymnastics culture focusing on the idea of mental toughness. Current college gymnasts (n=7) completed a questionnaire and in-person interview to discuss their ideas around mental toughness, their experience with gymnastics culture and the coaching behaviors that create it, and their understanding of their own mental health. 7 participants completed all materials. Results showed that all participants had a mental toughness score falling in the “average” or “good” range with a mean score of 85 out of 140. Mental toughness was mentioned in a negative context 95 times overall and a in positive context 41 times overall during interviews. 6 participants rated their overall experience of gymnastics culture as average and 1 rated it as good, but when reflecting on their most negative experiences of gymnastics culture 4 participants rated their experience as average and 3 rated their experiences as bad. All participants expressed having experienced symptoms of poor mental health in the past 4 months and witnessed symptoms of poor mental health in teammates. 6 participants were unlikely to communicate their symptoms and 4 were unlikely to seek professional help, yet the number of participants likely to offer direct support or encourage teammates to communicate symptoms with a coach/trainer was 5 and 4 respectively. Negative mentions of mental health overall (118) was three times higher than positive mentions of mental health (43) during interviews. As a whole, gymnasts who experienced negative gymnastics culture struggled to recognize poor mental health/wellbeing and viewed mental toughness as synonymous with enduring mental and physical pain. Starting gymnastics at a young age and development in the sport and ideas becoming internalized as part of self, as well as negative coaching behaviors and abuse were referenced as potential reasons for poor understanding of mental health in gymnasts. Recommendations for improvement of gymnastics culture to prevent the negative consequences on gymnasts understand of their mental health include (1) acknowledgement and awareness by coaches of the impact their behaviors can have on gymnasts, (2) building strong personal connections with gymnasts, (3) increasing coaches and support staffs understanding of mental health symptoms so they can recognize them in gymnasts, and (4) promoting and encouraging meaningful conversations around mental health to remove stigma and fear of retaliation for gymnast.

The main scope of this study was to analyze the impact support and identity have on the collegiate athletic career transition process. While student-athletes undergo a variety of transitions, this study focused on the career transition out of collegiate athletics regardless of their reason for leaving or their next steps. The motivation for conducting this research is to take the challenges and recommendations to the next steps and reform the common practice of career transition and provide assistance to athletes facing adversity in this position. A study on 32 voluntary student-athletes in different phases of the transition process ranging from current student-athletes to graduated student-athletes years detached from their sport was conducted via electronic questionnaire. Questions about demographics and their personal experiences relating to identity, support, and transition as a whole were asked regarding their time as student-athletes through their transition (if applicable). Through analyzing the responses and previous literature, it is evident that support is necessary from the early stages as a student-athlete through their transition out of the sport to minimize the negative impact. It is also apparent that one's athletic identity is established early on in their career and is difficult to dissociate from to rediscover a personal identity not connected to athletic performance. Knowing what we do now, there are limitations in the findings such as within the demographics, questionnaire, and clarity. This would be beneficial to research and study further to optimize a solution to assist in the athletic career transition process and alleviate additional barriers athletes face when no longer having their sport.

This research paper examines the impact of journaling on anxiety and team cohesion on a women’s beach volleyball team (n=12). Each athlete was given a 30-Day Reset Journal to complete and asked to complete a mid and end of program survey assessing their anxiety and team cohesion levels. The team head coach (n=1) was asked to have weekly discussions with the team about the journal and respond to a mid and end of program survey assessing if they perceived their team was benefiting from the journal. Athlete anxiety results were broken into four categories: Total Anxiety (p value: 0.40), Worry Score (p value: 0.41), Concentration Disruption Score (p value: 0.82), and Somatic Trait Score (p value: 0.20). Team cohesion results were displayed in five categories: Total Team Cohesion (p value: 0.46), Purpose and Goals (p value: 0.17), Team Relationships (p value: 0.26), Problem Solving (p value: 0.85), and Skills and Learning (p value: 0.47). Although anxiety scores did overall decrease, the data reflected no significant difference between the middle and end surveys. Team cohesion results also displayed decreases with no significant difference between the two surveys. Throughout the study, only four statements within the survey displayed significant change between mid and end program surveys (three anxiety and one team cohesion). Though results were not found to be significant, this study provides some insight into the potential benefits journaling can offer athletes in lowering their anxiety and how placing an emphasis on team discussion with a focus on goal development and shared purpose can increase team cohesion.