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‘Sport as a Resource Caravan’: Understanding How Adults Utilize Sport as a Developmental Tool
David W. Walsh,B. Christine Green,Tracie Harrison,Matthew T. Bowers 글로벌지식마케팅경영학회 2022 Journal of Global Sport Management Vol.7 No.4
Sport-for-development research consistently focuses on studies ofmacro level policy, meso level community development, andmicro level individual development. However, individual develop-ment has largely focused on positive youth development throughsport. Further, development outcomes have been studied withreference to a single program. This study examines the aggregatevalue of sport in development across the lifespan. Specifically, itexamines the role of sport to facilitate or hinder adaptation to lifetransitions. A life-history, thematic analysis with data from semi-structured interviews and life maps with 15 participants aged 50and older was conducted. Results revealed sport’s role as aneffective resource provider via social exchanges when participantsfaced a disruption caused by a life event transition. This is signifi-cant as sport may help provide access to scarce resources theor-ized to alter the fundamental developmental process of anindividual’s life-course (i.e. transitions). With this research, innova-tive sport designs and intentional sport management strategiesthat influence developmental trajectories in adults could emerge.Practical suggestions for program design and marketing are rec-ommended.
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Syed Faraz Kazim,Alis J. Dicpinigaitis,Christian A. Bowers,Smit Shah,William T. Couldwell,Rachel Thommen,Daniel J. Alvarez-Crespo,Matthew Conlon,Omar H. Tarawneh,John Vellek,Kyril L. Cole,Jose F. Domi 대한척추신경외과학회 2022 Neurospine Vol.19 No.1
Objective: The present study aimed to evaluate the effect of baseline frailty status (as measured by modified frailty index-5 [mFI-5]) versus age on postoperative outcomes of patients undergoing surgery for spinal tumors using data from a large national registry. Methods: The National Surgical Quality Improvement Program database was used to collect spinal tumor resection patients’ data from 2015 to 2019 (n = 4,662). Univariate and multivariate analyses for age and mFI-5 were performed for the following outcomes: 30-day mortality, major complications, unplanned reoperation, unplanned readmission, hospital length of stay (LOS), and discharge to a nonhome destination. Receiver operating characteristic (ROC) curve analysis was used to evaluate the discriminative performance of age versus mFI-5. Results: Both univariate and multivariate analyses demonstrated that mFI-5 was a more robust predictor of worse postoperative outcomes as compared to age. Furthermore, based on categorical analysis of frailty tiers, increasing frailty was significantly associated with increased risk of adverse outcomes. ‘Severely frail’ patients were found to have the highest risk, with odds ratio 16.4 (95% confidence interval [CI],11.21–35.44) for 30-day mortality, 3.02 (95% CI, 1.97–4.56) for major complications, and 2.94 (95% CI, 2.32–4.21) for LOS. In ROC curve analysis, mFI-5 score (area under the curve [AUC] = 0.743) achieved superior discrimination compared to age (AUC = 0.594) for mortality. Conclusion: Increasing frailty, as measured by mFI-5, is a more robust predictor as compared to age, for poor postoperative outcomes in spinal tumor surgery patients. The mFI-5 may be clinically used for preoperative risk stratification of spinal tumor patients.
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