2009 ArkAHPERD Journal

SHAPE Arkansas Association for Health, Physical Education, Recreation, and Dance
SHAPE Arkansas Association for Health, Physical Education, Recreation, and DanceSHAPE Arkansas Association for Health, Physical Education, Recreation, and Dance

Arkansas journal for the dissemination of research and topics related to health, physical education, recreation, and dance.

April 2009 Volume 44 – Number 1 
Arkansas Association For 
Health, Physical Education, 
Recreation and Dance
ArkAHPERD 
Andy Mooneyhan 
Box 240 
State University, AR 72467 
Non-Profit Organization 
U.S. Postage 
PAID 
Permit No. 5 
State University, AR 72467 
GUIDELINES FOR AUTHORS 
Material for publication and editorial correspondence should be address to Andy 
Mooneyhan, PO Box 240, State University, AR 72467 [amooneyh@astate.edu]. Deadline for 
the submission is March 1. Guidelines for materials submitted are those of the Publication 
Manual of the American Psychological Association. For manuscripts, submit 3 copies. The 
title should be included on a separate page with the author(s) name, position, address, phone 
number and email address. The title of the manuscript, without the author(s) name, should 
appear on the first page of the manuscript. If accepted, a final copy of the manuscript must 
be submitted on disk, saved in Microsoft Word or Text format. 
The Arkansas Journal is indexed in the Physical Education Index. 
The Arkansas Journal is published annually in April with a subscription cost of $10.00. The 
journal can be obtained by contacting Andy Mooneyhan at amooneyh@astate.edu. 
The opinions of the contributors are their own and do not necessarily reflect those of 
ArkAHPERD or the journal editors. ArkAHPERD does not discriminate in this or any of 
its programs on the basis of race, religion, sex, national origin, or disabling condition. 
Editorial Board 
Brian Church Andy Mooneyhan Bennie Prince Jim Stillwell
April 2009 – Arkansas Journal – Volume 44 – Number 1 
CONTENTS 
News and Information 
Award Qualifications . . . . . . . 3 
Message from the President. . . . . . . 4 
ArkAHPERD Board of Directors. . . . . . 5 
Calendar . . . . . . . . . 12 
2008 ArkAHPERD State Convention Highlights. . . . 15 
2008 ArkAHPERD Award Winners. . . . . . 17 
2008 ArkAHPERD Scholarship Winners . . . . 18 
2008 ArkAHPERD SuperStars Competition . . . . 18 
Articles 
2 
Legal Duties of Coaches 
David LaVetter. . . . . . . . 6 
Sexual Attitudes and Behaviors of African American Adolescents 
Brian C. Gordon, Michael A. Perko, Lori W. Turner 
and Deidre Leaver-Dunn . . . . . . 13 
Balance Measures Using the Biodex Balance System in Physically Active 
Non-Active Women 
Tim Leszczak & Ro DiBrezzo. . . . . . 23 
On the Cover: A special thanks to our retiring Executive Director, 
Jim Stillwell, who has served as a mentor, friend and true professional for 
so many ArkAHPERD members. You will truly be missed!!!
AWARD QUALIFICATIONS 
3 
HONOR 
Candidate must meet the following qualifications: 
A. Be at least 30 years of age and have earned a 
Master’s degree or its equivalent. 
B. Have served the profession for at least five years 
prior to the nomination. 
C. Be a current member of ArkAHPERD. Former 
members who have retired from professional work 
may be exempt. 
D. Be of high moral character and personal integrity 
who by their leadership and industry have made 
outstanding and noteworthy contributions to the 
advancement of our profession in the state of 
Arkansas. 
To indicate leadership or meritorious contributions, 
the nominator shall present evidence of the nominee’s 
successful experiences in any two of the following 
categories of service: 
1. Service to the association. 
2. Advancement of the profession through 
leadership of outstanding programs. 
3. Advancement of the profession through 
presentation, writings, or research. 
Any ArkAHPERD member may submit nominations 
by sending six (6) copies of the candidate’s qualifications 
to Janet Forbess, jforbess@uark.edu. 
HIGHER EDUCATOR OF THE YEAR 
Candidate must meet the following qualifications: 
A. Have served the profession for at least three 
years prior to the nomination. 
B. Be a member of ArkAHPERD 
C. Be of high moral character and personal 
integrity who by their leadership and industry 
have made outstanding and noteworthy 
contributions to the advancement of teaching , 
research, or service in the state of Arkansas. 
D. Be employed by an institution of higher 
education in the state of Arkansas. 
Any ArkAHPERD member may submit nominations 
by sending a copy of the candidate’s qualifications to 
Larry Thye, thyel@hsu.edu 
TEACHER OF THE YEAR 
Teacher awards are presented in the areas of elementary 
physical education, middle school physical education, 
secondary physical education, dance, and health. 
Candidate must meet the following qualifications: 
A. Have served the profession for at least three 
years prior to the nomination. 
B. Be a member of AAHPERD & ArkAHPERD. 
C. Be of high moral character and personal integrity 
who by their leadership and industry have made 
outstanding and noteworthy contributions to the 
advancement of teaching in the state of Arkansas. 
D. Be employed by a public school system in the 
state of Arkansas. 
E. Have a full time teaching contract, and have a 
minimum of 60% of their total teaching 
responsibility in the nominated area. 
F. Have a minimum of five years teaching 
experience in the nominated area. 
G. Conduct a quality program. 
They must submit three letters of 
recommendation and agree to make complete 
NASPE application if selected. 
Any ArkAHPERD member may submit nominations by 
contacting Angie Smith-Nix, ansmith@uark.edu. 
STUDENT 
Scholarships 
ArkAHPERD awards four scholarships annually for 
students majoring in HPERD. They include the Newman 
McGee, Past President’s, Jeff Farris Jr., and John Hosinski 
scholarships. Students must possess a minimum 2.5 GPA. 
[See your academic advisor for special details.] 
Research Award 
Research awards of $100, $50, and $25 are awarded to 
undergraduate and graduate students who are members of 
ArkAHPERD. Students must submit an abstract and a 
complete paper Bennie Prince, bfprince@ualr.edu by 
October 1, 2005. Papers selected for the research awards 
must be presented by the student in an oral or poster 
format at the November convention. 
ArkAHPERD Web Site: http://www.arkahperd.org/
Message from the President 
I just returned from the National AAHPERD 
Convention in Fort Worth, TX. It was so inspiring to 
see. so many ArkAHPERD members there among. 
the throngs filling the Fort Worth Convention Center. 
Especially gratifying was the sight of so many “future. 
professionals” from our state institutions of higher. 
learning parading down the halls in various t-shirts 
proclaiming their institutional affiliation. The repre-sentation 
of the “Natural State” in “Cowtown” was outstanding and I was proud 
4 
to be a small part of that population. 
I was also proud to have an opportunity to represent ArkAHPERD at both 
the Southern District Representative Assembly with Executive Director Jim 
Stillwell and President-Elect Lynn Leggett and National Delegate Assembly with 
Jim Stillwell. To be able to represent you, the membership, at these events was a 
humbling responsibility and a truly singular experience. 
I know that our 2008 convention in Little Rock will be filled with tales, 
myths, stories and even a few outright lies about the tenure of our retiring 
Executive Director Dr. Jim Stillwell; as the members reflect back along his 
decades of service to this association. But before all the clamor begins, I’d like to 
take this opportunity to personally thank Jim for his MANY years of selfless and 
dedicated service to ArkAHPERD and its membership. I know we, as an 
organization, will surely miss his steady hand guiding our maturation and 
development. But I’m quite sure he will continue to maintain his traditional 
vibrant presence amidst our annual fall gatherings. 
Always remember, if there is ANYTHING I can do as your ArkAHPERD 
President, let me know the action required and I will do all I can to positively 
address your situation! This is YOUR Association and I stand in this office to 
serve YOU, the members! 
I’m looking forward to seeing ALL of you in Little Rock on November 6-7 
for the 2008 ArkAHPERD Convention. Have a GREAT Summer! 
Sincerely, 
Lynn Stanley 
Lynn Stanley 
ArkAHPERD President
ArkAHPERD Board of Directors 
Leggett, Lynn President leggettl@hsu.edu 
Forbess, Janet Program Coordinator jforbess@uark.edu 
Mooneyhan, Andy Executive Director amooneyh@astate.edu 
Gist, Tracie JRFH Coordinator tracy.gist@pottsville.k12.ar.us 
Robinson, Lindsay HRH Coordinator lrobinson@dewitt.k12.ar.us 
Mooneyhan, Andy Journal/Newsletter Editor amooneyh@astate.edu 
Mooneyhan, Allen WEB Master amooneyhan@asun.edu 
Division Vice Presidents / VP-elects 
Wilf, Martha Athletics & Sports 
Ralph, Christy Health cralph@bentonville.k12.ar.us 
Keese, Pam Recreation pkeese@harding.edu 
Hilson, Valarie General vhilson@astate.edu 
Prince, Bennie General-elect bfprince@ualr.edu 
Stilwell, Laura Dance danz4u@sbcglobal.net 
Mathis, Mitch Physical Education mmathis@astate.edu 
Straub, Jennifer Physical Education-elect jstraub@sdale.org 
Section Chairs / Chair-elects 
Turley, Ken Exercise Science krturley@harding.edu 
Oliver, Gretchen Athletic Training goliver@uark.edu 
Perkey, Dennis Athletic Training-elect dperkey@astate.edu 
Robinson, Lindsay Elementary Phys Ed lrobinson@dewitt.k12.ar.us 
Mitchell, Nathan Elementary Phys Ed-elect nmitchell@sdale.org 
Williams, Kenna Future Professional [UAM] krw2221@uamont.edu 
Kelley, Kate Future Professional [UAM] mkk0422@uamont.edu 
Wempe, Patrick Higher Education wempep@hsu.edu 
Koh, Yun Higher Education-elect kohy@hsu.edu 
Peterson, Don Research petersd@hsu.edu 
Bryant, Lance Research-elect lgbryant@astate.edu 
Smith-Nix, Angie Secondary Phys Ed ansmith@uark.edu 
Moore, Jessica Secondary Phys Ed-elect jmoore@harding.edu 
Standing Committee Chairs 
Arrington, Alfred Scholarships arringtona@uapb.edu 
Wempe, Patrick Higher Educator of the Year wempep@hsu.edu 
Forbess, Janet Honor Award jforbess@uark.edu 
Smith-Nix, Angela Necrology ansmith@uark.edu 
Smith-Nix, Angela Teacher Awards ansmith@uark.edu 
ArkAHPERD 2009 State Convention will be November 5-6 
at the Best Western Inn of the Ozarks 
207 W Van Buren 
Eureka Springs 
Phone: 479-853-9768 
5
A Peer Reviewed Article 
Legal Duties of Coaches 
David LaVetter 
6 
Introduction 
Approximately 7.5 million athletes participate in 
interscholastic athletics in the U.S. each year (National 
Federation of High School Association {NFHS}, 
2008). Approximately 850,000 men and women coach 
these students (NFHS, 2008). National Association for 
Sport and Physical Education (NASPE) has partnered 
with various national associations since the 1960’s in 
spearheading the national movement for high school 
coaching certification. 
In 1991, the NFHS, which governs interscholastic 
athletics for state high school athletics, partnered with 
American Sport Education Program to offer school 
versions of coaching principles courses. These two org-anizations 
worked closely with state activity associations 
to implement these courses as required education, or at 
least, highly recommend for all school coaches. Within 
the coaching curriculum, legal duties of coaches were 
established. These duties have been instructed in the 
NFHS/ASEP courses since 1990 (ASEP, 2008). 
ASEP’s partnership with NFHS ended in 2005. ASEP 
worked directly with more than 40 state high school 
associations in delivering the ASEP Professional 
Coaches Education Program to more than 50,000 
coaches across the U.S. (ASEP, 2008). The legal duties 
of coaches outlined in their program’s content have 
continued to be followed by courts as the legal 
standards that should be practiced by recreational and 
school sport coaches (Martens, 2004). 
More recently, the NFHS Coaching Education 
Program (2005), a newly formatted coaching education 
and certification program, has outlined legal duties of 
coaches. A very important source of additional exp-ectations 
for a coach is found in the accepted state and 
national standards for coaching published by profess-sional 
organizations. The most recent and comprehend-sive 
set of standards, including the legal duties, 
published in 1995 by the National Association for Sport 
and Physical Education (NASPE, 1995). These 
standards are being accepted by organizations 
throughout the country and are being used to determine 
the content of coaching education programs. As these 
standards become more widely accepted, they are likely 
to become the “standard of care” for coaches in the 
eyes of the legal system. It may be necessary for 
coaches to show that they have the training and 
expertise in each of the various areas detailed in this set 
of standards (NFHS, 2007, p.1). 
Additionally NASPE administers the National Council 
for Accreditation of Coaching Education (NCACE) 
(NASPE, 2008). NCACE reviews coaching education 
and certification programs that seek accreditation based 
on compliance with the National Standards for Athletic 
Coaches (NCACE, 2006). 
School coaches have a myriad of responsibilities 
pertaining to coaching athletics teams. However, beyond 
the game strategies, skill instruction, budget, and over-involved 
parents lies an often overlooked area of res-ponsibility: 
Legal duties of coaching. Part of practicing 
good risk management strategies in coaching is to have 
an understanding of the legal expectations as 
professionals in the field. A seasoned coach may 
understand the complexity of managing a sports team, 
but when a list of legal duties is added and adherence 
expected, it may be overwhelming. The appointment of 
unprepared individuals to coaching positions in our 
schools could lead to serious health and safety-related 
problems for the athletes and as well as potential legal 
pitfalls for sport organizations (Conn & Razor, 1989). 
Therefore, it is vital that all coaches understand and 
consistently practice the legal expectations according to 
their job scope. 
According to Tim Flannery, NFHS assistant director 
and director of the Coach Education Program, "At this 
point, there are no national requirements to certify 
coaches…however, state associations are helping estab-lish 
and enforce those requirements at a local level" 
(NFHS, 2007, p. 1). Flannery mentioned about 40 state 
associations have committed to the new program which 
started 2007-08. A new DVD entitled "Minimizing Risk: 
A Shared Responsibility" will be used by athletic 
directors and coaches to be shown during preseason 
meetings. The DVD warns athletes and their parents 
about the inherent risk of injury in sports (NFHS, 2007). 
Three types of torts or wrongs have been established by 
the courts: 1) intentional, or willful or wanton; 2) strict 
liability; and 3) negligence. This article focuses on 
negligence-related legal claims. Negligence is defined as 
“…the failure to act as a reasonably prudent 
professional would act under similar circumstances.” 
Thus, negligence occurs when a coach fails to act as a 
reasonably prudent coach would act in a similar situation 
(Nyggard & Boone, 1985.) 
This article addresses the legal responsibilities as 
outlined by NFHS and ASEP. American Sport 
Education Program (ASEP) established nine legal duties
7 
(ASEP, 1989) pertaining to coaching youth sports 
(schools or otherwise). These legal responsibilities 
primarily arose from thousands of court cases. The 
duties vary state by state and may also change as 
litigation continues. 
Negligence 
Three types of torts or wrongs have been established 
by the courts: 1) intentional, or willful or wanton; 2) 
strict liability; and 3) negligence. This article focuses on 
negligence-related legal claims. Negligence is defined as 
“…the failure to act as a reasonably prudent 
professional would act under similar circumstances.” 
Thus, negligence occurs when a coach fails to act as a 
reasonably prudent coach would act in a similar situation 
(Nyggard & Boone, 1985.) 
The courts have established four criteria to determine 
if negligence exists: 
Was a duty owed? The legal concept of duty is 
based on a “special relationship” between the 
school (i.e. coach) and participant; implying 
schools have a duty to exercise reasonable care for 
the protection of their participants (Van der 
Smissen, 1990). Courts have applied this “special 
relationship” standard during school-sponsored 
activities such as athletics. 
Was there a breach in the duty? If the defendant, 
or coach, has failed to meet the standard of care 
required, they have breached their duty. 
Was the breach of duty cause for injury or 
damage? If an act or failure to act directly 
produces the incident, and the incident would not 
have occurred otherwise, then proximate causation 
(or legal cause) exists. There must be a causal 
connection for negligence to occur. 
Was there damage? Actual loss, damage or injury 
must occur to continue a negligence claim. The 
threat of future damage is insufficient (Nygaard & 
Boone, 1985). 
All of these elements must be answered in the 
affirmative to have a valid negligence claim. Foresee-ability 
is a major factor in determining if you did or did 
not meet your professional standard of care. In determ-ining 
negligence, an essential component is failing to 
anticipate and act on unreasonable risks of injuries that a 
reasonably prudent person would have anticipated and 
acted upon (foreseeability) (Neish, 1996). If the coach 
should have known of foreseeable risks, they may be 
named in the lawsuit as well as the school. Under 
doctrine of respondent superior, an employer may be liable 
for the wrongful acts of the employee if the employee 
was acting in his/her job scope and responsibilities. 
Legal Duties 
The following are the established legal standards of 
coaching adopted by NFHS and ASEP. Court cases are 
added to help illustrate the expected legal standard. 
1. Provide warnings to parents and athletes of risks 
inherent to specific sport participation 
During the initial team meeting of each year, coaches 
should provide warnings of the inherent risks associated 
with the specific sport. Pre-season team meetings should 
be attended by the athletic director, head trainer, team 
doctor, assistant coaches, parents or guardians and 
players. Some schools may require these meetings be 
videotaped for legal documentation. 
In one of the earliest court cases involving coaching 
duties, Vendrell v. School District No. 26C (1962), the 
courts outlined particular legal responsibilities of inter-scholastic 
athletic coaches. The court found an injured 
football player had assumed the risks inherent to the 
sport. The court also found the coach had adequately 
instructed the players to the expected coaching 
standards. This case made a significant impact on future 
coaching standards in our schools. 
Both participants and their parents or guardians 
should be required to sign 1) agreement to participate, 2) 
acknowledgement of inherent risks of the sport, and 3) 
release of liability forms with the school at the first team 
meeting, and certainly prior to any activity. Exculpatory 
agreements provide the school (and coaches) defenses in 
negligence-related claims against the school. Assum-ption 
of risk is the defense most prevalently discussed in 
contexts of physical activity and sport. Primary assum-ption 
of risk indicates the participants (and parents) 
understand and voluntarily agree to accept the inherent 
risks associated with the specific sport (e.g. frequent 
contact to the head during football drills/activities) 
(Sharp, Moorman, & Claussen, 2007). 
In collaboration with the National Interscholastic 
Athletic Administrators Association (NIAAA), the 
NFHS created a two-DVD series on risk management 
focusing on the duty of athletics administrators and 
coaches to warn of risks inherent to sport participation. 
Proper warnings of sport participation to parents and 
participants are essential to minimize liability risk for 
coaches and school administrators. 
In Beckett v. Clinton Prairie School Corp. (1987), an 18- 
year old high school baseball player was injured during 
practice when he collided head-on with another player 
during a fly ball drill. According to the court, the 
appropriate standard is "whether a defendant (school) 
exercised his duty with the level of care of an ordinary 
prudent person under the same or similar 
circumstances" (p. 13). Further, the court noted that the 
reasonable duty of care and supervision varies depend-ing 
upon the age of the participants. Accordingly, the 
court found that reasonable conduct will vary depending 
upon the presumed awareness of participants to specific 
risks of injury. 
In this case, the court found the injured player had 
actual knowledge and understanding of the specific risk: 
colliding with another player in pursuit of a fly ball. 
Specifically, the court found that the coach had properly 
warned his players of the risk of collision if there was no 
communication between players during the fly ball drill. 
As a result, given plaintiff's appreciation of the danger, 
the court found that the student had assumed the risk of 
injury (Beckett, 1987). During the course of proper 
instruction, a judicious coach may additionally provide 
adequate warnings of certain physical risks inherent in 
team strategy.
8 
2. Properly plan activity 
Courts have repeatedly ruled that coaches have a duty 
to properly plan each activity for those athletes under 
their supervision. Develop a season plan illustrating in-dividual 
skill and team strategy progressions. Begin each 
season with testing to determine their physical capacities 
and skill level for each sport. Some may make the 
mistake of conditioning players, especially in extreme 
temperature, beyond their physical capacity during the 
first week of practice. Heat exhaustion risks are greatly 
increased if players are not physically prepared to endure 
such practices. Ease into the season with a progression 
level appropriate for the sport and ages of participants. 
It is also advised not to deviate from those plans. 
Properly document all practice plans showing skill and 
physical capacity progression as well as any testing 
measures taken (Martens, 2004; Borkowski, 2008). 
3. Provide a safe playing environment 
The following case illustrates the importance of 
providing a safe playing field. A 17-year-old high school 
football player in North Carolina was rendered 
quadriplegic after he was tackled by his teammates at a 
practice. The player’s neck was broken when he was 
tackled into an unguarded steel post just over 11-feet 
from sideline of the practice field. It is reported that the 
lawsuit filed by his parents against the school district 
was settled for $12.5 million (Paralyzed, 2008). 
Administrators and coaches should conduct periodic 
risk assessments of their facilities to make the areas safer 
for their participants. 
A coach has the duty to notify the appropriate auth-ority 
when he/she encounters a playing environment 
that does not conform to the standards set by the 
governing body of the particular sport. Coaches should 
document the playing area risk not only to act 
responsibly but to minimize their liability. Weather can 
also change the physical environment of the surface or 
air. Although such changes are less likely in indoor 
facilities, the area can be at risk instantly if there is loss 
of lighting, heat, or moisture control. Again, document 
any hazardous conditions and report them to the school 
facilities manager and athletic director as soon as 
identified. Coaches should develop a facilities or playing 
surface inspection checklist in their areas of 
responsibility and check it regularly. 
A facility manager, or coach in most circumstances, 
must take reasonable care to keep premises in a safe 
condition. That obligation includes duties to 1) frequen-tly 
inspect for risks or hazards; 2) maintain the premises 
and correct inadequacies; 3) warn participants about the 
hazards that are not readily apparent; 4) warn 
participants of the risks of the sport, and 5) keep 
participants safe during their use of the premises 
through reasonable supervision and security (Maloy, 
2001, p. 106). 
4. Provide safe and appropriate equipment 
The coach has not only a duty to provide adequate and 
proper equipment to the participants, but to explain its 
correct use. Similarly, as with facilities, a coach must 
regularly inspect equipment. Make certain the equip-ment 
to be purchased meets the standards of the 
national governing body for the sport. The failure to 
issue protective equipment was an issue in Leahy v. School 
Board of Hernando County (1984). Leahy, a high school 
football player, was not issued a helmet for practice 
because his head could not be properly fitted. He was, 
however, permitted to participate. During a "non-aggressive" 
agility drill, he bumped heads with a 
helmeted opponent, shattering his teeth. The court ruled 
for the plaintiff. Apparently, due to the lack of available 
equipment, the plaintiff was not issued a helmet. No 
special precautionary instructions were given to players 
who had no helmets or mouth guards relative to those 
players who had such equipment regarding limitations 
on their participation in practice. Although this was 
referred to by the coaches as a "no contact drill," by the 
very nature of it, some physical contact between the 
players was required. After the drill started, the coaches 
let it continue as they watched from the sidelines. 
Under the circumstances of the Leahy case, the court 
found the injury to Leahy was "a foreseeable con-sequence": 
(1) of the failure to provide plaintiff with a 
helmet and mouth guard; (2) of the failure to give 
cautionary instructions regarding contact (especially 
regarding the fact that some players had helmets while 
others did not) and (3) of the failure to limit the 
progressive intensity of the drill under the circumstances 
(Leahy, 1984, p. 8). The evidence that plaintiff was 
permitted to participate without a helmet was sufficient 
basis upon which a jury could conclude that the school 
(through its employees) failed to exercise reasonable 
care under the circumstances for the protection of 
plaintiff. 
One may argue that contact is inherent in the sport of 
football, yet the court found that plaintiff's assumption 
of risk as a participant in a contact sport was limited to 
the risk of injury "inherent in ordinary play" and did not 
include "the risk of participating in a training drill which 
was improperly supervised and for which he had 
improper and insufficient equipment" (Leahy, p. 16). 
Additionally, there are dangers of handed down 
equipment (i.e. varsity equipment given to junior varsity 
teams). Circle System, Inc. of Easton, PA, a re-conditioner 
of football equipment, allegedly failed to 
perform safety tests on used football helmets before 
sending them back on the field. The allegation is part of 
a U.S. Consumer Product Safety Commission report 
issued after its investigation of the used helmets. 
Approximately 200,000 football helmets for players as 
young as eight years old to college-age used helmets that 
failed to be tested properly (Refurbished, 2008). Even if 
a player brings their own equipment, the coach has the 
responsibility to inspect and ensure that it complies with 
safety standards (Martens, 2004). 
5. Provide proper instruction 
Coaches have a legal duty to properly provide instruct-ion 
to athletes by employing the most current know-ledge 
of proper skills and methods of instruction. By 
teaching technical and tactical skills correctly, athletes’ 
risk of injury is decreased (Borkowski, 1985). As a head 
coach, your proper instructional duty cannot be 
delegated. If assistant coaches are assigned to teach
9 
technical skills, you must supervise them to ensure it is 
taught correctly. The duty to instruct is the most basic 
of all responsibilities and duties placed upon physical 
educators. It is what their trained to do. As in any move-ment 
activity, injuries are inherent, and it is the duty of a 
physical educator to minimize injuries (Adams, 1993). 
A lawsuit in Seattle addressed issues of warning 
players of the inherent risk associated with football as 
well as the importance of providing proper instruction. 
Thompson, a 15-year-old running back, caught a pass 
on the sideline and attempted to lower his head and run 
through an approaching tackler. The tragic consequence 
was a severed spinal cord and quadriplegia. In the court 
case, it was shown that the coach had informed his 
players to keep their head up when they are running. 
However, the coach did not properly demonstrate how 
to meet a tackler and did not warn them of the dangers 
of making initial contact with the head. The jury ruled 
that the coach was negligent because he had not pro-perly 
instructed and warned the player. Consequently, 
the court awarded the plaintiff $6.4 million dollars, 
which was later reduced to $4 million (Adams, 1993). 
It is essential coaches keep well-informed of current 
instructional standards for their sport and practice them. 
Also, coaches should possess the ability to instruct 
clearly, completely and consistently. Athletes need 
adequate and consistent feedback from coaches. 
6. Proper matching of athletes in practices and 
games by size, experience and ability 
Another legal duty is to match and equate opponents 
in a common-sense manner (Nygaard, 1985). Most of 
the time we think of this as matching by size; not pairing 
a 100-lb. player and a 180-lb. player for a tackling drill. 
What coaches must also consider are experience levels. 
The freshman 119-lb. wrestler is generally not an 
acceptable practice opponent for the senior 119-lb. state 
champion. Another example would be inviting a former 
collegiate wrestler from your school to practice with the 
younger, high school-age wrestler. The skill and ability 
level is likewise as important as the physical sizes of 
participants. 
In Toller v. Plainfield School District 202 et al. (1991), the 
plaintiff's (Toller) son was injured while wrestling a 
heavier opponent in a sixth grade physical education 
class. At the time of the injury, Toller’s son weighed 83 
pounds and was matched with a boy who was about the 
same height, but was heavier weighing about 100 
pounds. The trial court granted summary judgment in 
favor of defendant. In the opinion of the trial court, the 
alleged weight mismatch, while perhaps negligent, did 
not constitute willful or wanton misconduct (as 
discussed previously) required by statute to impose 
liability on school activities. 
In this particular case, the instructor "was aware that 
weight classifications existed for extracurricular junior 
high school wrestling and that the purposes of the 
classifications were safety and fair competition" (Toller, 
1991, p. 4). Accordingly, the instructor had divided the 
class by estimating size, height, weight, body structure, 
and ability. In providing a wrestling partner for the 
plaintiff's son, the instructor recognized that the other 
boy might have been a little stockier and stronger than 
plaintiff's son. The instructor explained, however, that 
he placed them in the same group because if he had 
placed the other boy in a different group, he would have 
been with boys much larger. 
Blaylock instructed the students on the rules of 
wrestling, incorporated the objectives of the curriculum 
in his lesson guide, demonstrated various wrestling 
maneuvers, and warned the students not to engage in 
illegal moves such as the body slam. He then matched 
students according to an estimation of their height, 
weight, size, body structure, and ability. During the 
matches, he closely supervised the competition and was 
refereeing it only 10 feet away. Following the accident, 
Blaylock called for help and applied ice to the injury. 
It would, therefore, appear that this particular 
instructor had satisfied the applicable legal duties owed 
under the circumstances, i.e., adequate instruction; a 
reasonable selection or matching participants; non-negligent 
supervision of the particular activity; and 
provided proper emergency assistance. 
From Weiss v. Collinsville Community School District No. 
10 (1983), the courts imposed liability upon the school 
district for failure to supervise. A plaintiff must allege 
and establish that when the educators acted, or failed to 
act, it was with knowledge that such conduct posed a 
high probability of serious physical harm to those under 
his/her supervision. 
Male practice squads competing against female teams 
may become an increasingly more common practice. 
These situations may become possible areas of 
mismatching, as well as gender equity concerns, that 
may lead to an increase in risk of injury or liability to 
schools. Currently, this practice is a growing concern 
among coaches and administrators in collegiate athletics. 
Males are allowed to practice against female players in 
college athletics (primarily in women’s basketball), yet 
Title IX concern is the key issue at this point, not 
physical risks. This practice has not yet swept across 
high schools, yet could be an area of discussion in the 
future as pressures to increase competitiveness continue 
to grow. While a coach cannot match players for games, 
he/she can attempt to ensure proper matching during 
practice drills. 
7. Provide adequate supervision of athletes 
Approximately, 80% of negligence-related sports cases 
within schools involve alleged improper or lack of 
supervision. The failure to supervise is also the most 
cited sports-related lawsuit claim. Supervision is a broad 
term denoting responsibility for the area and activities 
within the area (Kaiser, 1986). Coaches are expected to 
exercise reasonable care to prevent unreasonable risk of 
harm on the facility premises. 
Supervision is categorized in two areas 1) general and 
2) specific (Gaskin, 2001). General supervision is 
expected when the activity does not require constant, 
unremitting scrutiny of an activity. This mode of 
supervision is used when observing activities on the 
playground, in the gymnasium, weight room, or 
swimming pool when the supervisor is not expected to 
have every individual under supervision simultaneously.
10 
Specific supervision is expected when the activity 
requires a constant and continuous observance for 
individuals or small groups. It involves high-risk 
activities or using areas that have the potential for 
serious injury. For example, individuals who are learning 
a skill or who are not able to perform a skill need 
specific, direct supervision. 
Additionally, there may be activities that transition 
between general and specific depending on the 
individual’s ability to perform the activity, use the 
equipment and facility properly, and interact with 
others. Ages of participants, skill level, years of exper-ience 
in the sport, and mental faculties are additional 
factors that may require specific supervision expect-ations. 
Typically, the younger the age, less skilled and 
less mature individuals, the more supervision is required 
(Gaskin, 2001). 
In the case of Herring v. Bossier Parish School District, a 
15-year-old high school baseball player died after he was 
struck in the head by a ball during batting practice. 
According to the court, the coaches had a legal duty to 
protect players "from foreseeable harm from the cond-uct 
of things or persons under that coach's or teacher's 
supervision" (Herring, 1994, p. 2). On the other hand, 
the court noted that a coach is "not held to impossible 
standard of exercising constant supervision over each 
student involved in a group activity" (Herring, p. 2). 
In this particular circumstance, the court found that 
the coach had clearly stated the procedures and routines 
for conducting an orderly batting practice. These 
routines were designed to allow him reasonable 
supervision and to provide for the reasonable safety of 
his players. Further, the court found that the coach's 
players knew these rules and procedures. In addition, 
expert testimony indicated that these rules and 
procedures met "the standard customarily used by 
coaches of high school baseball players" (Herring, p. 4). 
Despite such knowledge of the appropriate safety rules 
and procedures, the court found plaintiff had not 
heeded the coach's warning that the batter was "hitting." 
The court, therefore, affirmed the judgment for the 
coach (Herring v. Bossier Parish School District, 1994). 
Additionally, football coaches of Long Island, NY 
high school were found to have failed in their duty to 
supervise athletes during a pre-season training camp 
where hazing incidences led to injuries of players. The 
coaches and school board were found to be negligent in 
their duty to supervise after players admitted to sad-istically 
hazing some of their teammates. The entire 
football season was cancelled and several were charged 
with assault and battery (Dangerous minds, 2004). 
The plaintiff must show that failure to supervise was 
the proximate cause (condition of negligence) of the 
injury. No school liability exists if the injury would have 
occurred even if appropriate supervision was present, 
therefore, plaintiffs must establish that the injury was 
reasonably foreseeable (Gaskin, 2001). Coaches should 
consistency supervise to avoid negligent supervision that 
could lead to the injury and increase school liability. 
The court’s issue regarding supervision is not the 
number of supervisors (or coaches) that were present 
at the time of the injury, but whether the supervision 
was reasonable with related to age, maturity, and exper-ience 
of participants (Glankler v. Rapides Parish School 
Board, 1993). 
8. Evaluate injuries (if trained) 
Coaches are often forced to deal with an injured player 
without qualified medical personnel being immediately 
available. Coaches who attempt to diagnose beyond 
their scope of experience are putting themselves and 
school at risk. Coaches have a duty to speedily attend an 
injury occurring in which he/she is responsible to 
supervise, yet coaches should not treat or diagnose 
injuries if not properly certified as a trainer or doctor 
(Neish, 1996). If necessary, the coach should not allow 
continued participation until the player or staff, has been 
properly evaluated by qualified personnel. Van der 
Smissen (1990) asserted all sport programs need 
personnel who are trained and qualified to administer 
emergency care. Additionally, she stated the duty to 
evaluate and provide emergency care exists regardless of 
the training of personnel, accordingly, prudent school 
administrators will insure their personnel are adequately 
trained for emergency care. Despite the nationwide 
efforts of NFHS, ASEP, NASP, NASBE continued 
education of school sport coaches, in 2000 only 40% of 
the states required coaches to be certified in first-aid and 
CPR, and 34% required their coaches to complete a 
coaches’ training course (Burgeson et al., 2001). 
In response to states’ failure of requiring or 
recommending CPR and first-aid certification for all 
coaches, the NFHS recommended that all coaches 
(experienced and non-experienced) possess a current 
CPR and first-aid certification (NASBE, 2003). Addi-tionally, 
NFHS recommended that even certified 
teachers serving as head coaches maintain their 
professional development by completing at least one 
coaching education course per year as long as they 
remain a coach (NASBE, 2003) 
9. Provide appropriate emergency care 
Typically, schools have a statutory duty that require 
appropriate emergency care be provided to the injured 
participant. Kaiser (1986) indicated administrators have 
two responsibilities when providing for emergency care 
to students: 1) They must be sure all personnel who 
coach or teach are competent in the administering of 
emergency first aid and CPR procedures, and 2) they 
must be know of and adhere to emergency procedures 
for timely medical assistance. Two areas are cited in the 
emergency first-aid area: The appropriateness of the care 
and the timely implementation of care (Kaiser, 1986). 
In Jarreau v. Orleans Parish School Board (1992), the court 
concluded a school was liable for a high school coach’s 
and team trainer’s negligence in failing to immediately 
refer an injured player for medical treatment. The player 
fractured his wrist during a game and the coach 
continued to play him despite sustained swelling and 
pain. The court noted that coaches, if not properly 
trained, are not expected to diagnose injuries but seek 
proper medical treatment immediately. 
Coaches are often forced to deal with an injured player 
without qualified medical personnel being immediately
11 
available. Coaches who attempt to diagnose beyond 
their scope of experience are putting themselves and the 
school at risk (Maloy, 2001). 
10. Provide safe transportation 
Even though NFHS and ASEP have established the 
above broad legal coaching duties, the literature 
describing the duty to safely transport sport participants 
is replete. When a school provides transportation, it 
owes a duty of care pertaining to safe transportation 
(Pittman, 1994). How does this duty pertain to coaches? 
What are the duties of coaches while students waiting to 
board or while on board the bus prior to departure for 
an athletic event? The duty to provide safe trans-portation 
begins at the original departure point and 
continues until they return to the original departure 
point (Pittman, 1994). 
In Castro v. Los Angeles Board of Education (1976), where 
a “school-sponsored activity” (one that requires attend-ance 
from the students) is involved, the school district is 
responsible for the safety of the student during the 
entire trip. 
In a case involving a student being attacked and raped 
while waiting for the school bus on school property, the 
courts found the coach (and school board) had a duty to 
supervise and failed to fulfill this duty (O’Campo v. School 
Board of Dade County, 1991). Recently, a hazing case has 
emerged concerning high school athletes found to have 
physically and sexually assaulted some younger team-mates 
while traveling on a school bus. Two players were 
accused of hazing at least two younger players on the 
team bus. The players were charged with aggravated 
sexual abuse and endangering the welfare of a child. In 
addition from being suspended from their coaching 
positions, the two coaches involved were also charged 
with the same charges (Wilson, 2008). 
In some situations, coaches are required to drive the 
participants to the event and on the return trip home. In 
most cases, the coaches are very fatigued and also may 
not be able to adequately supervise the players when 
transporting them. It is recommended that coaches do 
not drive on team trips in order to better supervise and 
thus, allow other qualified, more rested drivers to safely 
transport the team. Coaches must be reasonable prudent 
professionals at all times when transporting teams. 
Safety of the athletes should always be our first priority. 
The legal responsibility to provide safe transportation 
most often rests with the school, however, coaches can 
also do their part in helping ensure safe transportation 
and supervision are provided to those whom he/she is 
responsible (LaVetter, 2005). 
In sum, if any question may arise concerning a 
possible legal duty of coach, it is best to remember the 
court’s discussion of negligence: How would a reason-ably 
prudent coach act under similar circumstances? 
Often, the situation requires the coach to consult with 
the school’s administrators or legal counsel concerning 
their duties, and yet other situations may necessitate the 
coach respond immediately. In order to assist the coach 
with decisions concerning their teams, the overall safety 
and well being of each student can be improved if the 
coach has an understanding and appreciation of his/her 
legal duties, and most importantly, practices these 
standards regularly. 
REFERENCES 
Adams, S.H. (1993). Duty to properly instruct. Journal of 
Physical Education, Recreation & Dance, 64 (2), 24-26. 
American Sport Education Program (1989). Nine legal 
duties of coaches. In Martens, R., Successful Coaching 
(3rd) (2004). Human Kinetics; Champagne, IL. 
American Sport Education Program (2008). About 
ASEP. Retrieved September 25, 2008 from 
http://www.asep.com/about.cfm. 
Borkowski, R. D. (1985). From the bench: Duty to offer 
proper instruction. Coaches Legal Report, 
December 1985. 
Borkowski, R. D. (2008). Legal duties of a coach. 
Safety/Risk Management. East Penn Rugby Union 
Newsletter. 
Beckett v. Clinton Prairie School Corp, 504 N.E. 20 552 (Ind. 
1987). 
Burgeson, C., Wechsler, H., Brener, N.D., Young, J.C., 
& Spain, C.G. (2001). Physical education and 
activeity: Results from the school health policies 
and programs study 2000. Journal of School Health, 71, 
279-293. 
Castro v. Los Angeles Board of Education, 54 Cal. App. 3d 
232 (Cal. App. LEXIS 1130; 126 Cal. Rptr. 537, 
1976). 
Conn, J. & Razor, J. (1989). Certification of coaches: A 
legal and moral responsibility. Physical Educator, 46 
(3), 161-165. 
Dangerous Minds (2004). Retrieved September 10, 2008 
from http://www.cbsnews.com/ Stories/2004/04/12/ 
48hours/main611479.shtml. 
Gaskin, L.P. (2001). Supervision. In Cotton, D. J., 
Wolohan, J.T., & Wilde, T. J (2001) Law for 
Recreation and Sport Managers. Kendall/Hunt: 
Dubuque, IA. 
Glankler v. Rapides Parish School Board, 610 So.2d 1020 
(La. App. 1993). 
Herring v. Bossier Parish School District, 632 So.2d 920 
(La.App. 1994). 
Jarreau v. Orleans Parish School Bd., No. 92-C-2322, 
Supr. La., 605 So. 2d 1378 (1992 La. LEXIS 3226, 
1992). 
Kaiser, R.A. (1986). Liability and law in recreation, parks, 
and sports. Englewood Cliffs, NJ: Prentice-Hall. 
LaVetter, D. (2005). Transportation safety starts with 
policy change. NCAA News, December 5, 2005).
12 
Leahy v. School Board of Hernando County, 450 So.2d 883 
(Fla.App. 1984). 
Maloy, B. P. (2001). Safe environment. In Cotton, D. J., 
Wolohan, J.T., & Wilde, T. J (2001) Law for 
Recreation and Sport Managers. Kendall/Hunt: 
Dubuque, IA. 
Martens, R. (2004). Successful coaching (3rd). Human 
Kinetics: Champagne, IL. 
National Association for Sport and Physical Education 
(1995). National Standards for Athletic Coaches. 
Dubuque: Kendall/Hunt. 
National Association for Sport and Physical Education 
(2008). National Council for Accreditation of 
Coaching Education. Retrieved October 1, 2008 
from http://www.aahperd.org/naspe/tem-plate. 
cfm?template=programs-ncace.html 
National Association of State Boards of Education 
(NASBE) (2003). Education requirements for ath-letic 
coaches. NASBE policy update, 11 (4). Retri-eved 
August 22, 2008, from http://www.nasbe.org 
/Educational_Issues/Policy_Updates/11_4.html 
National Council for Accreditation of Coaching 
Education (NCACE) (2006). NCACE program reg-istry 
and approved program list. NASPE. Retrieved 
August 22, 200, from http://www.aahperd.org/ 
naspe/template.cfm?template=programs-html 
National Federation of State High School Associations 
(2005). Coaching Education Program Retrieved 
September 20, 2008 from http://www.nfhs.org 
National Federation of State High School Associations 
(NFHS) (2007). 88th Annual NFHS Summer Meet-ing 
held in Palm Desert, CA, July 2007. Retrieved 
August 28, 2008 from http://www.nfhs.org/web/ 
2007/08/88th_annual_nfhs_summer_meeting.aspx 
National Federation of High School Association 
(NFHS) (2008). High school sports participation 
increases again; boys, girls and overall participation 
reach all-time highs. Retrieved October 15, 2008 
from http://www.nfhs.org/web/2008/09/ 
high_school_sports_participation.aspx 
Neish, N.A. (1996). Tort liability in high school sport. 
Coach and Athletic Director, 10 (3), 22-24. 
Nygaard, G. & Boone, T.H. (1985). Coaches guide to sport 
law. Champaign, IL: Human Kinetics. 
Paralyzed high school player settles for $12.5 million 
(2008). From the Gym to the Jury, 19 (1), p 1. 
Pittman, A. (1994). Legal and safety issues in school 
transportation. Journal of Legal Aspects of Sport, 4 (1), 
18-28. 
Refurbished football helmets face safety scrutiny (2008). 
From the Gym to the Jury, 19 (1), p. 3. 
Sharp, L.A., Moorman, A. M., & Claussen, C.L. (2007). 
Sport law: A managerial approach. Holcomb 
Hathaway: Scottsdale, AZ. 
Toller v. Plainfield School District 202 et al, 211 Ill. App.3d 
554 (582 N.E.2d 237, 1991). 
Vendrell v. School District No. 26C, Malheur County, 233 
Ore 1 376 P.2d 406 (Ore. Supr. Ct. 1962). 
Van der Smissen (1990). Legal liability and risk management 
for public and private entities. Cincinnati, OH: Anderson. 
Weiss v. Collinsville Community Unit School District No. 10, 
119 Ill. App. 3d 68 (456 N.E. 2d 614, 1983). 
Wilson High School sex hazing case makes national 
news. The Buffalo News. Retrieved October 10, 2008 
from http://buffalonews.typepad.com/niagra_ 
views/2008/08/wilson -high-sch.html 
David LaVetter is a professor in the Department of 
HPESS, Arkansas State University 
Calendar 
Event Date Place 
AAHPERD LDC June 17-20, 2009 Washington, DC 
Southern District LDC June 26-27, 2009 Myrtle Beach, SC 
ArkAHPERD Board Meeting August 8, 2009 Little Rock, AR 
Southern District Student LDC October 22-25, 2009 Camp Letts, MD 
ArkAHPERD Convention November 5-6, 2009 Eureka Springs, AR 
Southern District Convention February 10-14, 2010 Myrtle Beach, SC 
AAHPERD National Convention March 16-20, 2010 Indianapolis, IN
A Peer Reviewed Article 
Sexual Attitudes and Behaviors of African 
American Adolescents 
Brian Gordon, Michael Perko, Lori Turner, 
and Deidre Leaver-Dunn 
13 
Abstract 
The U. S. has had the highest rates of Sexually 
Transmitted Infections (STIs) in the industrialized world 
for almost a decade. American adolescents are plagued 
by effects of risky sexual behavior as the prevalence of 
most STIs peaks during adolescence. Approximately 3 
million adolescents are infected with STIs. African Am-erican 
adolescents report earlier age of sexual initiation, 
which places them at an increased risk of negative health 
outcomes. The purpose of this paper was to apply the 
Theory of Reasoned Action (TRA) to sexual attitudes, 
beliefs, and intentions of African American adolescents. 
A literature review was conducted using Medline, 
Pubmed and Google Scholar. Studies were reviewed 
based on identified use of TRA or TRA constructs and 
if sexual behavior or a related outcome was addressed. 
Most studies have focused on the influence of 
sociodemographic and family factors resulting in a lack 
of knowledge concerning the more proximal factors that 
influence adolescents’ sexual decision making. Applying 
the TRA may assist in developing interventions to delay 
early onset of sexual initiation among African American 
adolescents. To facilitate healthy attitudes toward delay-ing 
sexual activity, interventions must focus on 
generating attitudes consistent with favorable ideas 
regarding delayed sexual activity. 
Introduction 
“Today’s adolescents face demands and expectations, as well as 
risks and temptations, that appear to be more numerous and 
complex than those adolescents faced only a generation ago” 
D. A. Hamburg, 1993. 
Early sexual initiation among American adolescents 
represents a major public health problem (American 
Academy of Pediatrics (AAP), 2001). The teen birth rate 
has increased 3% since 2005 (Hamilton, Martin, & 
Ventura, 2007). This increase is the largest single year 
increase since 1989, and the U.S. teen birth rate is the 
highest it has been in almost 50 years (Hamilton, Martin, 
& Ventura, 2007). While each racial cohort experienced 
increases in birth rates, African American adolescents 
(AAas) experienced significantly higher rises than White 
adolescents (Hamilton, Martin, & Ventura, 2007). AAas 
experience greater unplanned pregnancies and sexually 
transmitted infections STIs) than their counterparts. 
(National health objectives outline increasing the pro-portion 
of adolescents who abstain from sexual inter-course 
or use condoms if sexually active (CDC, 2004). 
Forty eight percent of male and 46% of female 
adolescents have had sexual intercourse (National Youth 
Risk Behavior Surveillance Survey (YRBSS), 2005). 
Male adolescents were more likely than females to have 
had sex with four or more people in their lifetimes 
(YRBSS, 2005). When comparing adolescents by race, 
68% of AAas reported ever having sex, 17% stated they 
had sex before age thirteen, and 28% had sex with 4 or 
more people, compared to White adolescents who re-ported 
43%, 4%, and 11% respectively (YRBSS, 2005). 
African American adolescents experience pregnancy 
rates almost three times higher than White adolescents. 
In 1997 the pregnancy rate for AAas was estimated to 
be 17.0% while the estimated rate for White adolescents 
was 6.5% (Ventura, Mosher, Curtin, Abma, & Henshaw, 
2001). AAas experienced the highest single year increase 
in teen birth rates at 5% compared to a 3% increase for 
White adolescents (Hamilton, Martin, & Ventura, 2007). 
Current data indicate the birth rate for AAas is 6.37% 
compared to a rate of 2.66% for White adolescents 
(Hamilton, Martin, & Ventura, 2007). 
African American adolescents report earlier age of 
sexual initiation, which places them at an increased risk 
of poor health outcomes (Escobar-Chaves, Tortolero, 
Markham, Low, Eitel, & Thickstun, 2005). Approx-imately 
3 million adolescents are infected with STIs 
yearly, with the highest incidence occurring in African 
Americans from impoverished, inner city environments 
(Bachanas, Morris, Lewis-Gess, Sarett-Cuasay, Sirl, Riles, 
& Sawyer, 2002). African American adolescents are dis-proportionately 
affected by STIs with rates more than 7 
and 23 times that of White adolescents for chlamydia 
and gonorrhea respectively (CDC, 2004A; CDC, 2001; 
CDC, 2002). In 2005, AAas experienced 55% of HIV 
infections (CDC, 2005). In 2004, AAas 13-19 years of 
age made up 15% of the adolescent population, but 
accounted for 73% of the incidence of Acquired Imm-une 
Deficiency Syndrome (AIDS) (CDC, 2004). Factors 
such as gender, race and ethnicity, environment, age, 
and attitudes contribute to sexual behaviors of adoles-cents 
(Manlove, Terry-Humen, Papillo, Franzetta, 
Williams, & Ryan, 2002). Males are more likely to initiate 
sex early and have multiple partners; minorities are more 
likely to engage in behaviors that lead to early pregnancy 
and STIs (Abma, Driscoll, & Moore, 1998; Miller, Nor- 
ton, Curtis, Hill, Schvaneveldt, & Young, 1997; Raine, 
- continued on p. 18 -
ArkAHPERD 2008 
14
CONVENTION 
15
ArkAHPERD 2008 Award Winners 
Honor Award 
Jim Stillwell 
Dance Educator Student Research 
Susan Mayes Kevin Hicks 
Elementary School TOY Middle School TOY 
Jennifer Straub Kathy Wormington 
JRFH Coordinator of the Year HFH Coordinator of the Year 
Teresa Bailey Natalie Stricklin 
16
ArkAHPERD 2007 Scholarship Winners 
Past President Jeff Farris Jr. 
Rayanne Gordon Charles Farley 
Newman McGee Newman McGee 
Tim Palmer Cheyenne Savony 
2007 SuperStars Competition 
`` 
17
18 
- continued from p. 13 – 
Jenkins, Aarons, Woodard, Fairfax, El-Khorazaty, & 
Herman, 1999; Santelli, Lowry, Brener, & Robin, 2000; 
Shrier, 2004). Adolescents from disadvantaged comm.- 
unities with high crime and poverty rates are more likely 
to have sex, become pregnant, and give birth when 
compared with adolescents from advantaged com-mun-ities 
who are less likely to engage in risky behaviors 
(Billy, Brewster, & Grady, 1994;Brewster, Billy, & 
Grady, 1993; Hogan, & Kitagawa, 1985; Santelli et al., 
2000; Sucoff & Upchurch, 1998; Manlove et al., 2002). 
Other factors that influence sexual behavior are drug 
use, problem drinking, and smoking (Zabin, 1984; 
Zabin, Hardy, Smith, & Hirsch, 1986; Mott & Haurin, 
1988; Orr, Beiterm, & Ingersoll, 1991). 
Purpose of Study 
Sexual behavior among African American adolescents 
requires immediate attention, is a complicated issue and 
appears to be influenced by a variety of factors. Use of 
behavior theory may assist in understanding and 
predicting these behaviors. The purpose of this study 
was to apply the Theory of Reasoned Action (TRA) to 
the sexual attitudes, beliefs, and intentions of African 
American adolescents. 
METHODS 
A comprehensive literature review was conducted 
using Medline, Pubmed and Google Scholar. Key words 
were adolescents, African Americans, sexual behaviors, 
sexual initiation, sexual outcomes, media exposure and 
Theory of Reasoned Action. Studies were reviewed 
based on identified use of TRA or TRA constructs and 
if sexual behavior or a related outcome was addressed. 
RESULTS 
Theory of Reasoned Action 
Buhi and Goodson (2007) conducted a comprehend-sive 
literature review to examine predictors of adoles-cent 
sexual behavior. Most studies have focused on the 
influence of sociodemographic and family factors (Gill-more, 
Archibald, Morrison, Wilsdon, Wells, Hoppe, 
Nahom, & Murowchick, 2002). Carvajal, Parcel, Basen- 
Enquist, Banspach, Coyle, Kirby & Chan (1999) noted 
that such a focus has resulted in a lack of knowledge of 
the more proximal factors that influence adolescents’ 
sexual decision making. The Theory of Reasoned Action 
(TRA) may be appropriate to identify possible factors 
that influence adolescent sexual behavior. 
The Theory of Reasoned Action (TRA) has been used 
to determine the weight of attitudes and subjective 
norms on intentions to perform behaviors such as 
alcohol abuse, mammography use, and sun protection 
use. Application of the TRA to early initiation of sexual 
activity may provide insights and strategies for inter-vention 
development. 
TRA, originally developed by Martin Fishbein in 1967 
(Fishbein, 1967) was later refined with the assistance of 
Icek Ajzen. The TRA was developed through an effort 
to understand the relationship between attitudes, inten-tions, 
and behaviors (Fishbein & Ajzen, 1975). The 
TRA was developed to predict behavior by assessing the 
target population's attitudes toward the behavior and the 
perceived norms regarding the behavior. The concept is 
that attitudes and norms predict intentions, and inten-tions 
predict behavior. 
TRA utilizes various micro and macro factors when 
explaining behavior, and provides a framework for 
deciphering actions by identifying, measuring, and 
combining beliefs that are relevant to individuals or 
groups, allowing researchers to understand the reasons 
that motivate the behavior of interest (Glanz, Rimer, & 
Lewis, 2002). The two basic assumptions of TRA are 1) 
people will make rational decisions concerning the 
behavior with appropriate information, and 2) the 
behavior of interest is under volitional control. Ajzen 
and Fishbein (1980) consider addictive type behaviors 
such as smoking and nicotine addiction to not be under 
volitional control. As such, they concluded the TRA is 
not appropriate for explaining or predicting such be-haviors. 
Therefore, it is assumed that African American 
adolescents have the ability to make rational decisions 
concerning sexual behavior and that sexual initiation or 
abstinence is a choice that African American adolescents 
consciously make. 
The TRA has been useful in predicting and explaining 
a variety of behaviors (Gastil, 2000; Montano & Taplin, 
1991; Morrison, Spencer, & Gilmore, 1998; Steen, Peay, 
& Owen, 1998). TRA was successfully used to predict 
adolescents’ sexual behavior and intentions, their dietary 
supplement use, and their AIDS preventive behaviors 
(Carvajal et al., 1999; Gillmore et al., 2002; Flores, 
Tschann, & Marin, 2002; Perko, Bartee, Dunn, Wang, & 
Eddy, 2000; Fisher, Fisher, & Rye, 1995). 
Gillmore et al. (2002) tested the TRA to predict 
adolescents’ sexual behavior. Sexual intercourse was 
associated with intentions to have sex, and intentions 
were associated with attitudes and general norm. In an 
effort to understand beliefs related to AIDS preventive 
behaviors among high school adolescents, Fisher, 
Fisher, and Rye (1995) conducted a prospective study of 
165 9th grade students. They noted that preventive 
behaviors were predicted by behavior intentions, inten-tions 
were a function of attitudes toward prevention and 
norms, and subjective norms related to preventive 
behaviors were significantly correlated with perceptions 
of significant other’s beliefs. The aforementioned re-search 
provides evidence for the use of the TRA in 
predicting distinct adolescent behaviors. Based on this 
research it is rational to hypothesize that the TRA can 
be useful in predicting AAas’ sexual attitudes and 
behaviors. The constructs of this model will be 
discussed in detail. 
Behavioral Intentions 
According to the TRA the immediate determinant of a 
person’s behavior is that person’s intention to perform 
or not to perform a specific behavior. Ajzen and Fish-bein 
(1980) postulated this based on comparisons of the 
strength of the intention-behavior correlation to other 
kinds of antecedent factors. They consistently found 
that the intention correlation to behavior is significantly
19 
greater than that of any other factor, with typical 
correlations ranging between 0.72 and 0.96. 
Two factors influence the accuracy of intentions 
predicting behavior. First is the time interval between 
assessing intentions and subsequent behavior. Fishbein 
and Ajzen (1975) stated that the level of accuracy 
decreases as the time interval increases. They believe 
that this exists due to unexpected events that occur over 
time. Second, possible known behavioral alternatives are 
assessed. For example, African American adolescents 
can choose to abstain from sex, use condoms if sexually 
active, or participate in risky sexual activities. To 
increase the accuracy of intention in predicting future 
sexual behavior, the investigator needs to determine the 
individual’s intention concerning sexual behavior. In 
general, individuals will adopt the behavior associated 
with their strongest intention. 
Gillmore et al.(2002) tested the TRA to predict 
adolescents’ sexual behavior. The initial dataset was 
collected when adolescents were in grades 3-6, and the 
follow up dataset was acquired when adolescents were 
in grades 10-12. Sexual intercourse was associated with 
intentions to have sex, and intentions were associated 
with attitudes and general norm. 
Attitude Toward the Behavior 
Referring to Figure 1, the TRA model shows that 
behavioral intention is a direct function of two specific 
and independent determinants. Ajzen and Fishbein 
(1980) identified these determinants as attitude toward 
the behavior, which is a personal factor, and subjective 
norm, a factor reflective of social influence (discussed 
later). Attitude toward the behavior is defined as a 
person’s positive or negative evaluation of personal 
performance of the behavior. For most behaviors under 
volitional control, both of these factors are strong 
predictors of behavioral intention. 
A summary of TRA research studies presented by 
Ajzen (1988) shows that the influence of attitude toward 
the behavior and subjective norm varies across 
behaviors and populations with correlations ranging 
from 0.40 and 0.73. For most behaviors, the influence 
of the attitudinal component outweighs that of the 
subjective component. Thus, based on TRA research, it 
is safe to assume that most individuals will intend to 
perform a behavior when they evaluate its consequences 
positively and they believe that significant others think 
they should perform the behavior. 
Carvajal et al. (1999) conducted a longitudinal study to 
examine the sexual behaviors of 827 adolescents. Results 
were consistent for the TRA constructs indicating that 
this model predicted sexual behavior. Social norms and 
attitudes about postponing sex were associated with 
delayed sexual initiation. 
According to the TRA, a person’s attitude toward the 
behavior is a function of an individual’s salient belief 
that by performing the behavior, it would be likely or 
probable that a positive or negative outcome would 
occur. Attitudinal beliefs can vary by an associated prob-ability 
that the outcome will occur, and evaluation of the 
outcome as being either positive or negative. A person 
can have a positive or negative attitude toward the 
behavior based on the belief that performance of the be-havior 
will lead to mostly positive or negative outcomes. 
Adolescents’ attitudes regarding sexuality appear to be 
strongly influenced by media exposure (Brown, L’Engle, 
Pardun, Guang, Kenneavy, & Jackson, 2006; L’Engle, 
Brown, & Kenneavy, 2006; Martino, Collins, Elliott, 
Strachman, Kanouse, & Berry, 2006). Media influences 
presented a significant association with early adoles-cents’ 
sexual intentions and behaviors (L’Engle, Brown, 
& Kenneavy, 2006; Pardun, L’Engle, & Brown, 2005). A 
longitudinal study showed that frequent exposure to 
sexual content (viewing sexual behavior or hearing 
about sex) on TV was predictive of the initiation of sex 
(Collins, Elliott, Berry, Kanouse, Kunkel, Hunter, & 
Miu, 2004; Martino et al., 2006). 
Robinson, Price, Thompson, & Schmalzried (1998) 
used constructs from the TRA to examine the sexual be-havior 
of 689 rural junior high school adolescents in 
Ohio. Results indicated that attitudes and efficacy 
expectations significantly predicted intercourse for 
males. Furthermore, they noted that efficacy expec-tations 
were the only significant predictor for engaging 
in sexual intercourse. 
Carvajal et al. (1999) conducted a longitudinal study to 
examine the sexual behaviors of 827 adolescents. In this 
study attitudes about postponing sex were associated 
with delayed sexual initiation. In addition, social norms 
were also associated with delayed sexual initiation. 
Subjective Norm 
Subjective norm is an interaction between a person’s 
perception of how significant others in his or her social 
environment feel about the individual’s performance of 
the behavior and the person’s motivation to comply 
with these significant others. Subjective norm, according 
to the TRA, is a function of an individual’s normative 
beliefs. These beliefs are social in nature, in that they 
focus on an individual’s perceived social pressures to 
perform the behavior. These beliefs are affected by both 
the presence of significant others (e.g., mother, father, 
best friend, girlfriend/boyfriend) and the individual’s 
level of motivation to comply with or please these 
significant others. So, in general, people would be 
expected to intend to perform the behavior if they felt 
that important people in their life, with whom they were 
motivated to comply, wanted them to do so. 
Fishbein and Ajzen (1975) hypothesized that a 
person’s behavior can be influenced by the perceived 
social pressure to perform the behavior. They further 
hypothesized that the relationship of the TRA to other 
psychosocial factors may impact behavior in that any 
outlying, distal factors will only impact behavior 
indirectly through the mediating properties that include 
subjective norm. Carvajal et al. (1999) conducted a 
longitudinal study to examine the sexual behaviors of 
827 adolescents. Social norms about postponing sex 
were associated with delayed sexual initiation. Flores et 
al. (2002) utilized the TRA to predict sexual intentions 
of 84 Latina adolescents. In their study, social norms 
were the only predictors of intentions to have sex.
20 
Examination of social norms includes the exploration of 
the influence of media. Roe (1990) noted that music 
also helped adolescents identify with peer groups. In 
assessing whether early adolescents’ exposure to sexual 
content in the media predicted sexual behavior by 
middle adolescents, Brown et al. (2006), concluded 
adolescents with frequent exposure to sexual content 
were more likely to have engaged in sex. Researchers 
also found that among other predictive factors, one of 
the strongest predictors of risk for early sexual initiation 
for white and black adolescents were perceived social 
norms--the perception that his or her peers were 
sexually active (Brown et al., 2006). 
IMPLICATIONS 
Research has supported the use of the TRA in predict-ing 
and explaining a variety of adolescent behaviors. 
TRA has been successfully used to predict adolescents’ 
sexual behavior and intentions, adolescent’s AIDS 
preventive behaviors and other health behaviors (Carv-ajal 
et al., 1999; Flores, Tschann, & Marin, 2002; Perko 
et al., 2000; Fisher, Fisher, & Rye, 1995). Fisher, Fisher, 
and Rye (1995) utilized the TRA to understand beliefs 
related to AIDS preventive behaviors among high 
school adolescents. They noted that preventive 
behaviors were predicted by behavior intentions, inten-tions 
were a function of attitudes toward prevention and 
norms, and subjective norms related to preventive 
behaviors were significantly correlated with perceptions 
of significant other’s beliefs. This research provides 
evidence for the use of the TRA in predicting distinct 
adolescent behaviors including sexual attitudes, beliefs, 
and intentions. Using this model to predict adolescents 
who are at greatest risk for early sexual initiation is a 
strategy for targeting high-risk adolescents. 
Applying the TRA may assist in developing intervene-tions 
to delay early onset of sexual initiation among 
African American adolescents. As intention predicts 
behavior, the obvious initial strategy is to reduce the 
intention to engage in early sexual activity. To facilitate 
healthy attitudes toward delaying sexual activity, inter-ventions 
must focus on generating attitudes consistent 
with favorable ideas regarding delayed sexual activity. 
One issue of concern that influences adolescents’ 
attitudes and social norms is exposure to media. 
Adolescents are saturated with mass media, spending an 
average of 6 hours and 30 minutes a day utilizing media 
(Rideout, Roberts, & Foehr, 2005). Despite the plethora 
of media devices and technological advances such as 
Ipods, MP3 players, and the Internet, music persists as 
the dominant media chosen by adolescents (Rideout, 
Roberts, & Foehr, 2005). Content analysis of selected 
media showed that music contained 40% more sexual 
content than any other medium, with 15% of music's 
sexual content focusing solely on intercourse, compared 
to a 3% and 4% focus in television and movies, respect-tively 
(Pardun, L'Engle, & Brown, 2005). Monitoring 
media exposure is a strategy that may assist in 
encouraging healthy attitudes and social norms 
regarding sexual behaviors among AAas. 
Wingood, DiClemente, Harrington, Davies, Hook, III, 
& Oh, (2001) examined the association between expo-sure 
to X-rated movies and black adolescent females’ 
sexual and contraceptive attitudes and behaviors. Expo-sure 
to X-rated movies was related to negative attitudes 
toward STI/HIV prevention, and engaging in contra-ceptive 
risk practices and sexual risk behaviors. These 
findings support the need to monitor media exposure. 
Interventions that provide exposure to safe sexual 
practices are recommended. Researchers found expo-sure 
to portrayals of safe sexual practices and sexual risk 
was predictive of delayed sexual behavior for African 
American adolescents (Collins et al., 2004). Implications 
include the need to analyze how African American ado-lescents 
interpret media content, and for investigation 
into the contribution of various media sources on ado-lescent 
sexuality (Collins et al., 2004). It was recom-mended 
that the influence of mass media should receive 
increased attention from future research-hers seeking to 
reduce risky sexual behavior among adolescents 
(L’Engle, Brown, & Kenneavy, 2006). Escobar-Chaves 
et al. (2005) called for the inclusion of at-risk popula-tions 
in future research addressing the influence media 
has on the sexual attitudes and behaviors of adolescents. 
When examining condom use, Albarracín, Johnson, 
Fishbein, & Muellerleile (2001) conducted a meta-analysis 
to evaluate the success of the TRA as a predict-or 
of condom use. The TRA was highly successful in 
predicting condom use. Researchers concluded inter-ventions 
focusing on changing attitudes will produce 
greater results than interventions seeking to change 
norms and address perceived behavioral control. 
Brown et al. (2006) suggested conducting longitudinal 
studies that include younger adolescents as the study 
sample. Moreover, researchers concluded more research 
is needed to understand the relationship between 
exposure to sexual media content and adolescents’ 
sexual attitudes and behaviors (Brown et al., 2006). 
In summary, the problems associated with early sexual 
initiation among African American adolescents are 
costly. Research supports the use of the TRA in 
predicting and explaining adolescent sexual behaviors. 
Research provides evidence for the use of the TRA in 
predicting distinct adolescent behaviors including sexual 
attitudes, beliefs, and intentions. Adolescent sexual 
behaviors are influenced by social norms and attitudes 
toward the behavior. Using the Theory of Reasoned 
Action (TRA) Model to understand and predict adoles-cents 
who are at greatest risk for early sexual initiation is 
a strategy for targeting high-risk adolescents. 
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Department Public Health Education, University of 
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A Peer Reviewed Article 
Balance Measures Using the Biodex Balance System in 
Physically Active and Non-Active Women 
Tim Leszczak and Ro DiBrezzo 
23 
Fall related injuries are a major concern for older 
American adults. According to the National Institute on 
Aging (NIA; 2006), 1.6 million older adults sustain a fall 
related injury each year causing fractures, hospital 
admissions for trauma, loss of independence and injury 
related deaths. Much of the research attributes this to 
poor balance and a decrease in muscle strength. The 
National Institute on Aging (2005) states that muscle 
mass decreases by 22% in women and 23% in men 
between the ages of 30 and 70. Concurrently, research 
by Melzer, Benjuya & Kaplanski (2000) suggests that 
this decrease in strength can occur as early as the third 
decade for males and the second decade for females. 
This diminishing strength can be detrimental to the 
older population, in part leading to an increase in fall 
related injuries. Similar to a decrease in muscular 
strength, a low level of physical fitness has also been 
associated with diminished balance. 
Attaining and maintaining strength in the lower 
extremity is very important for older adults to continue 
as they age. Too many avoidable injuries occur due to 
lack of strength and poor balance. Research shows that 
it is possible to increase strength as we age and that 
strength has been a major contributor in fall prevention 
programs (Ikezoe, Asakawa, Tsutou, 2003). Some 
programs can be as simple as walking and increasing 
daily activities around the house. As long as the 
individual is not sedentary their muscle strength will not 
decrease as rapidly. 
Studies show that exercise training for older adults can 
increase muscular strength, mass and balance. A study 
conducted on the effects of a six month training 
program on leg power, balance and functional mobility, 
found that the exercise program improved all three 
variables (p < .01, p < .01 and p < .05, respectively) in an 
older adult population (Ramsbottom, Ambler, Potter, 
Jordan, Nevill, & Williams, 2004). Ikezoe, Asakawa & 
Tsutou (2003) suggests that in order to decrease the 
incidence of falls in a group of nursing home residents, 
interventions to increase quadriceps strength are 
essential. This study tested 25 older adult women and 
found that non-fallers had significantly higher 
quadriceps strength (p < .01) than fallers which indicates 
muscular strength plays an important role in the 
prevention of falls, but how early do these results occur? 
Consistent with the results by Ramsbottom et al and 
Ikezoe et al, Frontera wanted to examine the effects of 
strength training in older women, at two and twelve 
weeks, on specific force, muscle cross sectional area, and 
muscular strength (Frontera, Hughes, Krivickas, Kim, 
Foldvari, & Roubenoff, 2003). The authors found that 
after 12 weeks of progressive strength training of the 
knee extensors and flexors, all three variables increased. 
After twelve weeks of training, specific knee extensor 
force and strength increased significantly (p < .001). 
These results indicated that even the force generated by 
knee extensors can increase in aging adults involved in 
an exercise program. 
Not only does strength training play an important role 
in fall prevention, but incorporating simple physical 
activity into a person’s lifestyle can slow the aging 
process in several ways. Research suggests that older 
adults who walk on a regular basis have better postural 
control than those who do not, which can reduce the 
incidence of fall related injuries and increase their quality 
of life (Melzer, Benjuya, & Kaplanski, 2003). Although 
some researchers suggest interventions that consist of 
strength training alone, physical activity can be just as 
beneficial to reducing falls. 
Research by McAuley, Mihalko, & Rosengren (1997) 
examined the relationships among physical activity 
patterns with scores on self efficacy, balance and fear of 
falling. This study used a multivariate analysis where the 
activity level was manipulated to see how it affected the 
three aforementioned dependent variables. Overall, the 
analysis suggested that highly active individuals were 
significantly more efficacious (p < .001), were less 
fearful of falling (p < .05), and had better balance (p < 
.001), than less active participants. 
Developing ways to make exercise interesting to adults 
who may not be educated on health related topics can 
be challenging. In a study conducted on the effects of 
simple activity in a group of post menopausal women, 
the authors developed a 12 month intervention that was 
unique when compared to a traditional exercise 
program. The intervention consisted of line dancing, 
stamping of the foot, and squats which were all used to 
improve balance, bone mineral density and strength, 
respectively (Young, Weeks, & Beck, 2007). The results 
suggested that these types of exercises, over a 12 month 
period, improved all variables, but most importantly the 
two balance measures, Timed Up and Go test (p < .001) 
and Single Leg Stance test (p < .001) showed 
significance. Therefore, physically active older women
24 
may have better balance scores than their physically 
inactive counterparts. 
In many research projects that involve measures of 
balance, researchers use a force platform to determine 
postural sway or displacement of center of gravity, 
which are both good measures of balance. In fact, in 
research mentioned above, Melzer et al (2003) tested 
balance using a force platform with four force 
transducers to measure vertical ground reaction forces. 
The Biodex Balance System was introduced in 2000 and 
there has not been a great deal of literature to support 
its use as a means of measuring dynamic balance. 
Although there are supporting articles related to its 
validity and use in a rehab and athletic setting, there 
have only been a few articles published on an older adult 
population. The Biodex purports to measure and record 
an individual's ability to maintain stability under dynamic 
stress (Cachupe, Shifflett, Hakanov, Wughalter, 2001). 
Therefore, it is one of the goals of this study to test the 
Biodex Balance System with a group of women, aged 
40-60, to analyze whether a relationship exists between 
muscular strength, physical activity and their balance 
scores on the Biodex Balance System. 
As with most instrumentation, there is a learning 
curve associated with the use of this device and it is 
recommended that all users practice before testing 
occurs. Cachupe et al (2001) performed a reliability test 
on the overall stability index measure with the Biodex 
Balance System and found that the reliability estimates 
among healthy, athletic adults were consistent and that 
the overall stability index is comparable and higher than 
the measures of anterior-posterior stability index and 
medial-lateral stability index. It was recommended to 
perform two practice trials before two test trials for 
participants to become familiar with the apparatus. 
Documentation is clear that relationships exist bet-ween 
strength and balance. As indicated by Melzer et al, 
strength can start to decrease very early in life, and as 
Ikezoe indicates, individuals with lower scores on 
muscular strength tended to be considered fallers. It 
was also suggested that strength can increase with age if 
the proper interventions are incorporated, and that 
physically active older adults tended to do better on 
scores of balance and strength. However, balance 
scores using the Biodex Balance System have been rare 
when testing middle age women. Therefore, the 
purpose of this study is to see whether relationships 
exists between the overall stability index scores on the 
Biodex Balance System with scores of isokinetic 
strength in physically active and in-active older women. 
Methods 
Subjects 
Twenty female subjects (aged 41-60) with varying 
backgrounds in aerobic and strength training exercise 
participated in the study. The participants were 51.85 
years (SD = 5.58) and 163.35 pounds (SD = 29.07). All 
participants volunteered for the study, which was 
approved by the Institutional Review Board. 
Testing Procedures 
Informed consent was obtained before any testing 
occurred and a physical activity questionnaire was 
completed in order to separate participants into groups. 
The questionnaire consisted of five questions that asked, 
“…how often have you taken part in light activity," 
“…how often have you taken part in moderate activity,” 
“…how often have you taken part in very hard activity,” 
“…how often have you taken the stairs,” and “how 
often have you taken part in strength training?” All 
questions were preceded by, “In the past month….” 
Responses to the questions were as follows, "more than 
4 times per week," "2-4 times per week," "once per 
week," "2-3 times per month," "rarely or never." The 
five responses were scored on a scale of 1-5, with 5 
being "more than 4 times per week," and 1 being "rarely 
or never." Scores were then added and the participants 
were divided into "low activity" or "high activity." 
Those that were "low activity" had a score that was from 
0 - 18, and those that were considered "high activity" 
had a score from 19 - 25. 
The participants went through the same order of 
testing, which included weight, balance, flexibility, and 
strength measures. All tests measures were obtained 
with shoes off. 
Weight and Flexibility. Weight was obtained using a 
metric scale (Detecto Scale). Flexibility was tested using 
a sit and reach device called a Figure Finder Flex Tester 
(Novel Products, Inc., Rockton, IL) which tested the 
overall flexibility of the shoulders, lower back and ham-strings. 
The device is a boxlike apparatus with a 
measuring scale on the upper portion labeled in centi-meters. 
Participants were each told to sit on the floor 
with their legs straight out ahead of them and to place 
their feet against the testing apparatus shoulder width 
apart. They were then told to sit upright and put their 
right hand on top of left. Each participant was given 3 
trials and they were instructed that the first two were 
practice and the third was used for data collection. 
Balance. Balance was obtained using the Biodex 
Balance System (see Figure 1) (Biodex Medical Systems, 
Inc.) and a score called “overall stability index” was 
obtained. The Biodex Balance System (BBS) is a device 
used to obtain dynamic balance in the medial-lateral and 
anterior-posterior axes, and is capable of tilting in all 
directions up to 20° (Cachupe et al, 2001). The level of 
difficulty is determined by the amount of resistance 
chosen and the resistance equates to the variance in 
platform displacement (in degrees). The lower the 
resistance setting the more unstable the platform will be, 
whereas the higher the platform setting the more static 
the platform. For this study, a platform setting of 4 (out 
of 12) was chosen in order to measure dynamic balance, 
which indicated that the degree of difficulty was high. 
The data obtained from the device was the overall 
stability index score which represented the average 
degree of platform displacement over the number of 
trials selected. The higher the score, the greater the 
instability. 
Participants were each given an explanation of the 
machine and testing procedures. Two practice trials 
were preceded by two test trials and all participants
2009 ArkAHPERD Journal
2009 ArkAHPERD Journal
2009 ArkAHPERD Journal

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2009 ArkAHPERD Journal

  • 1. April 2009 Volume 44 – Number 1 Arkansas Association For Health, Physical Education, Recreation and Dance
  • 2. ArkAHPERD Andy Mooneyhan Box 240 State University, AR 72467 Non-Profit Organization U.S. Postage PAID Permit No. 5 State University, AR 72467 GUIDELINES FOR AUTHORS Material for publication and editorial correspondence should be address to Andy Mooneyhan, PO Box 240, State University, AR 72467 [amooneyh@astate.edu]. Deadline for the submission is March 1. Guidelines for materials submitted are those of the Publication Manual of the American Psychological Association. For manuscripts, submit 3 copies. The title should be included on a separate page with the author(s) name, position, address, phone number and email address. The title of the manuscript, without the author(s) name, should appear on the first page of the manuscript. If accepted, a final copy of the manuscript must be submitted on disk, saved in Microsoft Word or Text format. The Arkansas Journal is indexed in the Physical Education Index. The Arkansas Journal is published annually in April with a subscription cost of $10.00. The journal can be obtained by contacting Andy Mooneyhan at amooneyh@astate.edu. The opinions of the contributors are their own and do not necessarily reflect those of ArkAHPERD or the journal editors. ArkAHPERD does not discriminate in this or any of its programs on the basis of race, religion, sex, national origin, or disabling condition. Editorial Board Brian Church Andy Mooneyhan Bennie Prince Jim Stillwell
  • 3. April 2009 – Arkansas Journal – Volume 44 – Number 1 CONTENTS News and Information Award Qualifications . . . . . . . 3 Message from the President. . . . . . . 4 ArkAHPERD Board of Directors. . . . . . 5 Calendar . . . . . . . . . 12 2008 ArkAHPERD State Convention Highlights. . . . 15 2008 ArkAHPERD Award Winners. . . . . . 17 2008 ArkAHPERD Scholarship Winners . . . . 18 2008 ArkAHPERD SuperStars Competition . . . . 18 Articles 2 Legal Duties of Coaches David LaVetter. . . . . . . . 6 Sexual Attitudes and Behaviors of African American Adolescents Brian C. Gordon, Michael A. Perko, Lori W. Turner and Deidre Leaver-Dunn . . . . . . 13 Balance Measures Using the Biodex Balance System in Physically Active Non-Active Women Tim Leszczak & Ro DiBrezzo. . . . . . 23 On the Cover: A special thanks to our retiring Executive Director, Jim Stillwell, who has served as a mentor, friend and true professional for so many ArkAHPERD members. You will truly be missed!!!
  • 4. AWARD QUALIFICATIONS 3 HONOR Candidate must meet the following qualifications: A. Be at least 30 years of age and have earned a Master’s degree or its equivalent. B. Have served the profession for at least five years prior to the nomination. C. Be a current member of ArkAHPERD. Former members who have retired from professional work may be exempt. D. Be of high moral character and personal integrity who by their leadership and industry have made outstanding and noteworthy contributions to the advancement of our profession in the state of Arkansas. To indicate leadership or meritorious contributions, the nominator shall present evidence of the nominee’s successful experiences in any two of the following categories of service: 1. Service to the association. 2. Advancement of the profession through leadership of outstanding programs. 3. Advancement of the profession through presentation, writings, or research. Any ArkAHPERD member may submit nominations by sending six (6) copies of the candidate’s qualifications to Janet Forbess, jforbess@uark.edu. HIGHER EDUCATOR OF THE YEAR Candidate must meet the following qualifications: A. Have served the profession for at least three years prior to the nomination. B. Be a member of ArkAHPERD C. Be of high moral character and personal integrity who by their leadership and industry have made outstanding and noteworthy contributions to the advancement of teaching , research, or service in the state of Arkansas. D. Be employed by an institution of higher education in the state of Arkansas. Any ArkAHPERD member may submit nominations by sending a copy of the candidate’s qualifications to Larry Thye, thyel@hsu.edu TEACHER OF THE YEAR Teacher awards are presented in the areas of elementary physical education, middle school physical education, secondary physical education, dance, and health. Candidate must meet the following qualifications: A. Have served the profession for at least three years prior to the nomination. B. Be a member of AAHPERD & ArkAHPERD. C. Be of high moral character and personal integrity who by their leadership and industry have made outstanding and noteworthy contributions to the advancement of teaching in the state of Arkansas. D. Be employed by a public school system in the state of Arkansas. E. Have a full time teaching contract, and have a minimum of 60% of their total teaching responsibility in the nominated area. F. Have a minimum of five years teaching experience in the nominated area. G. Conduct a quality program. They must submit three letters of recommendation and agree to make complete NASPE application if selected. Any ArkAHPERD member may submit nominations by contacting Angie Smith-Nix, ansmith@uark.edu. STUDENT Scholarships ArkAHPERD awards four scholarships annually for students majoring in HPERD. They include the Newman McGee, Past President’s, Jeff Farris Jr., and John Hosinski scholarships. Students must possess a minimum 2.5 GPA. [See your academic advisor for special details.] Research Award Research awards of $100, $50, and $25 are awarded to undergraduate and graduate students who are members of ArkAHPERD. Students must submit an abstract and a complete paper Bennie Prince, bfprince@ualr.edu by October 1, 2005. Papers selected for the research awards must be presented by the student in an oral or poster format at the November convention. ArkAHPERD Web Site: http://www.arkahperd.org/
  • 5. Message from the President I just returned from the National AAHPERD Convention in Fort Worth, TX. It was so inspiring to see. so many ArkAHPERD members there among. the throngs filling the Fort Worth Convention Center. Especially gratifying was the sight of so many “future. professionals” from our state institutions of higher. learning parading down the halls in various t-shirts proclaiming their institutional affiliation. The repre-sentation of the “Natural State” in “Cowtown” was outstanding and I was proud 4 to be a small part of that population. I was also proud to have an opportunity to represent ArkAHPERD at both the Southern District Representative Assembly with Executive Director Jim Stillwell and President-Elect Lynn Leggett and National Delegate Assembly with Jim Stillwell. To be able to represent you, the membership, at these events was a humbling responsibility and a truly singular experience. I know that our 2008 convention in Little Rock will be filled with tales, myths, stories and even a few outright lies about the tenure of our retiring Executive Director Dr. Jim Stillwell; as the members reflect back along his decades of service to this association. But before all the clamor begins, I’d like to take this opportunity to personally thank Jim for his MANY years of selfless and dedicated service to ArkAHPERD and its membership. I know we, as an organization, will surely miss his steady hand guiding our maturation and development. But I’m quite sure he will continue to maintain his traditional vibrant presence amidst our annual fall gatherings. Always remember, if there is ANYTHING I can do as your ArkAHPERD President, let me know the action required and I will do all I can to positively address your situation! This is YOUR Association and I stand in this office to serve YOU, the members! I’m looking forward to seeing ALL of you in Little Rock on November 6-7 for the 2008 ArkAHPERD Convention. Have a GREAT Summer! Sincerely, Lynn Stanley Lynn Stanley ArkAHPERD President
  • 6. ArkAHPERD Board of Directors Leggett, Lynn President leggettl@hsu.edu Forbess, Janet Program Coordinator jforbess@uark.edu Mooneyhan, Andy Executive Director amooneyh@astate.edu Gist, Tracie JRFH Coordinator tracy.gist@pottsville.k12.ar.us Robinson, Lindsay HRH Coordinator lrobinson@dewitt.k12.ar.us Mooneyhan, Andy Journal/Newsletter Editor amooneyh@astate.edu Mooneyhan, Allen WEB Master amooneyhan@asun.edu Division Vice Presidents / VP-elects Wilf, Martha Athletics & Sports Ralph, Christy Health cralph@bentonville.k12.ar.us Keese, Pam Recreation pkeese@harding.edu Hilson, Valarie General vhilson@astate.edu Prince, Bennie General-elect bfprince@ualr.edu Stilwell, Laura Dance danz4u@sbcglobal.net Mathis, Mitch Physical Education mmathis@astate.edu Straub, Jennifer Physical Education-elect jstraub@sdale.org Section Chairs / Chair-elects Turley, Ken Exercise Science krturley@harding.edu Oliver, Gretchen Athletic Training goliver@uark.edu Perkey, Dennis Athletic Training-elect dperkey@astate.edu Robinson, Lindsay Elementary Phys Ed lrobinson@dewitt.k12.ar.us Mitchell, Nathan Elementary Phys Ed-elect nmitchell@sdale.org Williams, Kenna Future Professional [UAM] krw2221@uamont.edu Kelley, Kate Future Professional [UAM] mkk0422@uamont.edu Wempe, Patrick Higher Education wempep@hsu.edu Koh, Yun Higher Education-elect kohy@hsu.edu Peterson, Don Research petersd@hsu.edu Bryant, Lance Research-elect lgbryant@astate.edu Smith-Nix, Angie Secondary Phys Ed ansmith@uark.edu Moore, Jessica Secondary Phys Ed-elect jmoore@harding.edu Standing Committee Chairs Arrington, Alfred Scholarships arringtona@uapb.edu Wempe, Patrick Higher Educator of the Year wempep@hsu.edu Forbess, Janet Honor Award jforbess@uark.edu Smith-Nix, Angela Necrology ansmith@uark.edu Smith-Nix, Angela Teacher Awards ansmith@uark.edu ArkAHPERD 2009 State Convention will be November 5-6 at the Best Western Inn of the Ozarks 207 W Van Buren Eureka Springs Phone: 479-853-9768 5
  • 7. A Peer Reviewed Article Legal Duties of Coaches David LaVetter 6 Introduction Approximately 7.5 million athletes participate in interscholastic athletics in the U.S. each year (National Federation of High School Association {NFHS}, 2008). Approximately 850,000 men and women coach these students (NFHS, 2008). National Association for Sport and Physical Education (NASPE) has partnered with various national associations since the 1960’s in spearheading the national movement for high school coaching certification. In 1991, the NFHS, which governs interscholastic athletics for state high school athletics, partnered with American Sport Education Program to offer school versions of coaching principles courses. These two org-anizations worked closely with state activity associations to implement these courses as required education, or at least, highly recommend for all school coaches. Within the coaching curriculum, legal duties of coaches were established. These duties have been instructed in the NFHS/ASEP courses since 1990 (ASEP, 2008). ASEP’s partnership with NFHS ended in 2005. ASEP worked directly with more than 40 state high school associations in delivering the ASEP Professional Coaches Education Program to more than 50,000 coaches across the U.S. (ASEP, 2008). The legal duties of coaches outlined in their program’s content have continued to be followed by courts as the legal standards that should be practiced by recreational and school sport coaches (Martens, 2004). More recently, the NFHS Coaching Education Program (2005), a newly formatted coaching education and certification program, has outlined legal duties of coaches. A very important source of additional exp-ectations for a coach is found in the accepted state and national standards for coaching published by profess-sional organizations. The most recent and comprehend-sive set of standards, including the legal duties, published in 1995 by the National Association for Sport and Physical Education (NASPE, 1995). These standards are being accepted by organizations throughout the country and are being used to determine the content of coaching education programs. As these standards become more widely accepted, they are likely to become the “standard of care” for coaches in the eyes of the legal system. It may be necessary for coaches to show that they have the training and expertise in each of the various areas detailed in this set of standards (NFHS, 2007, p.1). Additionally NASPE administers the National Council for Accreditation of Coaching Education (NCACE) (NASPE, 2008). NCACE reviews coaching education and certification programs that seek accreditation based on compliance with the National Standards for Athletic Coaches (NCACE, 2006). School coaches have a myriad of responsibilities pertaining to coaching athletics teams. However, beyond the game strategies, skill instruction, budget, and over-involved parents lies an often overlooked area of res-ponsibility: Legal duties of coaching. Part of practicing good risk management strategies in coaching is to have an understanding of the legal expectations as professionals in the field. A seasoned coach may understand the complexity of managing a sports team, but when a list of legal duties is added and adherence expected, it may be overwhelming. The appointment of unprepared individuals to coaching positions in our schools could lead to serious health and safety-related problems for the athletes and as well as potential legal pitfalls for sport organizations (Conn & Razor, 1989). Therefore, it is vital that all coaches understand and consistently practice the legal expectations according to their job scope. According to Tim Flannery, NFHS assistant director and director of the Coach Education Program, "At this point, there are no national requirements to certify coaches…however, state associations are helping estab-lish and enforce those requirements at a local level" (NFHS, 2007, p. 1). Flannery mentioned about 40 state associations have committed to the new program which started 2007-08. A new DVD entitled "Minimizing Risk: A Shared Responsibility" will be used by athletic directors and coaches to be shown during preseason meetings. The DVD warns athletes and their parents about the inherent risk of injury in sports (NFHS, 2007). Three types of torts or wrongs have been established by the courts: 1) intentional, or willful or wanton; 2) strict liability; and 3) negligence. This article focuses on negligence-related legal claims. Negligence is defined as “…the failure to act as a reasonably prudent professional would act under similar circumstances.” Thus, negligence occurs when a coach fails to act as a reasonably prudent coach would act in a similar situation (Nyggard & Boone, 1985.) This article addresses the legal responsibilities as outlined by NFHS and ASEP. American Sport Education Program (ASEP) established nine legal duties
  • 8. 7 (ASEP, 1989) pertaining to coaching youth sports (schools or otherwise). These legal responsibilities primarily arose from thousands of court cases. The duties vary state by state and may also change as litigation continues. Negligence Three types of torts or wrongs have been established by the courts: 1) intentional, or willful or wanton; 2) strict liability; and 3) negligence. This article focuses on negligence-related legal claims. Negligence is defined as “…the failure to act as a reasonably prudent professional would act under similar circumstances.” Thus, negligence occurs when a coach fails to act as a reasonably prudent coach would act in a similar situation (Nyggard & Boone, 1985.) The courts have established four criteria to determine if negligence exists: Was a duty owed? The legal concept of duty is based on a “special relationship” between the school (i.e. coach) and participant; implying schools have a duty to exercise reasonable care for the protection of their participants (Van der Smissen, 1990). Courts have applied this “special relationship” standard during school-sponsored activities such as athletics. Was there a breach in the duty? If the defendant, or coach, has failed to meet the standard of care required, they have breached their duty. Was the breach of duty cause for injury or damage? If an act or failure to act directly produces the incident, and the incident would not have occurred otherwise, then proximate causation (or legal cause) exists. There must be a causal connection for negligence to occur. Was there damage? Actual loss, damage or injury must occur to continue a negligence claim. The threat of future damage is insufficient (Nygaard & Boone, 1985). All of these elements must be answered in the affirmative to have a valid negligence claim. Foresee-ability is a major factor in determining if you did or did not meet your professional standard of care. In determ-ining negligence, an essential component is failing to anticipate and act on unreasonable risks of injuries that a reasonably prudent person would have anticipated and acted upon (foreseeability) (Neish, 1996). If the coach should have known of foreseeable risks, they may be named in the lawsuit as well as the school. Under doctrine of respondent superior, an employer may be liable for the wrongful acts of the employee if the employee was acting in his/her job scope and responsibilities. Legal Duties The following are the established legal standards of coaching adopted by NFHS and ASEP. Court cases are added to help illustrate the expected legal standard. 1. Provide warnings to parents and athletes of risks inherent to specific sport participation During the initial team meeting of each year, coaches should provide warnings of the inherent risks associated with the specific sport. Pre-season team meetings should be attended by the athletic director, head trainer, team doctor, assistant coaches, parents or guardians and players. Some schools may require these meetings be videotaped for legal documentation. In one of the earliest court cases involving coaching duties, Vendrell v. School District No. 26C (1962), the courts outlined particular legal responsibilities of inter-scholastic athletic coaches. The court found an injured football player had assumed the risks inherent to the sport. The court also found the coach had adequately instructed the players to the expected coaching standards. This case made a significant impact on future coaching standards in our schools. Both participants and their parents or guardians should be required to sign 1) agreement to participate, 2) acknowledgement of inherent risks of the sport, and 3) release of liability forms with the school at the first team meeting, and certainly prior to any activity. Exculpatory agreements provide the school (and coaches) defenses in negligence-related claims against the school. Assum-ption of risk is the defense most prevalently discussed in contexts of physical activity and sport. Primary assum-ption of risk indicates the participants (and parents) understand and voluntarily agree to accept the inherent risks associated with the specific sport (e.g. frequent contact to the head during football drills/activities) (Sharp, Moorman, & Claussen, 2007). In collaboration with the National Interscholastic Athletic Administrators Association (NIAAA), the NFHS created a two-DVD series on risk management focusing on the duty of athletics administrators and coaches to warn of risks inherent to sport participation. Proper warnings of sport participation to parents and participants are essential to minimize liability risk for coaches and school administrators. In Beckett v. Clinton Prairie School Corp. (1987), an 18- year old high school baseball player was injured during practice when he collided head-on with another player during a fly ball drill. According to the court, the appropriate standard is "whether a defendant (school) exercised his duty with the level of care of an ordinary prudent person under the same or similar circumstances" (p. 13). Further, the court noted that the reasonable duty of care and supervision varies depend-ing upon the age of the participants. Accordingly, the court found that reasonable conduct will vary depending upon the presumed awareness of participants to specific risks of injury. In this case, the court found the injured player had actual knowledge and understanding of the specific risk: colliding with another player in pursuit of a fly ball. Specifically, the court found that the coach had properly warned his players of the risk of collision if there was no communication between players during the fly ball drill. As a result, given plaintiff's appreciation of the danger, the court found that the student had assumed the risk of injury (Beckett, 1987). During the course of proper instruction, a judicious coach may additionally provide adequate warnings of certain physical risks inherent in team strategy.
  • 9. 8 2. Properly plan activity Courts have repeatedly ruled that coaches have a duty to properly plan each activity for those athletes under their supervision. Develop a season plan illustrating in-dividual skill and team strategy progressions. Begin each season with testing to determine their physical capacities and skill level for each sport. Some may make the mistake of conditioning players, especially in extreme temperature, beyond their physical capacity during the first week of practice. Heat exhaustion risks are greatly increased if players are not physically prepared to endure such practices. Ease into the season with a progression level appropriate for the sport and ages of participants. It is also advised not to deviate from those plans. Properly document all practice plans showing skill and physical capacity progression as well as any testing measures taken (Martens, 2004; Borkowski, 2008). 3. Provide a safe playing environment The following case illustrates the importance of providing a safe playing field. A 17-year-old high school football player in North Carolina was rendered quadriplegic after he was tackled by his teammates at a practice. The player’s neck was broken when he was tackled into an unguarded steel post just over 11-feet from sideline of the practice field. It is reported that the lawsuit filed by his parents against the school district was settled for $12.5 million (Paralyzed, 2008). Administrators and coaches should conduct periodic risk assessments of their facilities to make the areas safer for their participants. A coach has the duty to notify the appropriate auth-ority when he/she encounters a playing environment that does not conform to the standards set by the governing body of the particular sport. Coaches should document the playing area risk not only to act responsibly but to minimize their liability. Weather can also change the physical environment of the surface or air. Although such changes are less likely in indoor facilities, the area can be at risk instantly if there is loss of lighting, heat, or moisture control. Again, document any hazardous conditions and report them to the school facilities manager and athletic director as soon as identified. Coaches should develop a facilities or playing surface inspection checklist in their areas of responsibility and check it regularly. A facility manager, or coach in most circumstances, must take reasonable care to keep premises in a safe condition. That obligation includes duties to 1) frequen-tly inspect for risks or hazards; 2) maintain the premises and correct inadequacies; 3) warn participants about the hazards that are not readily apparent; 4) warn participants of the risks of the sport, and 5) keep participants safe during their use of the premises through reasonable supervision and security (Maloy, 2001, p. 106). 4. Provide safe and appropriate equipment The coach has not only a duty to provide adequate and proper equipment to the participants, but to explain its correct use. Similarly, as with facilities, a coach must regularly inspect equipment. Make certain the equip-ment to be purchased meets the standards of the national governing body for the sport. The failure to issue protective equipment was an issue in Leahy v. School Board of Hernando County (1984). Leahy, a high school football player, was not issued a helmet for practice because his head could not be properly fitted. He was, however, permitted to participate. During a "non-aggressive" agility drill, he bumped heads with a helmeted opponent, shattering his teeth. The court ruled for the plaintiff. Apparently, due to the lack of available equipment, the plaintiff was not issued a helmet. No special precautionary instructions were given to players who had no helmets or mouth guards relative to those players who had such equipment regarding limitations on their participation in practice. Although this was referred to by the coaches as a "no contact drill," by the very nature of it, some physical contact between the players was required. After the drill started, the coaches let it continue as they watched from the sidelines. Under the circumstances of the Leahy case, the court found the injury to Leahy was "a foreseeable con-sequence": (1) of the failure to provide plaintiff with a helmet and mouth guard; (2) of the failure to give cautionary instructions regarding contact (especially regarding the fact that some players had helmets while others did not) and (3) of the failure to limit the progressive intensity of the drill under the circumstances (Leahy, 1984, p. 8). The evidence that plaintiff was permitted to participate without a helmet was sufficient basis upon which a jury could conclude that the school (through its employees) failed to exercise reasonable care under the circumstances for the protection of plaintiff. One may argue that contact is inherent in the sport of football, yet the court found that plaintiff's assumption of risk as a participant in a contact sport was limited to the risk of injury "inherent in ordinary play" and did not include "the risk of participating in a training drill which was improperly supervised and for which he had improper and insufficient equipment" (Leahy, p. 16). Additionally, there are dangers of handed down equipment (i.e. varsity equipment given to junior varsity teams). Circle System, Inc. of Easton, PA, a re-conditioner of football equipment, allegedly failed to perform safety tests on used football helmets before sending them back on the field. The allegation is part of a U.S. Consumer Product Safety Commission report issued after its investigation of the used helmets. Approximately 200,000 football helmets for players as young as eight years old to college-age used helmets that failed to be tested properly (Refurbished, 2008). Even if a player brings their own equipment, the coach has the responsibility to inspect and ensure that it complies with safety standards (Martens, 2004). 5. Provide proper instruction Coaches have a legal duty to properly provide instruct-ion to athletes by employing the most current know-ledge of proper skills and methods of instruction. By teaching technical and tactical skills correctly, athletes’ risk of injury is decreased (Borkowski, 1985). As a head coach, your proper instructional duty cannot be delegated. If assistant coaches are assigned to teach
  • 10. 9 technical skills, you must supervise them to ensure it is taught correctly. The duty to instruct is the most basic of all responsibilities and duties placed upon physical educators. It is what their trained to do. As in any move-ment activity, injuries are inherent, and it is the duty of a physical educator to minimize injuries (Adams, 1993). A lawsuit in Seattle addressed issues of warning players of the inherent risk associated with football as well as the importance of providing proper instruction. Thompson, a 15-year-old running back, caught a pass on the sideline and attempted to lower his head and run through an approaching tackler. The tragic consequence was a severed spinal cord and quadriplegia. In the court case, it was shown that the coach had informed his players to keep their head up when they are running. However, the coach did not properly demonstrate how to meet a tackler and did not warn them of the dangers of making initial contact with the head. The jury ruled that the coach was negligent because he had not pro-perly instructed and warned the player. Consequently, the court awarded the plaintiff $6.4 million dollars, which was later reduced to $4 million (Adams, 1993). It is essential coaches keep well-informed of current instructional standards for their sport and practice them. Also, coaches should possess the ability to instruct clearly, completely and consistently. Athletes need adequate and consistent feedback from coaches. 6. Proper matching of athletes in practices and games by size, experience and ability Another legal duty is to match and equate opponents in a common-sense manner (Nygaard, 1985). Most of the time we think of this as matching by size; not pairing a 100-lb. player and a 180-lb. player for a tackling drill. What coaches must also consider are experience levels. The freshman 119-lb. wrestler is generally not an acceptable practice opponent for the senior 119-lb. state champion. Another example would be inviting a former collegiate wrestler from your school to practice with the younger, high school-age wrestler. The skill and ability level is likewise as important as the physical sizes of participants. In Toller v. Plainfield School District 202 et al. (1991), the plaintiff's (Toller) son was injured while wrestling a heavier opponent in a sixth grade physical education class. At the time of the injury, Toller’s son weighed 83 pounds and was matched with a boy who was about the same height, but was heavier weighing about 100 pounds. The trial court granted summary judgment in favor of defendant. In the opinion of the trial court, the alleged weight mismatch, while perhaps negligent, did not constitute willful or wanton misconduct (as discussed previously) required by statute to impose liability on school activities. In this particular case, the instructor "was aware that weight classifications existed for extracurricular junior high school wrestling and that the purposes of the classifications were safety and fair competition" (Toller, 1991, p. 4). Accordingly, the instructor had divided the class by estimating size, height, weight, body structure, and ability. In providing a wrestling partner for the plaintiff's son, the instructor recognized that the other boy might have been a little stockier and stronger than plaintiff's son. The instructor explained, however, that he placed them in the same group because if he had placed the other boy in a different group, he would have been with boys much larger. Blaylock instructed the students on the rules of wrestling, incorporated the objectives of the curriculum in his lesson guide, demonstrated various wrestling maneuvers, and warned the students not to engage in illegal moves such as the body slam. He then matched students according to an estimation of their height, weight, size, body structure, and ability. During the matches, he closely supervised the competition and was refereeing it only 10 feet away. Following the accident, Blaylock called for help and applied ice to the injury. It would, therefore, appear that this particular instructor had satisfied the applicable legal duties owed under the circumstances, i.e., adequate instruction; a reasonable selection or matching participants; non-negligent supervision of the particular activity; and provided proper emergency assistance. From Weiss v. Collinsville Community School District No. 10 (1983), the courts imposed liability upon the school district for failure to supervise. A plaintiff must allege and establish that when the educators acted, or failed to act, it was with knowledge that such conduct posed a high probability of serious physical harm to those under his/her supervision. Male practice squads competing against female teams may become an increasingly more common practice. These situations may become possible areas of mismatching, as well as gender equity concerns, that may lead to an increase in risk of injury or liability to schools. Currently, this practice is a growing concern among coaches and administrators in collegiate athletics. Males are allowed to practice against female players in college athletics (primarily in women’s basketball), yet Title IX concern is the key issue at this point, not physical risks. This practice has not yet swept across high schools, yet could be an area of discussion in the future as pressures to increase competitiveness continue to grow. While a coach cannot match players for games, he/she can attempt to ensure proper matching during practice drills. 7. Provide adequate supervision of athletes Approximately, 80% of negligence-related sports cases within schools involve alleged improper or lack of supervision. The failure to supervise is also the most cited sports-related lawsuit claim. Supervision is a broad term denoting responsibility for the area and activities within the area (Kaiser, 1986). Coaches are expected to exercise reasonable care to prevent unreasonable risk of harm on the facility premises. Supervision is categorized in two areas 1) general and 2) specific (Gaskin, 2001). General supervision is expected when the activity does not require constant, unremitting scrutiny of an activity. This mode of supervision is used when observing activities on the playground, in the gymnasium, weight room, or swimming pool when the supervisor is not expected to have every individual under supervision simultaneously.
  • 11. 10 Specific supervision is expected when the activity requires a constant and continuous observance for individuals or small groups. It involves high-risk activities or using areas that have the potential for serious injury. For example, individuals who are learning a skill or who are not able to perform a skill need specific, direct supervision. Additionally, there may be activities that transition between general and specific depending on the individual’s ability to perform the activity, use the equipment and facility properly, and interact with others. Ages of participants, skill level, years of exper-ience in the sport, and mental faculties are additional factors that may require specific supervision expect-ations. Typically, the younger the age, less skilled and less mature individuals, the more supervision is required (Gaskin, 2001). In the case of Herring v. Bossier Parish School District, a 15-year-old high school baseball player died after he was struck in the head by a ball during batting practice. According to the court, the coaches had a legal duty to protect players "from foreseeable harm from the cond-uct of things or persons under that coach's or teacher's supervision" (Herring, 1994, p. 2). On the other hand, the court noted that a coach is "not held to impossible standard of exercising constant supervision over each student involved in a group activity" (Herring, p. 2). In this particular circumstance, the court found that the coach had clearly stated the procedures and routines for conducting an orderly batting practice. These routines were designed to allow him reasonable supervision and to provide for the reasonable safety of his players. Further, the court found that the coach's players knew these rules and procedures. In addition, expert testimony indicated that these rules and procedures met "the standard customarily used by coaches of high school baseball players" (Herring, p. 4). Despite such knowledge of the appropriate safety rules and procedures, the court found plaintiff had not heeded the coach's warning that the batter was "hitting." The court, therefore, affirmed the judgment for the coach (Herring v. Bossier Parish School District, 1994). Additionally, football coaches of Long Island, NY high school were found to have failed in their duty to supervise athletes during a pre-season training camp where hazing incidences led to injuries of players. The coaches and school board were found to be negligent in their duty to supervise after players admitted to sad-istically hazing some of their teammates. The entire football season was cancelled and several were charged with assault and battery (Dangerous minds, 2004). The plaintiff must show that failure to supervise was the proximate cause (condition of negligence) of the injury. No school liability exists if the injury would have occurred even if appropriate supervision was present, therefore, plaintiffs must establish that the injury was reasonably foreseeable (Gaskin, 2001). Coaches should consistency supervise to avoid negligent supervision that could lead to the injury and increase school liability. The court’s issue regarding supervision is not the number of supervisors (or coaches) that were present at the time of the injury, but whether the supervision was reasonable with related to age, maturity, and exper-ience of participants (Glankler v. Rapides Parish School Board, 1993). 8. Evaluate injuries (if trained) Coaches are often forced to deal with an injured player without qualified medical personnel being immediately available. Coaches who attempt to diagnose beyond their scope of experience are putting themselves and school at risk. Coaches have a duty to speedily attend an injury occurring in which he/she is responsible to supervise, yet coaches should not treat or diagnose injuries if not properly certified as a trainer or doctor (Neish, 1996). If necessary, the coach should not allow continued participation until the player or staff, has been properly evaluated by qualified personnel. Van der Smissen (1990) asserted all sport programs need personnel who are trained and qualified to administer emergency care. Additionally, she stated the duty to evaluate and provide emergency care exists regardless of the training of personnel, accordingly, prudent school administrators will insure their personnel are adequately trained for emergency care. Despite the nationwide efforts of NFHS, ASEP, NASP, NASBE continued education of school sport coaches, in 2000 only 40% of the states required coaches to be certified in first-aid and CPR, and 34% required their coaches to complete a coaches’ training course (Burgeson et al., 2001). In response to states’ failure of requiring or recommending CPR and first-aid certification for all coaches, the NFHS recommended that all coaches (experienced and non-experienced) possess a current CPR and first-aid certification (NASBE, 2003). Addi-tionally, NFHS recommended that even certified teachers serving as head coaches maintain their professional development by completing at least one coaching education course per year as long as they remain a coach (NASBE, 2003) 9. Provide appropriate emergency care Typically, schools have a statutory duty that require appropriate emergency care be provided to the injured participant. Kaiser (1986) indicated administrators have two responsibilities when providing for emergency care to students: 1) They must be sure all personnel who coach or teach are competent in the administering of emergency first aid and CPR procedures, and 2) they must be know of and adhere to emergency procedures for timely medical assistance. Two areas are cited in the emergency first-aid area: The appropriateness of the care and the timely implementation of care (Kaiser, 1986). In Jarreau v. Orleans Parish School Board (1992), the court concluded a school was liable for a high school coach’s and team trainer’s negligence in failing to immediately refer an injured player for medical treatment. The player fractured his wrist during a game and the coach continued to play him despite sustained swelling and pain. The court noted that coaches, if not properly trained, are not expected to diagnose injuries but seek proper medical treatment immediately. Coaches are often forced to deal with an injured player without qualified medical personnel being immediately
  • 12. 11 available. Coaches who attempt to diagnose beyond their scope of experience are putting themselves and the school at risk (Maloy, 2001). 10. Provide safe transportation Even though NFHS and ASEP have established the above broad legal coaching duties, the literature describing the duty to safely transport sport participants is replete. When a school provides transportation, it owes a duty of care pertaining to safe transportation (Pittman, 1994). How does this duty pertain to coaches? What are the duties of coaches while students waiting to board or while on board the bus prior to departure for an athletic event? The duty to provide safe trans-portation begins at the original departure point and continues until they return to the original departure point (Pittman, 1994). In Castro v. Los Angeles Board of Education (1976), where a “school-sponsored activity” (one that requires attend-ance from the students) is involved, the school district is responsible for the safety of the student during the entire trip. In a case involving a student being attacked and raped while waiting for the school bus on school property, the courts found the coach (and school board) had a duty to supervise and failed to fulfill this duty (O’Campo v. School Board of Dade County, 1991). Recently, a hazing case has emerged concerning high school athletes found to have physically and sexually assaulted some younger team-mates while traveling on a school bus. Two players were accused of hazing at least two younger players on the team bus. The players were charged with aggravated sexual abuse and endangering the welfare of a child. In addition from being suspended from their coaching positions, the two coaches involved were also charged with the same charges (Wilson, 2008). In some situations, coaches are required to drive the participants to the event and on the return trip home. In most cases, the coaches are very fatigued and also may not be able to adequately supervise the players when transporting them. It is recommended that coaches do not drive on team trips in order to better supervise and thus, allow other qualified, more rested drivers to safely transport the team. Coaches must be reasonable prudent professionals at all times when transporting teams. Safety of the athletes should always be our first priority. The legal responsibility to provide safe transportation most often rests with the school, however, coaches can also do their part in helping ensure safe transportation and supervision are provided to those whom he/she is responsible (LaVetter, 2005). In sum, if any question may arise concerning a possible legal duty of coach, it is best to remember the court’s discussion of negligence: How would a reason-ably prudent coach act under similar circumstances? Often, the situation requires the coach to consult with the school’s administrators or legal counsel concerning their duties, and yet other situations may necessitate the coach respond immediately. In order to assist the coach with decisions concerning their teams, the overall safety and well being of each student can be improved if the coach has an understanding and appreciation of his/her legal duties, and most importantly, practices these standards regularly. REFERENCES Adams, S.H. (1993). Duty to properly instruct. Journal of Physical Education, Recreation & Dance, 64 (2), 24-26. American Sport Education Program (1989). Nine legal duties of coaches. In Martens, R., Successful Coaching (3rd) (2004). Human Kinetics; Champagne, IL. American Sport Education Program (2008). About ASEP. Retrieved September 25, 2008 from http://www.asep.com/about.cfm. Borkowski, R. D. (1985). From the bench: Duty to offer proper instruction. Coaches Legal Report, December 1985. Borkowski, R. D. (2008). Legal duties of a coach. Safety/Risk Management. East Penn Rugby Union Newsletter. Beckett v. Clinton Prairie School Corp, 504 N.E. 20 552 (Ind. 1987). Burgeson, C., Wechsler, H., Brener, N.D., Young, J.C., & Spain, C.G. (2001). Physical education and activeity: Results from the school health policies and programs study 2000. Journal of School Health, 71, 279-293. Castro v. Los Angeles Board of Education, 54 Cal. App. 3d 232 (Cal. App. LEXIS 1130; 126 Cal. Rptr. 537, 1976). Conn, J. & Razor, J. (1989). Certification of coaches: A legal and moral responsibility. Physical Educator, 46 (3), 161-165. Dangerous Minds (2004). Retrieved September 10, 2008 from http://www.cbsnews.com/ Stories/2004/04/12/ 48hours/main611479.shtml. Gaskin, L.P. (2001). Supervision. In Cotton, D. J., Wolohan, J.T., & Wilde, T. J (2001) Law for Recreation and Sport Managers. Kendall/Hunt: Dubuque, IA. Glankler v. Rapides Parish School Board, 610 So.2d 1020 (La. App. 1993). Herring v. Bossier Parish School District, 632 So.2d 920 (La.App. 1994). Jarreau v. Orleans Parish School Bd., No. 92-C-2322, Supr. La., 605 So. 2d 1378 (1992 La. LEXIS 3226, 1992). Kaiser, R.A. (1986). Liability and law in recreation, parks, and sports. Englewood Cliffs, NJ: Prentice-Hall. LaVetter, D. (2005). Transportation safety starts with policy change. NCAA News, December 5, 2005).
  • 13. 12 Leahy v. School Board of Hernando County, 450 So.2d 883 (Fla.App. 1984). Maloy, B. P. (2001). Safe environment. In Cotton, D. J., Wolohan, J.T., & Wilde, T. J (2001) Law for Recreation and Sport Managers. Kendall/Hunt: Dubuque, IA. Martens, R. (2004). Successful coaching (3rd). Human Kinetics: Champagne, IL. National Association for Sport and Physical Education (1995). National Standards for Athletic Coaches. Dubuque: Kendall/Hunt. National Association for Sport and Physical Education (2008). National Council for Accreditation of Coaching Education. Retrieved October 1, 2008 from http://www.aahperd.org/naspe/tem-plate. cfm?template=programs-ncace.html National Association of State Boards of Education (NASBE) (2003). Education requirements for ath-letic coaches. NASBE policy update, 11 (4). Retri-eved August 22, 2008, from http://www.nasbe.org /Educational_Issues/Policy_Updates/11_4.html National Council for Accreditation of Coaching Education (NCACE) (2006). NCACE program reg-istry and approved program list. NASPE. Retrieved August 22, 200, from http://www.aahperd.org/ naspe/template.cfm?template=programs-html National Federation of State High School Associations (2005). Coaching Education Program Retrieved September 20, 2008 from http://www.nfhs.org National Federation of State High School Associations (NFHS) (2007). 88th Annual NFHS Summer Meet-ing held in Palm Desert, CA, July 2007. Retrieved August 28, 2008 from http://www.nfhs.org/web/ 2007/08/88th_annual_nfhs_summer_meeting.aspx National Federation of High School Association (NFHS) (2008). High school sports participation increases again; boys, girls and overall participation reach all-time highs. Retrieved October 15, 2008 from http://www.nfhs.org/web/2008/09/ high_school_sports_participation.aspx Neish, N.A. (1996). Tort liability in high school sport. Coach and Athletic Director, 10 (3), 22-24. Nygaard, G. & Boone, T.H. (1985). Coaches guide to sport law. Champaign, IL: Human Kinetics. Paralyzed high school player settles for $12.5 million (2008). From the Gym to the Jury, 19 (1), p 1. Pittman, A. (1994). Legal and safety issues in school transportation. Journal of Legal Aspects of Sport, 4 (1), 18-28. Refurbished football helmets face safety scrutiny (2008). From the Gym to the Jury, 19 (1), p. 3. Sharp, L.A., Moorman, A. M., & Claussen, C.L. (2007). Sport law: A managerial approach. Holcomb Hathaway: Scottsdale, AZ. Toller v. Plainfield School District 202 et al, 211 Ill. App.3d 554 (582 N.E.2d 237, 1991). Vendrell v. School District No. 26C, Malheur County, 233 Ore 1 376 P.2d 406 (Ore. Supr. Ct. 1962). Van der Smissen (1990). Legal liability and risk management for public and private entities. Cincinnati, OH: Anderson. Weiss v. Collinsville Community Unit School District No. 10, 119 Ill. App. 3d 68 (456 N.E. 2d 614, 1983). Wilson High School sex hazing case makes national news. The Buffalo News. Retrieved October 10, 2008 from http://buffalonews.typepad.com/niagra_ views/2008/08/wilson -high-sch.html David LaVetter is a professor in the Department of HPESS, Arkansas State University Calendar Event Date Place AAHPERD LDC June 17-20, 2009 Washington, DC Southern District LDC June 26-27, 2009 Myrtle Beach, SC ArkAHPERD Board Meeting August 8, 2009 Little Rock, AR Southern District Student LDC October 22-25, 2009 Camp Letts, MD ArkAHPERD Convention November 5-6, 2009 Eureka Springs, AR Southern District Convention February 10-14, 2010 Myrtle Beach, SC AAHPERD National Convention March 16-20, 2010 Indianapolis, IN
  • 14. A Peer Reviewed Article Sexual Attitudes and Behaviors of African American Adolescents Brian Gordon, Michael Perko, Lori Turner, and Deidre Leaver-Dunn 13 Abstract The U. S. has had the highest rates of Sexually Transmitted Infections (STIs) in the industrialized world for almost a decade. American adolescents are plagued by effects of risky sexual behavior as the prevalence of most STIs peaks during adolescence. Approximately 3 million adolescents are infected with STIs. African Am-erican adolescents report earlier age of sexual initiation, which places them at an increased risk of negative health outcomes. The purpose of this paper was to apply the Theory of Reasoned Action (TRA) to sexual attitudes, beliefs, and intentions of African American adolescents. A literature review was conducted using Medline, Pubmed and Google Scholar. Studies were reviewed based on identified use of TRA or TRA constructs and if sexual behavior or a related outcome was addressed. Most studies have focused on the influence of sociodemographic and family factors resulting in a lack of knowledge concerning the more proximal factors that influence adolescents’ sexual decision making. Applying the TRA may assist in developing interventions to delay early onset of sexual initiation among African American adolescents. To facilitate healthy attitudes toward delay-ing sexual activity, interventions must focus on generating attitudes consistent with favorable ideas regarding delayed sexual activity. Introduction “Today’s adolescents face demands and expectations, as well as risks and temptations, that appear to be more numerous and complex than those adolescents faced only a generation ago” D. A. Hamburg, 1993. Early sexual initiation among American adolescents represents a major public health problem (American Academy of Pediatrics (AAP), 2001). The teen birth rate has increased 3% since 2005 (Hamilton, Martin, & Ventura, 2007). This increase is the largest single year increase since 1989, and the U.S. teen birth rate is the highest it has been in almost 50 years (Hamilton, Martin, & Ventura, 2007). While each racial cohort experienced increases in birth rates, African American adolescents (AAas) experienced significantly higher rises than White adolescents (Hamilton, Martin, & Ventura, 2007). AAas experience greater unplanned pregnancies and sexually transmitted infections STIs) than their counterparts. (National health objectives outline increasing the pro-portion of adolescents who abstain from sexual inter-course or use condoms if sexually active (CDC, 2004). Forty eight percent of male and 46% of female adolescents have had sexual intercourse (National Youth Risk Behavior Surveillance Survey (YRBSS), 2005). Male adolescents were more likely than females to have had sex with four or more people in their lifetimes (YRBSS, 2005). When comparing adolescents by race, 68% of AAas reported ever having sex, 17% stated they had sex before age thirteen, and 28% had sex with 4 or more people, compared to White adolescents who re-ported 43%, 4%, and 11% respectively (YRBSS, 2005). African American adolescents experience pregnancy rates almost three times higher than White adolescents. In 1997 the pregnancy rate for AAas was estimated to be 17.0% while the estimated rate for White adolescents was 6.5% (Ventura, Mosher, Curtin, Abma, & Henshaw, 2001). AAas experienced the highest single year increase in teen birth rates at 5% compared to a 3% increase for White adolescents (Hamilton, Martin, & Ventura, 2007). Current data indicate the birth rate for AAas is 6.37% compared to a rate of 2.66% for White adolescents (Hamilton, Martin, & Ventura, 2007). African American adolescents report earlier age of sexual initiation, which places them at an increased risk of poor health outcomes (Escobar-Chaves, Tortolero, Markham, Low, Eitel, & Thickstun, 2005). Approx-imately 3 million adolescents are infected with STIs yearly, with the highest incidence occurring in African Americans from impoverished, inner city environments (Bachanas, Morris, Lewis-Gess, Sarett-Cuasay, Sirl, Riles, & Sawyer, 2002). African American adolescents are dis-proportionately affected by STIs with rates more than 7 and 23 times that of White adolescents for chlamydia and gonorrhea respectively (CDC, 2004A; CDC, 2001; CDC, 2002). In 2005, AAas experienced 55% of HIV infections (CDC, 2005). In 2004, AAas 13-19 years of age made up 15% of the adolescent population, but accounted for 73% of the incidence of Acquired Imm-une Deficiency Syndrome (AIDS) (CDC, 2004). Factors such as gender, race and ethnicity, environment, age, and attitudes contribute to sexual behaviors of adoles-cents (Manlove, Terry-Humen, Papillo, Franzetta, Williams, & Ryan, 2002). Males are more likely to initiate sex early and have multiple partners; minorities are more likely to engage in behaviors that lead to early pregnancy and STIs (Abma, Driscoll, & Moore, 1998; Miller, Nor- ton, Curtis, Hill, Schvaneveldt, & Young, 1997; Raine, - continued on p. 18 -
  • 17. ArkAHPERD 2008 Award Winners Honor Award Jim Stillwell Dance Educator Student Research Susan Mayes Kevin Hicks Elementary School TOY Middle School TOY Jennifer Straub Kathy Wormington JRFH Coordinator of the Year HFH Coordinator of the Year Teresa Bailey Natalie Stricklin 16
  • 18. ArkAHPERD 2007 Scholarship Winners Past President Jeff Farris Jr. Rayanne Gordon Charles Farley Newman McGee Newman McGee Tim Palmer Cheyenne Savony 2007 SuperStars Competition `` 17
  • 19. 18 - continued from p. 13 – Jenkins, Aarons, Woodard, Fairfax, El-Khorazaty, & Herman, 1999; Santelli, Lowry, Brener, & Robin, 2000; Shrier, 2004). Adolescents from disadvantaged comm.- unities with high crime and poverty rates are more likely to have sex, become pregnant, and give birth when compared with adolescents from advantaged com-mun-ities who are less likely to engage in risky behaviors (Billy, Brewster, & Grady, 1994;Brewster, Billy, & Grady, 1993; Hogan, & Kitagawa, 1985; Santelli et al., 2000; Sucoff & Upchurch, 1998; Manlove et al., 2002). Other factors that influence sexual behavior are drug use, problem drinking, and smoking (Zabin, 1984; Zabin, Hardy, Smith, & Hirsch, 1986; Mott & Haurin, 1988; Orr, Beiterm, & Ingersoll, 1991). Purpose of Study Sexual behavior among African American adolescents requires immediate attention, is a complicated issue and appears to be influenced by a variety of factors. Use of behavior theory may assist in understanding and predicting these behaviors. The purpose of this study was to apply the Theory of Reasoned Action (TRA) to the sexual attitudes, beliefs, and intentions of African American adolescents. METHODS A comprehensive literature review was conducted using Medline, Pubmed and Google Scholar. Key words were adolescents, African Americans, sexual behaviors, sexual initiation, sexual outcomes, media exposure and Theory of Reasoned Action. Studies were reviewed based on identified use of TRA or TRA constructs and if sexual behavior or a related outcome was addressed. RESULTS Theory of Reasoned Action Buhi and Goodson (2007) conducted a comprehend-sive literature review to examine predictors of adoles-cent sexual behavior. Most studies have focused on the influence of sociodemographic and family factors (Gill-more, Archibald, Morrison, Wilsdon, Wells, Hoppe, Nahom, & Murowchick, 2002). Carvajal, Parcel, Basen- Enquist, Banspach, Coyle, Kirby & Chan (1999) noted that such a focus has resulted in a lack of knowledge of the more proximal factors that influence adolescents’ sexual decision making. The Theory of Reasoned Action (TRA) may be appropriate to identify possible factors that influence adolescent sexual behavior. The Theory of Reasoned Action (TRA) has been used to determine the weight of attitudes and subjective norms on intentions to perform behaviors such as alcohol abuse, mammography use, and sun protection use. Application of the TRA to early initiation of sexual activity may provide insights and strategies for inter-vention development. TRA, originally developed by Martin Fishbein in 1967 (Fishbein, 1967) was later refined with the assistance of Icek Ajzen. The TRA was developed through an effort to understand the relationship between attitudes, inten-tions, and behaviors (Fishbein & Ajzen, 1975). The TRA was developed to predict behavior by assessing the target population's attitudes toward the behavior and the perceived norms regarding the behavior. The concept is that attitudes and norms predict intentions, and inten-tions predict behavior. TRA utilizes various micro and macro factors when explaining behavior, and provides a framework for deciphering actions by identifying, measuring, and combining beliefs that are relevant to individuals or groups, allowing researchers to understand the reasons that motivate the behavior of interest (Glanz, Rimer, & Lewis, 2002). The two basic assumptions of TRA are 1) people will make rational decisions concerning the behavior with appropriate information, and 2) the behavior of interest is under volitional control. Ajzen and Fishbein (1980) consider addictive type behaviors such as smoking and nicotine addiction to not be under volitional control. As such, they concluded the TRA is not appropriate for explaining or predicting such be-haviors. Therefore, it is assumed that African American adolescents have the ability to make rational decisions concerning sexual behavior and that sexual initiation or abstinence is a choice that African American adolescents consciously make. The TRA has been useful in predicting and explaining a variety of behaviors (Gastil, 2000; Montano & Taplin, 1991; Morrison, Spencer, & Gilmore, 1998; Steen, Peay, & Owen, 1998). TRA was successfully used to predict adolescents’ sexual behavior and intentions, their dietary supplement use, and their AIDS preventive behaviors (Carvajal et al., 1999; Gillmore et al., 2002; Flores, Tschann, & Marin, 2002; Perko, Bartee, Dunn, Wang, & Eddy, 2000; Fisher, Fisher, & Rye, 1995). Gillmore et al. (2002) tested the TRA to predict adolescents’ sexual behavior. Sexual intercourse was associated with intentions to have sex, and intentions were associated with attitudes and general norm. In an effort to understand beliefs related to AIDS preventive behaviors among high school adolescents, Fisher, Fisher, and Rye (1995) conducted a prospective study of 165 9th grade students. They noted that preventive behaviors were predicted by behavior intentions, inten-tions were a function of attitudes toward prevention and norms, and subjective norms related to preventive behaviors were significantly correlated with perceptions of significant other’s beliefs. The aforementioned re-search provides evidence for the use of the TRA in predicting distinct adolescent behaviors. Based on this research it is rational to hypothesize that the TRA can be useful in predicting AAas’ sexual attitudes and behaviors. The constructs of this model will be discussed in detail. Behavioral Intentions According to the TRA the immediate determinant of a person’s behavior is that person’s intention to perform or not to perform a specific behavior. Ajzen and Fish-bein (1980) postulated this based on comparisons of the strength of the intention-behavior correlation to other kinds of antecedent factors. They consistently found that the intention correlation to behavior is significantly
  • 20. 19 greater than that of any other factor, with typical correlations ranging between 0.72 and 0.96. Two factors influence the accuracy of intentions predicting behavior. First is the time interval between assessing intentions and subsequent behavior. Fishbein and Ajzen (1975) stated that the level of accuracy decreases as the time interval increases. They believe that this exists due to unexpected events that occur over time. Second, possible known behavioral alternatives are assessed. For example, African American adolescents can choose to abstain from sex, use condoms if sexually active, or participate in risky sexual activities. To increase the accuracy of intention in predicting future sexual behavior, the investigator needs to determine the individual’s intention concerning sexual behavior. In general, individuals will adopt the behavior associated with their strongest intention. Gillmore et al.(2002) tested the TRA to predict adolescents’ sexual behavior. The initial dataset was collected when adolescents were in grades 3-6, and the follow up dataset was acquired when adolescents were in grades 10-12. Sexual intercourse was associated with intentions to have sex, and intentions were associated with attitudes and general norm. Attitude Toward the Behavior Referring to Figure 1, the TRA model shows that behavioral intention is a direct function of two specific and independent determinants. Ajzen and Fishbein (1980) identified these determinants as attitude toward the behavior, which is a personal factor, and subjective norm, a factor reflective of social influence (discussed later). Attitude toward the behavior is defined as a person’s positive or negative evaluation of personal performance of the behavior. For most behaviors under volitional control, both of these factors are strong predictors of behavioral intention. A summary of TRA research studies presented by Ajzen (1988) shows that the influence of attitude toward the behavior and subjective norm varies across behaviors and populations with correlations ranging from 0.40 and 0.73. For most behaviors, the influence of the attitudinal component outweighs that of the subjective component. Thus, based on TRA research, it is safe to assume that most individuals will intend to perform a behavior when they evaluate its consequences positively and they believe that significant others think they should perform the behavior. Carvajal et al. (1999) conducted a longitudinal study to examine the sexual behaviors of 827 adolescents. Results were consistent for the TRA constructs indicating that this model predicted sexual behavior. Social norms and attitudes about postponing sex were associated with delayed sexual initiation. According to the TRA, a person’s attitude toward the behavior is a function of an individual’s salient belief that by performing the behavior, it would be likely or probable that a positive or negative outcome would occur. Attitudinal beliefs can vary by an associated prob-ability that the outcome will occur, and evaluation of the outcome as being either positive or negative. A person can have a positive or negative attitude toward the behavior based on the belief that performance of the be-havior will lead to mostly positive or negative outcomes. Adolescents’ attitudes regarding sexuality appear to be strongly influenced by media exposure (Brown, L’Engle, Pardun, Guang, Kenneavy, & Jackson, 2006; L’Engle, Brown, & Kenneavy, 2006; Martino, Collins, Elliott, Strachman, Kanouse, & Berry, 2006). Media influences presented a significant association with early adoles-cents’ sexual intentions and behaviors (L’Engle, Brown, & Kenneavy, 2006; Pardun, L’Engle, & Brown, 2005). A longitudinal study showed that frequent exposure to sexual content (viewing sexual behavior or hearing about sex) on TV was predictive of the initiation of sex (Collins, Elliott, Berry, Kanouse, Kunkel, Hunter, & Miu, 2004; Martino et al., 2006). Robinson, Price, Thompson, & Schmalzried (1998) used constructs from the TRA to examine the sexual be-havior of 689 rural junior high school adolescents in Ohio. Results indicated that attitudes and efficacy expectations significantly predicted intercourse for males. Furthermore, they noted that efficacy expec-tations were the only significant predictor for engaging in sexual intercourse. Carvajal et al. (1999) conducted a longitudinal study to examine the sexual behaviors of 827 adolescents. In this study attitudes about postponing sex were associated with delayed sexual initiation. In addition, social norms were also associated with delayed sexual initiation. Subjective Norm Subjective norm is an interaction between a person’s perception of how significant others in his or her social environment feel about the individual’s performance of the behavior and the person’s motivation to comply with these significant others. Subjective norm, according to the TRA, is a function of an individual’s normative beliefs. These beliefs are social in nature, in that they focus on an individual’s perceived social pressures to perform the behavior. These beliefs are affected by both the presence of significant others (e.g., mother, father, best friend, girlfriend/boyfriend) and the individual’s level of motivation to comply with or please these significant others. So, in general, people would be expected to intend to perform the behavior if they felt that important people in their life, with whom they were motivated to comply, wanted them to do so. Fishbein and Ajzen (1975) hypothesized that a person’s behavior can be influenced by the perceived social pressure to perform the behavior. They further hypothesized that the relationship of the TRA to other psychosocial factors may impact behavior in that any outlying, distal factors will only impact behavior indirectly through the mediating properties that include subjective norm. Carvajal et al. (1999) conducted a longitudinal study to examine the sexual behaviors of 827 adolescents. Social norms about postponing sex were associated with delayed sexual initiation. Flores et al. (2002) utilized the TRA to predict sexual intentions of 84 Latina adolescents. In their study, social norms were the only predictors of intentions to have sex.
  • 21. 20 Examination of social norms includes the exploration of the influence of media. Roe (1990) noted that music also helped adolescents identify with peer groups. In assessing whether early adolescents’ exposure to sexual content in the media predicted sexual behavior by middle adolescents, Brown et al. (2006), concluded adolescents with frequent exposure to sexual content were more likely to have engaged in sex. Researchers also found that among other predictive factors, one of the strongest predictors of risk for early sexual initiation for white and black adolescents were perceived social norms--the perception that his or her peers were sexually active (Brown et al., 2006). IMPLICATIONS Research has supported the use of the TRA in predict-ing and explaining a variety of adolescent behaviors. TRA has been successfully used to predict adolescents’ sexual behavior and intentions, adolescent’s AIDS preventive behaviors and other health behaviors (Carv-ajal et al., 1999; Flores, Tschann, & Marin, 2002; Perko et al., 2000; Fisher, Fisher, & Rye, 1995). Fisher, Fisher, and Rye (1995) utilized the TRA to understand beliefs related to AIDS preventive behaviors among high school adolescents. They noted that preventive behaviors were predicted by behavior intentions, inten-tions were a function of attitudes toward prevention and norms, and subjective norms related to preventive behaviors were significantly correlated with perceptions of significant other’s beliefs. This research provides evidence for the use of the TRA in predicting distinct adolescent behaviors including sexual attitudes, beliefs, and intentions. Using this model to predict adolescents who are at greatest risk for early sexual initiation is a strategy for targeting high-risk adolescents. Applying the TRA may assist in developing intervene-tions to delay early onset of sexual initiation among African American adolescents. As intention predicts behavior, the obvious initial strategy is to reduce the intention to engage in early sexual activity. To facilitate healthy attitudes toward delaying sexual activity, inter-ventions must focus on generating attitudes consistent with favorable ideas regarding delayed sexual activity. One issue of concern that influences adolescents’ attitudes and social norms is exposure to media. Adolescents are saturated with mass media, spending an average of 6 hours and 30 minutes a day utilizing media (Rideout, Roberts, & Foehr, 2005). Despite the plethora of media devices and technological advances such as Ipods, MP3 players, and the Internet, music persists as the dominant media chosen by adolescents (Rideout, Roberts, & Foehr, 2005). Content analysis of selected media showed that music contained 40% more sexual content than any other medium, with 15% of music's sexual content focusing solely on intercourse, compared to a 3% and 4% focus in television and movies, respect-tively (Pardun, L'Engle, & Brown, 2005). Monitoring media exposure is a strategy that may assist in encouraging healthy attitudes and social norms regarding sexual behaviors among AAas. Wingood, DiClemente, Harrington, Davies, Hook, III, & Oh, (2001) examined the association between expo-sure to X-rated movies and black adolescent females’ sexual and contraceptive attitudes and behaviors. Expo-sure to X-rated movies was related to negative attitudes toward STI/HIV prevention, and engaging in contra-ceptive risk practices and sexual risk behaviors. These findings support the need to monitor media exposure. Interventions that provide exposure to safe sexual practices are recommended. Researchers found expo-sure to portrayals of safe sexual practices and sexual risk was predictive of delayed sexual behavior for African American adolescents (Collins et al., 2004). Implications include the need to analyze how African American ado-lescents interpret media content, and for investigation into the contribution of various media sources on ado-lescent sexuality (Collins et al., 2004). It was recom-mended that the influence of mass media should receive increased attention from future research-hers seeking to reduce risky sexual behavior among adolescents (L’Engle, Brown, & Kenneavy, 2006). Escobar-Chaves et al. (2005) called for the inclusion of at-risk popula-tions in future research addressing the influence media has on the sexual attitudes and behaviors of adolescents. When examining condom use, Albarracín, Johnson, Fishbein, & Muellerleile (2001) conducted a meta-analysis to evaluate the success of the TRA as a predict-or of condom use. The TRA was highly successful in predicting condom use. Researchers concluded inter-ventions focusing on changing attitudes will produce greater results than interventions seeking to change norms and address perceived behavioral control. Brown et al. (2006) suggested conducting longitudinal studies that include younger adolescents as the study sample. Moreover, researchers concluded more research is needed to understand the relationship between exposure to sexual media content and adolescents’ sexual attitudes and behaviors (Brown et al., 2006). In summary, the problems associated with early sexual initiation among African American adolescents are costly. Research supports the use of the TRA in predicting and explaining adolescent sexual behaviors. Research provides evidence for the use of the TRA in predicting distinct adolescent behaviors including sexual attitudes, beliefs, and intentions. Adolescent sexual behaviors are influenced by social norms and attitudes toward the behavior. Using the Theory of Reasoned Action (TRA) Model to understand and predict adoles-cents who are at greatest risk for early sexual initiation is a strategy for targeting high-risk adolescents. REFERENCES Abma, J., Driscoll, A., & Moore, K., (1998). Young women’s degree of control over first intercourse: An explanatory analysis. Family Planning Perspec-tives, 30, (1), 12-18. Ajzen, I. (1988). Attitudes, personality, and behavior. Milton Keyes, England. Open University Press. Ajzen, I. & Fishbein, M. (Eds.) (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ. Prentice-Hall.
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  • 23. 22 Hogan, D. P., & Kitagawa, E. M. (1985). The impact of social status, family structure, and neighborhood on the fertility of black adolescents. American Journal of Sociology, 90, 825-855. L’Engle, K. L., Brown, J. D., & Kenneavy, K. (2006). The mass media are an important context for ado-lescents’ sexual behavior. Journal of Adolescent Health, 38, 186-192. Manlove, J., Terry-Humen, E., Papillo, A., Franzetta, K., Williams, S., & Ryan, S. (2002). Preventing Teen-age Pregnancy, Childbearing, and Sexually Trans-mitted Diseases: What the Research Shows. Child Trends, Research Brief, Washington, DC. Martino, S. C., Collins, R. L., Elliott, M. N., Strachman, A., Kanouse, D. E., & Berry, S. H. (2006). Expo-sure to Degrading Versus Nondegrading Music Lyrics and Sexual Behavior Among Youth. Pediat-rics, 118, 430-441. Miller, B. C., Norton, M. C., Curtis, T., Hill, E. J., Schvaneveldt, P., & Young, M. H. (1997). The tim-ing of sexual intercourse among adolescents: Family, peer and other antecedents. Youth and Soc-iety, 29, (1), 54-83. Montano, D. & Taplin, S. (1991). A Test of an Expanded Theory of Reasoned Action to Predict Mammography Participation. Social Science and Medicine, 32, 733-741. Morrison, D. M., Spencer, M. S., & Gilmore, M. R. (1998). Beliefs about Substance Use Among Preg-nant and Parenting Adolescents. Journal of Re-search on Adolescence, 8, 69-95. Mott, F. L., Haurin, R. J. (1988). Linkages between sexual activity and alcohol and drug use among American adolescents. Fam. Plann Perspect. 20. 128-136. National Youth Risk Behavior Surveillance Survey [YRBSS]. (2005). Health Risk Behaviors by Sex. Centers for Disease Control and Prevention. Available at: www.cdc.gov/yrbss. Orr, D. P., Beiter, M. Ingersoll, G. (1991). Premature sexual activity as an indicator of psychosocial risk. Pediatrics, 87, 141-147. Pardun, C. J., L’Engle, K. L., & Brown, J. D. (2005). Linking Exposure to Outcomes: Early Adolescents’ Consumption of Sexual Content in Six Media, Mass Communication & Society, 8, (2), 75-91. Perko, M., Bartee, T., Dunn, M., Wang, M., & Eddy, J. (2000). Giving new meaning to the term “taking one for the team:” Influences on the use/nonuse of dietary supplements among adolescent athletes. American Journal of Health Studies, 16, 99-106. Raine, T. R., Jenkins, R., Aarons, S. J., Woodard, K., Fairfax, J. L., El-Khorazaty, M. N., & Herman, A. (1999). Sociodemographic correlates of virginity in seventh-grade Black and Latino students. Journal of Adolescent Health, 24, 304-312. Rideout, V., Roberts, D., & Foehr, U. (2005). Gen-eration M: Media in the Lives of 8-18 Year -olds, Executive Summary, Kaiser Family Foundation, Menlo Park, CA. Robinson, K. L., Price, J. H., Thompson, C. L., & Schmalzried, H. D. (1998). Rural junior high school students’ risk factors for and perceptions of teenage parenthood. Journal of School Health, 68, (8), 334- 338. Roe, K. (1990). Adolescent music use: A structural-cultural approach. In Roe, K. (Ed.), Popular music Research (pp. 41-52). Goteborg, Sweden: Nordi-com- Swedenn. Santelli, J. S., Lowry, R., Brener, N. D., & Robin, L. (2000). The association of sexual behaviors with socioeconomic status, family structure, and race /ethnicity among U.S. adolescents. American Journal of Public Health, 90, (10), 1582-1588. Shrier, L. (2004). Sexually transmitted diseases in ado-lescents: Biologic, cognitive, psychologic, behave-ioral, and social issues. Adolescent Medicine Clinics, 15, (2), 1-15. Steen, D. M., Peay, M. Y., & Owen, N. (1998). Predicting Australian Adolescents’ Intentions to Minimize Sun Exposure. Psychology and Health, 13, (1), 111-119. Sucoff, C. A. & Upchurch, D. M. (1998). The neigh-borhood context and the risk of childbearing among metropolitan-area black adolescents. Amer-ican Sociological Review, 63, (4), 571-585. Ventura, S. J., Mosher, W. D., Curtin, M. A., Abma, J. C., & Henshaw, S. (2001). Trends in pregnancy rates for the United States, 1976-1997: An update. National Vital Statistics Reports, 49, (4), 1-9. Wingood, G. M., DiClemente, R. J., Harrington, K., Davies, S., Hook, III, E. W., & Oh, M. K. (2001). Exposure to X-Rated Movies and Adolescents’ Sexual and Contraceptive-Related Attitudes and Behaviors. Pediatrics, 107, (5), 1116-1119. Zabin, L. S. (1984). The association between smoking and sexual behavior among teens in US contracep-tive clinics. American Journal of Public Health, 74, 261-263. Zabin, L. S. & Hardy, J. B., Smith, E. A., Hirsch, M. B. (1986). Substance use and its relation to sexual activity among inner-city adolescents. Journal Adolescent Health Care, 7, 320-331. Brian Gordon, Lori Turner and Deidre Leaver-Dunn are faculty in the Department of Health Science, University of Alabama. Michael Perko is faculty in the Department Public Health Education, University of North Carolina at Greensboro.
  • 24. A Peer Reviewed Article Balance Measures Using the Biodex Balance System in Physically Active and Non-Active Women Tim Leszczak and Ro DiBrezzo 23 Fall related injuries are a major concern for older American adults. According to the National Institute on Aging (NIA; 2006), 1.6 million older adults sustain a fall related injury each year causing fractures, hospital admissions for trauma, loss of independence and injury related deaths. Much of the research attributes this to poor balance and a decrease in muscle strength. The National Institute on Aging (2005) states that muscle mass decreases by 22% in women and 23% in men between the ages of 30 and 70. Concurrently, research by Melzer, Benjuya & Kaplanski (2000) suggests that this decrease in strength can occur as early as the third decade for males and the second decade for females. This diminishing strength can be detrimental to the older population, in part leading to an increase in fall related injuries. Similar to a decrease in muscular strength, a low level of physical fitness has also been associated with diminished balance. Attaining and maintaining strength in the lower extremity is very important for older adults to continue as they age. Too many avoidable injuries occur due to lack of strength and poor balance. Research shows that it is possible to increase strength as we age and that strength has been a major contributor in fall prevention programs (Ikezoe, Asakawa, Tsutou, 2003). Some programs can be as simple as walking and increasing daily activities around the house. As long as the individual is not sedentary their muscle strength will not decrease as rapidly. Studies show that exercise training for older adults can increase muscular strength, mass and balance. A study conducted on the effects of a six month training program on leg power, balance and functional mobility, found that the exercise program improved all three variables (p < .01, p < .01 and p < .05, respectively) in an older adult population (Ramsbottom, Ambler, Potter, Jordan, Nevill, & Williams, 2004). Ikezoe, Asakawa & Tsutou (2003) suggests that in order to decrease the incidence of falls in a group of nursing home residents, interventions to increase quadriceps strength are essential. This study tested 25 older adult women and found that non-fallers had significantly higher quadriceps strength (p < .01) than fallers which indicates muscular strength plays an important role in the prevention of falls, but how early do these results occur? Consistent with the results by Ramsbottom et al and Ikezoe et al, Frontera wanted to examine the effects of strength training in older women, at two and twelve weeks, on specific force, muscle cross sectional area, and muscular strength (Frontera, Hughes, Krivickas, Kim, Foldvari, & Roubenoff, 2003). The authors found that after 12 weeks of progressive strength training of the knee extensors and flexors, all three variables increased. After twelve weeks of training, specific knee extensor force and strength increased significantly (p < .001). These results indicated that even the force generated by knee extensors can increase in aging adults involved in an exercise program. Not only does strength training play an important role in fall prevention, but incorporating simple physical activity into a person’s lifestyle can slow the aging process in several ways. Research suggests that older adults who walk on a regular basis have better postural control than those who do not, which can reduce the incidence of fall related injuries and increase their quality of life (Melzer, Benjuya, & Kaplanski, 2003). Although some researchers suggest interventions that consist of strength training alone, physical activity can be just as beneficial to reducing falls. Research by McAuley, Mihalko, & Rosengren (1997) examined the relationships among physical activity patterns with scores on self efficacy, balance and fear of falling. This study used a multivariate analysis where the activity level was manipulated to see how it affected the three aforementioned dependent variables. Overall, the analysis suggested that highly active individuals were significantly more efficacious (p < .001), were less fearful of falling (p < .05), and had better balance (p < .001), than less active participants. Developing ways to make exercise interesting to adults who may not be educated on health related topics can be challenging. In a study conducted on the effects of simple activity in a group of post menopausal women, the authors developed a 12 month intervention that was unique when compared to a traditional exercise program. The intervention consisted of line dancing, stamping of the foot, and squats which were all used to improve balance, bone mineral density and strength, respectively (Young, Weeks, & Beck, 2007). The results suggested that these types of exercises, over a 12 month period, improved all variables, but most importantly the two balance measures, Timed Up and Go test (p < .001) and Single Leg Stance test (p < .001) showed significance. Therefore, physically active older women
  • 25. 24 may have better balance scores than their physically inactive counterparts. In many research projects that involve measures of balance, researchers use a force platform to determine postural sway or displacement of center of gravity, which are both good measures of balance. In fact, in research mentioned above, Melzer et al (2003) tested balance using a force platform with four force transducers to measure vertical ground reaction forces. The Biodex Balance System was introduced in 2000 and there has not been a great deal of literature to support its use as a means of measuring dynamic balance. Although there are supporting articles related to its validity and use in a rehab and athletic setting, there have only been a few articles published on an older adult population. The Biodex purports to measure and record an individual's ability to maintain stability under dynamic stress (Cachupe, Shifflett, Hakanov, Wughalter, 2001). Therefore, it is one of the goals of this study to test the Biodex Balance System with a group of women, aged 40-60, to analyze whether a relationship exists between muscular strength, physical activity and their balance scores on the Biodex Balance System. As with most instrumentation, there is a learning curve associated with the use of this device and it is recommended that all users practice before testing occurs. Cachupe et al (2001) performed a reliability test on the overall stability index measure with the Biodex Balance System and found that the reliability estimates among healthy, athletic adults were consistent and that the overall stability index is comparable and higher than the measures of anterior-posterior stability index and medial-lateral stability index. It was recommended to perform two practice trials before two test trials for participants to become familiar with the apparatus. Documentation is clear that relationships exist bet-ween strength and balance. As indicated by Melzer et al, strength can start to decrease very early in life, and as Ikezoe indicates, individuals with lower scores on muscular strength tended to be considered fallers. It was also suggested that strength can increase with age if the proper interventions are incorporated, and that physically active older adults tended to do better on scores of balance and strength. However, balance scores using the Biodex Balance System have been rare when testing middle age women. Therefore, the purpose of this study is to see whether relationships exists between the overall stability index scores on the Biodex Balance System with scores of isokinetic strength in physically active and in-active older women. Methods Subjects Twenty female subjects (aged 41-60) with varying backgrounds in aerobic and strength training exercise participated in the study. The participants were 51.85 years (SD = 5.58) and 163.35 pounds (SD = 29.07). All participants volunteered for the study, which was approved by the Institutional Review Board. Testing Procedures Informed consent was obtained before any testing occurred and a physical activity questionnaire was completed in order to separate participants into groups. The questionnaire consisted of five questions that asked, “…how often have you taken part in light activity," “…how often have you taken part in moderate activity,” “…how often have you taken part in very hard activity,” “…how often have you taken the stairs,” and “how often have you taken part in strength training?” All questions were preceded by, “In the past month….” Responses to the questions were as follows, "more than 4 times per week," "2-4 times per week," "once per week," "2-3 times per month," "rarely or never." The five responses were scored on a scale of 1-5, with 5 being "more than 4 times per week," and 1 being "rarely or never." Scores were then added and the participants were divided into "low activity" or "high activity." Those that were "low activity" had a score that was from 0 - 18, and those that were considered "high activity" had a score from 19 - 25. The participants went through the same order of testing, which included weight, balance, flexibility, and strength measures. All tests measures were obtained with shoes off. Weight and Flexibility. Weight was obtained using a metric scale (Detecto Scale). Flexibility was tested using a sit and reach device called a Figure Finder Flex Tester (Novel Products, Inc., Rockton, IL) which tested the overall flexibility of the shoulders, lower back and ham-strings. The device is a boxlike apparatus with a measuring scale on the upper portion labeled in centi-meters. Participants were each told to sit on the floor with their legs straight out ahead of them and to place their feet against the testing apparatus shoulder width apart. They were then told to sit upright and put their right hand on top of left. Each participant was given 3 trials and they were instructed that the first two were practice and the third was used for data collection. Balance. Balance was obtained using the Biodex Balance System (see Figure 1) (Biodex Medical Systems, Inc.) and a score called “overall stability index” was obtained. The Biodex Balance System (BBS) is a device used to obtain dynamic balance in the medial-lateral and anterior-posterior axes, and is capable of tilting in all directions up to 20° (Cachupe et al, 2001). The level of difficulty is determined by the amount of resistance chosen and the resistance equates to the variance in platform displacement (in degrees). The lower the resistance setting the more unstable the platform will be, whereas the higher the platform setting the more static the platform. For this study, a platform setting of 4 (out of 12) was chosen in order to measure dynamic balance, which indicated that the degree of difficulty was high. The data obtained from the device was the overall stability index score which represented the average degree of platform displacement over the number of trials selected. The higher the score, the greater the instability. Participants were each given an explanation of the machine and testing procedures. Two practice trials were preceded by two test trials and all participants