PDF(Pubmed)
Abstract：
Elite student-athletes (SAs) in higher education (HE) have distinct mental health (MH) risks. The COVID-19 pandemic put pressure on systems and increased elite SA vulnerability to adverse MH outcomes. The aim of this study was to explore the provision and management of MH in elite HE sports settings during the time of COVID-19 pandemic stress. The secondary aim was to identify lessons and opportunities to enhance future mental healthcare systems and services for elite SAs. A qualitative study design was used to investigate the views of three groups (athletic directors, coaches and sport healthcare providers). Ten key leaders were purposively recruited from HE institutions in Canada, the USA and the United Kingdom. They represented various universities from the National College Athletic Association, U SPORTS Canada and British Universities and Colleges Sport. Semistructured interviews were conducted, recorded, transcribed and thematically analysed. Five key themes were identified: (1) The pandemic disruption had salient impacts on motivation and how elite SAs engaged with sport (2) when student sport systems are under pressure, support staff perceive a change in duties and experience their own MH challenges, (3) the pandemic increased awareness about MH care provision and exposed systemic challenges, (4) digital transformation in MH is complex and has additional challenges for SAs and (5) there were some positive outcomes of the pandemic, lessons learnt and a resulting motivation for systems change. Participants highlighted future opportunities for MH provision in elite university sport settings. Four recommendations were generated from the results.
摘要：
高等教育（HE）中的精英学生运动员（SA）具有明显的心理健康（MH）风险。COVID-19大流行给系统带来压力，并增加了精英SA对不良MH结局的脆弱性。这项研究的目的是探索在COVID-19大流行压力期间，精英HE运动环境中MH的提供和管理。次要目标是确定课程和机会，以增强未来的心理医疗系统和精英SA服务。采用定性研究设计来调查三组(运动总监，教练和体育医疗保健提供者)。有目的地从加拿大高等教育机构招募了10名主要领导人，美国和英国。他们代表了国家大学体育协会的各种大学，U体育加拿大和英国大学和学院体育。进行了半结构化访谈，记录,转录和主题分析。确定了五个关键主题：（1）大流行的破坏对动机以及精英SA如何参与运动产生了显着影响（2）当学生运动系统承受压力时，支持人员感知职责的变化，并体验他们自己的MH挑战，(3)大流行提高了对MH护理提供的认识，并暴露了系统性挑战，（4）MH的数字化转型是复杂的，对SA和（5）大流行带来了一些积极的结果，吸取的教训和由此产生的系统变革的动机。与会者强调了在精英大学运动环境中提供MH的未来机会。根据结果提出了四项建议。
