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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Sports Act. Living</journal-id>
<journal-title>Frontiers in Sports and Active Living</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Sports Act. Living</abbrev-journal-title>
<issn pub-type="epub">2624-9367</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fspor.2021.625410</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Sports and Active Living</subject>
<subj-group>
<subject>Opinion</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Using Carrots Not Sticks to Cultivate a Culture of Safeguarding in Sport</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Komaki</surname> <given-names>Judith L.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1089829/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tuakli-Wosornu</surname> <given-names>Yetsa A.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1005357/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Psychology, Baruch College, City University of New York</institution>, <addr-line>New York, NY</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Chronic Disease Epidemiology, School of Public Health, Yale University</institution>, <addr-line>New Haven, CT</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Paolo Emilio Adami, World Athletics, Monaco</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Anna Posbergh, University of Maryland, College Park, United States</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Judith L. Komaki <email>jlkomaki&#x00040;gmail.com</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Sports Management and Marketing, a section of the journal Frontiers in Sports and Active Living</p></fn></author-notes>
<pub-date pub-type="epub">
<day>02</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>3</volume>
<elocation-id>625410</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>11</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>01</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2021 Komaki and Tuakli-Wosornu.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Komaki and Tuakli-Wosornu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license></permissions>
<kwd-group>
<kwd>reinforcement</kwd>
<kwd>reward</kwd>
<kwd>organizational culture</kwd>
<kwd>climate</kwd>
<kwd>safety management</kwd>
<kwd>sexual harassment</kwd>
<kwd>emotional abuse</kwd>
<kwd>sports</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="47"/>
<page-count count="6"/>
<word-count count="4372"/>
</counts>
</article-meta>
</front>
<body>
<p>The power-driven, win-at-all-costs milieu of many sport settings can create fertile ground for athlete victimization and abuse (Roberts et al., <xref ref-type="bibr" rid="B39">2020</xref>). Victory can in fact be so sovereign that abusive coaches and staff are enabled and &#x0201C;even rewarded&#x02026;in the name of winning&#x0201D; (Armour, <xref ref-type="bibr" rid="B3">2020</xref>). Athlete abuse prevention therefore requires systemic cultural change (Letourneau et al., <xref ref-type="bibr" rid="B23">2014</xref>; Rhind and Owusu-Sekyere, <xref ref-type="bibr" rid="B37">2017</xref>). Thus far, however, enacting this idea has eluded organizations in sport (Mountjoy et al., <xref ref-type="bibr" rid="B30">2016</xref>; Harris and Terry, <xref ref-type="bibr" rid="B11">2019</xref>; Kerr et al., <xref ref-type="bibr" rid="B15">2019</xref>; Rhind and Owusu-Sekyere, <xref ref-type="bibr" rid="B38">2020</xref>) as well as in other settings (National Academies of Sciences, <xref ref-type="bibr" rid="B31">2018</xref>; Fort Hood Independent Review Committee, <xref ref-type="bibr" rid="B7">2020</xref>). Moreover, authority figures in sport<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> have historically hindered abuse prevention efforts. As activist reformer Brackenridge (<xref ref-type="bibr" rid="B4">2001</xref>) wrote, their &#x0201C;collective denial effectively blinded [them] to the possibilities that they might actually be harboring or facilitating sexual [and others forms of] exploitation&#x0201D;.</p>
<p>This opinion piece first identifies the limitations facing current approaches to athlete abuse prevention. It then offers a novel solution: an athlete-centered safeguarding strategy based on positive reinforcement theory (Skinner, <xref ref-type="bibr" rid="B41">1953</xref>). This approach, as described in Komaki and Minnich (<xref ref-type="bibr" rid="B21">2016</xref>), will enable sports authorities to transform the culture, the most powerful predictor of victimization and abuse (National Academies of Sciences, <xref ref-type="bibr" rid="B31">2018</xref>).</p>
<sec id="s1">
<title>The Current Culture of (Elite) Sport Facilitates Abuse</title>
<p>Sport&#x00027;s cultural terrain, especially at the elite level, is challenging for athletes and sports authorities to navigate (Roberts et al., <xref ref-type="bibr" rid="B39">2020</xref>). Former CEO of the U.S. Olympic and Paralympic Committee Scott Blackmun personified the predicament that places athletes in vulnerable positions. Whether wooing coaches, executives, or sponsors, Blackmun prioritized putting medals around athletes&#x00027; necks over keeping them safe. &#x0201C;For us,&#x0201D; Blackmun said in 2014, &#x0201C;it&#x00027;s all about medals&#x0201D; (Hobson, <xref ref-type="bibr" rid="B13">2018</xref>). This single-minded focus on winning in many sport settings is so entrenched that abusive behaviors are perceived to have beneficial effects. This false belief and others are major organizational drivers of all forms of abuse (Fortier et al., <xref ref-type="bibr" rid="B8">2020</xref>; Roberts et al., <xref ref-type="bibr" rid="B39">2020</xref>). As gymnastics coach Gerrit Beltman admitted, &#x0201C;it was never my conscious intention to beat (athletes), to yell at them, to hurt their feelings, to belittle them, to gag them&#x02026; But it did happen&#x02026; I went too far because I thought it was the only way to instill a winning mentality in them&#x0201D; (Macur, <xref ref-type="bibr" rid="B24">2020a</xref>).</p>
<p>Despite evidence that good interpersonal health improves athletic performance (Al-Yaaribi et al., <xref ref-type="bibr" rid="B2">2018</xref>; Cascagnette et al., <xref ref-type="bibr" rid="B5">2020</xref>), many sports organizations still have difficulty prioritizing safety (Grey-Thompson, <xref ref-type="bibr" rid="B9">2017</xref>; Kerr and Stirling, <xref ref-type="bibr" rid="B16">2019</xref>) and explicitly connecting athlete welfare to winning. Recently, however, some sports authorities have displayed welcome attitude changes. The head of U.S.A. Gymnastics Li Li Leung, for example, contended in 2020 that well-being and victory are not mutually exclusive. &#x0201C;We believe that our athletes can be competitively excellent and compete at a very high level and also be happy and feel safe,&#x0201D; she said (Macur and Allentuck, <xref ref-type="bibr" rid="B27">2020</xref>).</p>
<p>Although figures like Leung are well-intentioned, they lack the means to ensure athlete well-being because they know only when their organization has failed: when they get a report of abuse. If their only safeguarding metric consists of fumbles and failures, they cannot measure the opposite: how well their organization is doing in making athletes feel safe.</p></sec>
<sec id="s2">
<title>Abuse Prevention Strategies That Rely Heavily on Reporting Have Limitations</title>
<p>Sports organizations currently depend almost exclusively on systems of disclosures and sanctions to deter abuse (Vertommen et al., <xref ref-type="bibr" rid="B47">2013</xref>; Mountjoy et al., <xref ref-type="bibr" rid="B30">2016</xref>; U.S. Center for SafeSport, <xref ref-type="bibr" rid="B44">2021a</xref>). Only after a victim or observer takes the risk of complaining does the punishment-redress process commence. Thus, the onus for abuse prevention is often placed on the most vulnerable member of the sports system, the athlete. Alas, this over-reliance on reporting is unsubstantiated (Letourneau et al., <xref ref-type="bibr" rid="B23">2014</xref>).</p>
<p>Reporting-initiated prevention efforts are further complicated by people&#x00027;s general reluctance to disclose abuse. In the case of sexual abuse, for example, only 10% of female victims ever file complaints; for male victims, only 5% (Stop Street Harassment, <xref ref-type="bibr" rid="B42">2018</xref>). Even when athletes and others finally disclose harm, they often wait years, as Diana Nyad did before confiding in her best friend about her abusive high school coach (Nyad, <xref ref-type="bibr" rid="B32">2017</xref>). Among the reasons so few report are: victims may be re- and further traumatized through reporting (van der Kolk, <xref ref-type="bibr" rid="B46">2002</xref>; McClinton Appollis et al., <xref ref-type="bibr" rid="B28">2015</xref>), and in sport, there are powerful cultural forces (&#x0201C;grin and bear it,&#x0201D; &#x0201C;no pain no gain&#x0201D; attitudes) and entrenched power imbalances (Roberts et al., <xref ref-type="bibr" rid="B39">2020</xref>) that discourage disclosure of harms and <italic>actively</italic> undermine reporting programs.</p>
<p>Finally, sports authorities do not always take the necessary action following abuse reports. The belief that &#x0201C;no news is good news&#x0201D; fosters an atmosphere of stuffing reports in desk drawers (Kwiatkowski et al., <xref ref-type="bibr" rid="B22">2016</xref>), dismissing victims&#x00027; complaints (Allentuck, <xref ref-type="bibr" rid="B1">2019</xref>), or even retaliating against those who report (Denhollander, <xref ref-type="bibr" rid="B6">2018</xref>). In order to maintain their reputations, for example, Pennsylvania State University&#x00027;s football coach Joe Paterno and other top administrators &#x0201C;stood-by in silence or actively concealed knowledge of abuse&#x0201D; (Hartill, <xref ref-type="bibr" rid="B12">2013</xref>). The failure to follow through persists at the highest levels: an 18-month investigation in 2019 found that two of the top-ranking U.S. Olympic and Paralympic Committee officials, Scott Blackmun and Alan Ashley, did little to probe, report, or halt Larry Nassar, the long-standing gymnastics team doctor and now convicted sexual predator (McPhee and Dowden, <xref ref-type="bibr" rid="B29">2018</xref>). Olympian Aly Raisman noted ruefully how quick officials were to &#x0201C;capitalize on and celebrate my success. But did they reach out when I came forward (to report abuse)? No,&#x0201D; she said (Raisman, <xref ref-type="bibr" rid="B36">2018</xref>).</p></sec>
<sec id="s3">
<title>Crafting the Culture Using Carrots Not Sticks</title>
<p>Given the foregoing, simple fixes to athlete abuse prevention won&#x00027;t do. Nothing short of a cultural revolution is required. A safeguarding model in which teams are rewarded for cultivating a constructive culture&#x02014;as judged by athletes&#x02014;is an innovative approach in sport. Fostering a positive, athlete-centered culture demonstrates that sports organizations care and can also avert physical, sexual, and emotional abuse. Moreover, it empowers athletes&#x00027; voices.</p>
<p>Undergirding this proposal is the theory of positive reinforcement (Skinner, <xref ref-type="bibr" rid="B41">1953</xref>). This well-established theory focuses on the environment and provides a known driver of human motivation: favorable performance consequences. Thus, participants in sport may be <italic>more</italic> motivated to make meaningful behavior changes when positive consequences such as recognition and encouraging feedback (e.g., &#x0201C;carrots&#x0201D;) are used rather than negative consequences such as sanctions and dismissals (e.g., &#x0201C;sticks&#x0201D;).</p>
<p>The effectiveness of the reinforcement approach has been documented in rigorously controlled experiments outside of sport, with a success rate as high as 93% (Komaki et al., <xref ref-type="bibr" rid="B18">2000</xref>). Reinforcement interventions have resulted in measurable behavioral improvements ranging from increased work productivity to better customer service in private and public sectors. The approach was used to prevent workplace accidents in a food manufacturing plant, for example (Komaki et al., <xref ref-type="bibr" rid="B17">1978</xref>). In this setting, senior leaders faced similar barriers as sport administrators do: employees rarely reported injuries due to fear of retaliation, and leaders knew about employees&#x00027; injuries only after serious accidents. After creating a metric for and recognition of safety performance, safety increased and accidents decreased (Komaki et al., <xref ref-type="bibr" rid="B17">1978</xref>).</p>
<p>Using this carrots-rather-than-sticks model, the lead author (JLK) is now discussing a reinforcement-based abuse prevention plan with the U.S. Army. For this model to work, soldiers will be asked to respond to a &#x0201C;Trust Culture Checklist,&#x0201D; enabling feedback and recognition of soldiers and their supervisors.</p></sec>
<sec id="s4">
<title>How Rewarding Teams and Entourages for Maintaining a Positive Culture Might Work in Sport</title>
<p>Sport administrators are invited to implement this model. For example, athletic directors could recruit school-based teams to create a positive culture using a &#x0201C;<italic>Safeguarding Checklist</italic>.&#x0201D; Modeled after the Army&#x00027;s &#x0201C;Trust Culture Checklist,&#x0201D; an example of a &#x0201C;Safeguarding Checklist&#x0201D; that could be used in sport is provided in <xref ref-type="table" rid="T1">Table 1</xref>. Athletes are asked to answer questions about the culture, which includes team camaraderie (Salas et al., <xref ref-type="bibr" rid="B40">2020</xref>) and supportive leadership (Komaki, <xref ref-type="bibr" rid="B19">1998</xref>), as well as their sense of personal well-being (Quick and Tetrick, <xref ref-type="bibr" rid="B35">2011</xref>). If coaches and others engage in healthy athlete-centered behaviors, while teammates watch out for one another, the culture should improve and athletes&#x00027; welfare should thrive.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Safeguarding Checklist.</p></caption>
<table frame="hsides" rules="groups">
<tbody><tr>
<td valign="top" align="left" colspan="3">Think about your team over the past week and answer the following questions (check all that apply)</td>
</tr>
<tr>
<td valign="top" align="left"><bold>Camaraderie</bold></td>
<td/>
<td/>
</tr>
<tr>
<td valign="top" align="left" colspan="3">In the last week, one or more <underline><bold>athletes</bold></underline> on my team would have or did&#x02026;?</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;1.Call or text me, e.g., about dinner, a movie</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;2.Ask me how I&#x00027;m doing</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;3.Make sure I had transportation to grocery store, team events</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;4.Encourage me in my training, e.g., working harder, with more rest breaks</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;5.Celebrate with me when/if something good happens to me</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;6.Make me feel comfortable talking through a personal problem</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;7.Notice if/when something bad happens to me</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;8.Backed me if/when I had challenges with my team/coach/staff</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;9.Looked out for potentially unsafe situations</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;10.Intervened if/when someone bothered/pressured me</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left"><bold>Leadership</bold></td>
<td/>
<td/>
</tr>
<tr>
<td valign="top" align="left" colspan="3">In the last week, my <underline><bold>coach</bold></underline> would have or did.?</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;1.Check in with me/team about triumphs/criticisms/retaliation within the team</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;2.Ask what he/she/they can do to help the team succeed</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;3.Say something when/if I do something good for the team and/or team members</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;4. Thank me when/if I say there&#x00027;s a problem/issue with the team</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;5. Welcome input/feedback from the team</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left" colspan="3">In the last month, the <underline><bold>athletic director</bold></underline> would have or did.?</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;1.Check in about our team&#x00027;s progress/problems</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;2.Follow up with the coach/staff about things going well/poorly</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;3.Publicly celebrate the team&#x00027;s accomplishments with school leadership/media/sponsors</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;4. Thank me/my peers when/if we brought up an issue about the coach/staff</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;5.Welcome input/feedback from the team about the coach/staff</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left"><bold>Well-being</bold></td>
<td/>
<td/>
</tr>
<tr>
<td valign="top" align="left" colspan="3">In the last week, my <underline><bold>coach</bold></underline> would have or did.?</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;1.Check in with me about how I felt I was progressing</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;2.Say something when/if I do something good or better during training/exercises</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;3.Speak to me in a tone that conveyed respect</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;4. Acknowledge and make necessary adjustments for pain/injuries I have/had</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;5.Conduct any hands-on adjustments to my form or technique in a way that is useful and appropriate</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left" colspan="3">In the last week, the <underline><bold>team doctor</bold></underline> would have or did.? &#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x000A0;&#x025A1; n/a <italic>(did not interact)</italic></td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;1.Take the time to check in with me about how I am feeling</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;2.Let me know that the doctor cares about me getting better</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;3.Speak to me in a tone that conveyed respect</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
<tr>
<td valign="top" align="left">&#x000A0;&#x000A0;&#x000A0;4.Conduct any examinations in a way that is useful and appropriate</td>
<td valign="top" align="left">&#x025A1; Yes</td>
<td valign="top" align="left">&#x025A1; No</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To assess well-being, athletes identify positive interactions, e.g., their coach speaking &#x0201C;in a tone that conveyed respect,&#x0201D; and &#x0201C;making necessary adjustments for pain/injury.&#x0201D; No questions directly ask about maltreatment. That said, reasonable inferences can certainly be drawn. If few to no positive interactions are indicated, athletes may be experiencing exploitation. If an abundance of positive interactions are identified, the team may be enjoying a near-absence of abuse and victimization&#x02014;the ultimate goal.</p>
<p>To evaluate leaders&#x00027; interactions, Komaki&#x00027;s reinforcement-based leadership model is used (Komaki, <xref ref-type="bibr" rid="B19">1998</xref>). Athletes are asked whether coaches monitor (&#x0201C;checked in &#x02026; about triumphs/criticisms/retaliation within the team&#x0201D;) and provide them with feedback (&#x0201C;say something when/if I do something good for the team&#x0201D;). Evidence for the model was provided, among other studies, by sailboat skippers during a round-robin regatta at the U.S. Naval Academy (Komaki et al., <xref ref-type="bibr" rid="B20">1989</xref>). Winning skippers went beyond giving directives; they regularly inquired about their crews/sails as they shouted out words of encouragement.</p>
<p>To investigate team camaraderie, athletes indicate whether team members &#x0201C;celebrated with me when/if something good happens to me&#x0201D; and &#x0201C;intervened if someone bothered/pressured me.&#x0201D; As in the military, the social environment matters in sports. A close-knit culture can mitigate the often punishing conditions of training and competing. Ski powerhouse, the Norwegian men&#x00027;s Alpine team, exemplifies this idea: teammates share techniques, cheer for one another, work, play, and win together (Pennington, <xref ref-type="bibr" rid="B33">2018</xref>; Cascagnette et al., <xref ref-type="bibr" rid="B5">2020</xref>). Said Kjetil Jansrud, &#x0201C;if you have teammates who consistently lift you up, then &#x02026; you&#x00027;ll work harder and stay motivated&#x0201D; (Pennington, <xref ref-type="bibr" rid="B33">2018</xref>).</p>
<p>Athletes can be asked to complete the Checklist weekly on their phones (or other devices) so that input/feedback can be summarized on graphs. To ensure athletes are free of repercussion or retaliation, individual data are kept strictly confidential; only group scores are shared. No one is ever asked about wrongdoing. Instead, athletes indicate if their coach &#x0201C;welcomes input/feedback from the team.&#x0201D; Teams who have been retaliated against by coaches are less likely to indicate that their coaches embrace critiques.</p>
<p>Feedback graphs in hand, shout-outs can be given to coaches for responsible mentorship, to teammates for building camaraderie, and to athletic directors for broadcasting team accomplishments. Participants can judge progress, discuss suggestions for the following week, and adjust accordingly. Here, struggling coaches are given an opportunity to seek out guidance, while the athletic director can acknowledge coaches with strong improvement/accomplishments. Celebrations can be held monthly with results disseminated to top team officials and sponsors.</p></sec>
<sec id="s5">
<title>Implications of the Proposed Paradigm Shift</title>
<p>This reinforcement model requires a paradigm shift: from wrongdoing to right-doing and from punishment to reward. Rather than ferreting out &#x0201C;bad apples,&#x0201D; the emphasis is on transforming the culture (Komaki and Minnich, <xref ref-type="bibr" rid="B21">2016</xref>). Sports organizations of different levels could augment their current reporting/punishment process (U.S. Center for SafeSport, <xref ref-type="bibr" rid="B44">2021a</xref>), as well as safety-risks-reduction programs (Kaufman et al., <xref ref-type="bibr" rid="B14">2019</xref>; U.S. Center for SafeSport, <xref ref-type="bibr" rid="B45">2021b</xref>) with a reinforcement initiative accentuating a positive culture. Furthermore, when hiring, coaches could be screened for evidence of supporting athlete well-being. Compensation packages could reward sports authorities for sustaining a positive culture.</p>
<p>Sports authorities have an opportunity here to follow the management adage &#x0201C;we treasure what we measure.&#x0201D; Rather than waiting for reports of abuse, Leung, for example, could use this safeguarding metric to proactively create &#x0201C;a safe, positive and encouraging environment where athlete voices are heard&#x0201D; (Allentuck, <xref ref-type="bibr" rid="B1">2019</xref>). Using Checklist data, she could recognize coaches for right-doing and even brag to Sarah Hirshland, CEO of the U.S. Olympic and Paralympic Committee, about teams&#x00027; safety and social health. In turn, Hirshland could highlight national governing body presidents who are successful in keeping athletes safe&#x02014;possibly rewarding them with extra resources.</p>
<p>For coaches, receiving confidential, collective feedback about right-doing would open up opportunities for self-correction. Trying out new ideas might improve relationships with athletes and help ward off accusations of wrongdoing, evidently a grave fear of coaches (Tam et al., <xref ref-type="bibr" rid="B43">2020</xref>). Recently barred from coaching for &#x0201C;severe aggressive behavior&#x0201D; (Macur, <xref ref-type="bibr" rid="B25">2020b</xref>), Maggie Haney admitted making mistakes in the way in which she treated her athletes (Macur, <xref ref-type="bibr" rid="B25">2020b</xref>,<xref ref-type="bibr" rid="B26">c</xref>). &#x0201C;Maybe what used to be OK is not OK anymore,&#x0201D; she said. Had Haney had real-time information about her athletes&#x00027; responses to her coaching, she might have changed her interactions with them.</p>
<p>For athletes, a critical component of this paradigm shift is the empowerment&#x02014;and subsequent prioritizing&#x02014;of their voices. By using a safeguarding metric where athletes highlight positive behaviors (rather than being confined to reporting only negative behaviors), the power dynamic shifts. Furthermore, proactively building nurturing sports environments using positive consequences to motivate behavior would be an unorthodox but welcome change for athletes used to a &#x0201C;grin-and-bear-it,&#x0201D; &#x0201C;suck-it-up&#x0201D; environment (Pinches, <xref ref-type="bibr" rid="B34">2020</xref>). Elite running coach Lauren Fleshman prides herself on checking in with athletes about their energy and mood, and making adjustments accordingly (Hamilton, <xref ref-type="bibr" rid="B10">2020</xref>). Marathoner Carrie Mack said of Fleshman: &#x0201C;We state our own needs and they&#x00027;re accepted and heard&#x02026; That&#x00027;s what&#x00027;s radical, and empowering.&#x0201D;</p>
<p>By galvanizing athletes and coaches around a positively embracing, athlete-centered culture, sports organizations can show they truly care, achieving Raisman&#x00027;s dream that no one would &#x0201C;ever ever have to say the words, &#x02018;Me too&#x0201D;&#x02019; (Raisman, <xref ref-type="bibr" rid="B36">2018</xref>).</p></sec>
<sec id="s6">
<title>Author Contributions</title>
<p>All authors contributed to the article and approved the submitted version.</p></sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
</body>
<back>
<ack><p>For lending their generous time and expertise to this project and others over the years, Yetsa would like to thank the affiliates and members of the Sports Equity Lab, Emily Rutland, Lauren Blazing, Nida Naushad, Demetri Goutos, and Allison Wagner. Judi would like to thank colleagues and friends: David Black, Ned Carter, Dorie Caesar, David Dunlap, Aspen Fitzgerald-Dorsey, Stephen Francouer, Don Hantula, Leaetta Hough, Allen Kraut, Cady Lang, Diana Ronell, Mel Sorcher, Donna Spiegelman, and Martha Wilson for their inspiration and much-appreciated support over the past decade.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Allentuck</surname> <given-names>D.</given-names></name></person-group> (<year>2019, August 7</year>). <article-title>Simone Biles, in tears, says she still cannot trust U.S.A. Gymnastics</article-title>. <source>The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2019/08/07/sports/simone-biles-gymnastics-nassar.html">https://www.nytimes.com/2019/08/07/sports/simone-biles-gymnastics-nassar.html</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Al-Yaaribi</surname> <given-names>A.</given-names></name> <name><surname>Kavussanu</surname> <given-names>M.</given-names></name> <name><surname>Ring</surname> <given-names>C.</given-names></name></person-group> (<year>2018</year>). <article-title>The effects of prosocial and antisocial behaviors on emotion, attention, and performance during a competitive basketball task</article-title>. <source>J. Sport Exerc. Psychol</source>. <volume>40</volume>, <fpage>303</fpage>&#x02013;<lpage>311</lpage>. <pub-id pub-id-type="doi">10.1123/jsep.2017-0179</pub-id><pub-id pub-id-type="pmid">30514159</pub-id></citation></ref>
<ref id="B3">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Armour</surname> <given-names>N.</given-names></name></person-group> (<year>2020, May 27</year>). <source>USA Gymnastics president and CEO Li Li Leung acknowledges organization &#x02018;rewarded&#x02019; abuse, promises to change culture. USA Today</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.usatoday.com/story/sports/olympics/2020/05/27/usa-gymnastics-ceo-li-li-leung-promises-change-culture-abuse/5271388002/">https://www.usatoday.com/story/sports/olympics/2020/05/27/usa-gymnastics-ceo-li-li-leung-promises-change-culture-abuse/5271388002/</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B4">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Brackenridge</surname> <given-names>C. H.</given-names></name></person-group> (<year>2001</year>). <source>Spoilsports: Understanding and Preventing Sexual Exploitation in Sport</source>. <publisher-loc>London</publisher-loc>: <publisher-name>Routledge</publisher-name>.</citation></ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cascagnette</surname> <given-names>J. C. W.</given-names></name> <name><surname>Benson</surname> <given-names>A. J.</given-names></name> <name><surname>Cruwys</surname> <given-names>T.</given-names></name> <name><surname>Haslam</surname> <given-names>S. A.</given-names></name> <name><surname>Bruner</surname> <given-names>M. W.</given-names></name></person-group> (<year>2020</year>). <article-title>More than just another bib: group dynamics in an elite Nordic ski team</article-title>. <source>J. Sports Sci</source>. <pub-id pub-id-type="doi">10.1080/02640414.2020.1840040</pub-id>. [Epub ahead of print].<pub-id pub-id-type="pmid">33246382</pub-id></citation></ref>
<ref id="B6">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Denhollander</surname> <given-names>R.</given-names></name></person-group> (<year>2018, January 30</year>). <source>Read Rachael Denhollander&#x00027;s full victim impact statement about Larry Nassar. CNN</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.cnn.com/2018/01/24/us/rachael-denhollander-full-statement/index.html">https://www.cnn.com/2018/01/24/us/rachael-denhollander-full-statement/index.html</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B7">
<citation citation-type="web"><person-group person-group-type="author"><collab>Fort Hood Independent Review Committee</collab></person-group> (<year>2020, November 6</year>). <source>Report of the Fort Hood Independent Review Committee</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.army.mil/e2/downloads/rv7/forthoodreview/2020-12-03_FHIRC_report_redacted.pdf">https://www.army.mil/e2/downloads/rv7/forthoodreview/2020-12-03_FHIRC_report_redacted.pdf</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fortier</surname> <given-names>K.</given-names></name> <name><surname>Parent</surname> <given-names>S.</given-names></name> <name><surname>Lessard</surname> <given-names>G.</given-names></name></person-group> (<year>2020</year>). <article-title>Child maltreatment in sport: smashing the wall of silence: a narrative review of physical, sexual, psychological abuses and neglect</article-title>. <source>Br J Sports Med</source>. <volume>54</volume>, <fpage>4</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1136/bjsports-2018-100224</pub-id><pub-id pub-id-type="pmid">31653778</pub-id></citation></ref>
<ref id="B9">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Grey-Thompson</surname> <given-names>T.</given-names></name></person-group> (<year>2017</year>). <source>Duty of Care in Sport: Independent Report to Government.</source> <publisher-name>Department for Culture, Media and Sport</publisher-name>.</citation></ref>
<ref id="B10">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Hamilton</surname> <given-names>M.</given-names></name></person-group> (<year>2020, October 16</year>). <source>Lauren Fleshman&#x00027;s feminist approach to coaching. The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2020/10/16/sports/lauren-fleshmans-feminist-approach-to-coaching.html?campaign_id=10&#x00026;emc=edit_gn_20201017&#x00026;instance_id=23244&#x00026;nl=in-her-words&#x00026;regi_id=48128614&#x00026;segment_id=41399&#x00026;te=1&#x00026;user_id=b6ea3d43e782e8290432f3c782f846b5">https://www.nytimes.com/2020/10/16/sports/lauren-fleshmans-feminist-approach-to-coaching.html?campaign_id=10&#x00026;emc=edit_gn_20201017&#x00026;instance_id=23244&#x00026;nl=in-her-words&#x00026;regi_id=48128614&#x00026;segment_id=41399&#x00026;te=1&#x00026;user_id=b6ea3d43e782e8290432f3c782f846b5</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Harris</surname> <given-names>A. J.</given-names></name> <name><surname>Terry</surname> <given-names>K. J.</given-names></name></person-group> (<year>2019</year>). <article-title>Child sexual abuse in organizational settings: a research framework to advance policy and practice</article-title>. <source>Sex Abuse</source> <volume>31</volume>, <fpage>635</fpage>&#x02013;<lpage>642</lpage>. <pub-id pub-id-type="doi">10.1177/1079063219858144</pub-id><pub-id pub-id-type="pmid">31232164</pub-id></citation></ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hartill</surname> <given-names>M.</given-names></name></person-group> (<year>2013</year>). <article-title>Concealment of child sexual abuse in sports</article-title>. <source>Quest</source>. <volume>65</volume>, <fpage>241</fpage>&#x02013;<lpage>254</lpage>. <pub-id pub-id-type="doi">10.1080/00336297.2013.773532</pub-id></citation></ref>
<ref id="B13">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Hobson</surname> <given-names>W.</given-names></name></person-group> (<year>2018, February 28</year>). <source>Scott Blackmun steps down as U.S. Olympic Committee chief executive. <italic>The Washington Post</italic></source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.washingtonpost.com/sports/olympics/scott-blackmun-steps-down-as-us-olympic-committee-chief-executive/2018/02/28/742775b2-1cc2-11e8-9de1-147dd2df3829_story.html">https://www.washingtonpost.com/sports/olympics/scott-blackmun-steps-down-as-us-olympic-committee-chief-executive/2018/02/28/742775b2-1cc2-11e8-9de1-147dd2df3829_story.html</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kaufman</surname> <given-names>K. L.</given-names></name> <name><surname>Erooga</surname> <given-names>M.</given-names></name> <name><surname>Mathews</surname> <given-names>B.</given-names></name> <name><surname>McConnell</surname> <given-names>E.</given-names></name></person-group> (<year>2019</year>). <article-title>Recommendations for preventing child sexual abuse in youth-serving organizations: implications from an Australian Royal Commission review of the literature</article-title>. <source>J. Interpers. Violence</source> <volume>34</volume>, <fpage>4199</fpage>&#x02013;<lpage>4224</lpage>. <pub-id pub-id-type="doi">10.1177/0886260519869239</pub-id><pub-id pub-id-type="pmid">31488027</pub-id></citation></ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kerr</surname> <given-names>G.</given-names></name> <name><surname>Battaglia</surname> <given-names>A.</given-names></name> <name><surname>Stirling</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>Maltreatment in youth sport: a systemic issue</article-title>. <source>Kinesiol. Rev</source>. <volume>8</volume>, <fpage>237</fpage>&#x02013;<lpage>243</lpage>. <pub-id pub-id-type="doi">10.1123/kr.2019-0016</pub-id></citation></ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kerr</surname> <given-names>G.</given-names></name> <name><surname>Stirling</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>Where is safeguarding in sport psychology research and practice?</article-title> <source>J. Appl. Sport Psychol</source>. <volume>31</volume>, <fpage>367</fpage>&#x02013;<lpage>384</lpage>. <pub-id pub-id-type="doi">10.1080/10413200.2018.1559255</pub-id></citation></ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Komaki</surname> <given-names>J.</given-names></name> <name><surname>Barwick</surname> <given-names>K. D.</given-names></name> <name><surname>Scott</surname> <given-names>L. R.</given-names></name></person-group> (<year>1978</year>). <article-title>A behavioral approach to occupational safety: pinpointing and reinforcing safe performance in a food manufacturing plant</article-title>. <source>J. Appl. Psychol</source>. <volume>63</volume>, <fpage>434</fpage>&#x02013;<lpage>445</lpage>. <pub-id pub-id-type="doi">10.1037/0021-9010.63.4.434</pub-id><pub-id pub-id-type="pmid">701212</pub-id></citation></ref>
<ref id="B18">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Komaki</surname> <given-names>J.</given-names></name> <name><surname>Coombs</surname> <given-names>T.</given-names></name> <name><surname>Redding</surname> <given-names>T.</given-names></name> <name><surname>Schepman</surname> <given-names>S.</given-names></name></person-group> (<year>2000</year>). <article-title>A rich and rigorous examination of applied behavior analysis research in the world of work</article-title>, in <source>International Review of Industrial and Organizational Psychology</source>, eds. <person-group person-group-type="editor"><name><surname>Cooper</surname> <given-names>C.</given-names></name> <name><surname>Robertson</surname> <given-names>I.</given-names></name></person-group> (<publisher-loc>Sussex</publisher-loc>: <publisher-name>John Wiley</publisher-name>), <fpage>265</fpage>&#x02013;<lpage>367</lpage>.</citation></ref>
<ref id="B19">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Komaki</surname> <given-names>J. L.</given-names></name></person-group> (<year>1998</year>). <source>Leadership from an Operant Perspective</source>. <publisher-loc>London</publisher-loc>: <publisher-name>Routledge</publisher-name>.</citation></ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Komaki</surname> <given-names>J. L.</given-names></name> <name><surname>Desselles</surname> <given-names>M. L.</given-names></name> <name><surname>Bowman</surname> <given-names>E. D.</given-names></name></person-group> (<year>1989</year>). <article-title>Definitely not a breeze: extending an operant model of effective supervision to teams</article-title>. <source>J. Appl. Psychol</source>. <volume>74</volume>, <fpage>522</fpage>&#x02013;<lpage>529</lpage>. <pub-id pub-id-type="doi">10.1037/0021-9010.74.3.522</pub-id></citation></ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Komaki</surname> <given-names>J. L.</given-names></name> <name><surname>Minnich</surname> <given-names>M. L. R.</given-names></name></person-group> (<year>2016</year>). <article-title>A behavioral approach to organizational change: reinforcing those responsible for facilitating the climate and hence promoting diversity</article-title>. <source>J. Organ. Behav. Manage</source>. <volume>36</volume>, <fpage>154</fpage>&#x02013;<lpage>184</lpage>. <pub-id pub-id-type="doi">10.1080/01608061.2016.1200514</pub-id></citation></ref>
<ref id="B22">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Kwiatkowski</surname> <given-names>M.</given-names></name> <name><surname>Alesia</surname> <given-names>M.</given-names></name> <name><surname>Evans</surname> <given-names>T.</given-names></name></person-group> (<year>2016, August 4</year>). <source>A blind eye to sex abuse: how USA Gymnastics failed to report cases. Indy Star</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.indystar.com/story/news/investigations/2016/08/04/usa-gymnastics-sex-abuse-protected-coaches/85829732/">https://www.indystar.com/story/news/investigations/2016/08/04/usa-gymnastics-sex-abuse-protected-coaches/85829732/</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Letourneau</surname> <given-names>E. J.</given-names></name> <name><surname>Eaton</surname> <given-names>W. W.</given-names></name> <name><surname>Bass</surname> <given-names>J.</given-names></name> <name><surname>Berlin</surname> <given-names>F. S.</given-names></name> <name><surname>Moore</surname> <given-names>S. G.</given-names></name></person-group> (<year>2014</year>). <article-title>The need for a comprehensive public health approach to preventing child sexual abuse</article-title>. <source>Public Health Rep</source>. <volume>129</volume>, <fpage>222</fpage>&#x02013;<lpage>228</lpage>. <pub-id pub-id-type="doi">10.1177/003335491412900303</pub-id><pub-id pub-id-type="pmid">24790251</pub-id></citation></ref>
<ref id="B24">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Macur</surname> <given-names>J.</given-names></name></person-group> (<year>2020a, August 3</year>). <article-title>Gymnasts worldwide push back on their sport&#x00027;s culture of abuse</article-title>. <source>The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2020/08/03/sports/olympics/gymnastics-abuse-athlete-a.html?searchResultPosition=1">https://www.nytimes.com/2020/08/03/sports/olympics/gymnastics-abuse-athlete-a.html?searchResultPosition=1</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B25">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Macur</surname> <given-names>J.</given-names></name></person-group> (<year>2020b, November 30</year>). <source>A gymnastics coach accused of emotional abuse speaks out. The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2020/11/30/sports/olympics/gymnastics-abuse-laurie-hernandez-haney.html?searchResultPosition=2">https://www.nytimes.com/2020/11/30/sports/olympics/gymnastics-abuse-laurie-hernandez-haney.html?searchResultPosition=2</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B26">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Macur</surname> <given-names>J.</given-names></name></person-group> (<year>2020c, December 9</year>). <source>Suspension reduced for gymnastics coach accused of emotional and physical abuse. The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2020/12/09/sports/olympics/maggie-haney-gymnastics-abuse.html?searchResultPosition=2">https://www.nytimes.com/2020/12/09/sports/olympics/maggie-haney-gymnastics-abuse.html?searchResultPosition=2</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B27">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Macur</surname> <given-names>J.</given-names></name> <name><surname>Allentuck</surname> <given-names>D.</given-names></name></person-group> (<year>2020, May 21</year>). <source>Gymnasts push for lasting change after a coach is suspended for abuse. The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2020/05/20/sports/olympics/gymnastics-haney-abuse-safesport.html?campaign_id=57&#x00026;emc=edit_ne_20200520&#x00026;instance_id=18650&#x00026;nl=evening-briefing&#x00026;regi_id=48128614&#x00026;segment_id=28615&#x00026;te=1&#x00026;user_id=b6ea3d43e782e8290432f3c782f846b5">https://www.nytimes.com/2020/05/20/sports/olympics/gymnastics-haney-abuse-safesport.html?campaign_id=57&#x00026;emc=edit_ne_20200520&#x00026;instance_id=18650&#x00026;nl=evening-briefing&#x00026;regi_id=48128614&#x00026;segment_id=28615&#x00026;te=1&#x00026;user_id=b6ea3d43e782e8290432f3c782f846b5</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>McClinton Appollis</surname> <given-names>T.</given-names></name> <name><surname>Lund</surname> <given-names>C.</given-names></name> <name><surname>de Vries</surname> <given-names>P. J.</given-names></name> <name><surname>Mathews</surname> <given-names>C.</given-names></name></person-group> (<year>2015</year>). <article-title>Adolescents&#x00027; and adults&#x00027; experiences of being surveyed about violence and abuse: a systematic review of harms, benefits, and regrets</article-title>. <source>Am. J. Public Health</source> <volume>105</volume>, <fpage>e31</fpage>&#x02013;<lpage>e45</lpage>. <pub-id pub-id-type="doi">10.2105/AJPH.2014.302293</pub-id><pub-id pub-id-type="pmid">25521894</pub-id></citation></ref>
<ref id="B29">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>McPhee</surname> <given-names>J.</given-names></name> <name><surname>Dowden</surname> <given-names>J. P.</given-names></name></person-group> (<year>2018, December 10</year>). <source>Report of the independent investigation: the constellation of factors underlying Larry Nassar&#x00027;s abuse of athletes. <italic>Ropes and Gray</italic></source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nassarinvestigation.com/en">https://www.nassarinvestigation.com/en</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mountjoy</surname> <given-names>M.</given-names></name> <name><surname>Brackenridge</surname> <given-names>C.</given-names></name> <name><surname>Arrington</surname> <given-names>M.</given-names></name> <name><surname>Blauwet</surname> <given-names>C.</given-names></name> <name><surname>Carska-Sheppard</surname> <given-names>A.</given-names></name> <name><surname>Fasting</surname> <given-names>K.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>International Olympic Committee consensus statement: harassment and abuse (non-accidental violence) in sport</article-title>. <source>Br. J. Sports Med</source>. <volume>50</volume>:<fpage>1019</fpage>. <pub-id pub-id-type="doi">10.1136/bjsports-2016-096121</pub-id><pub-id pub-id-type="pmid">27118273</pub-id></citation></ref>
<ref id="B31">
<citation citation-type="book"><person-group person-group-type="author"><collab>National Academies of Sciences, Engineering, and Medicine.</collab></person-group> (<year>2018</year>). <source>Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine</source>. <publisher-loc>Report No.: 978-0-309-47087-2. Washington, DC</publisher-loc>: <publisher-name>National Academies of Sciences Engineering Medicine</publisher-name>. <pub-id pub-id-type="doi">10.17226/24994</pub-id></citation></ref>
<ref id="B32">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Nyad</surname> <given-names>D.</given-names></name></person-group> (<year>2017, November 9</year>). <article-title>Diana Nyad: my life after sexual assault</article-title>. <source>The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2017/11/09/opinion/diana-nyad-sexual-assault.html?searchResultPosition=17">https://www.nytimes.com/2017/11/09/opinion/diana-nyad-sexual-assault.html?searchResultPosition=17</ext-link></citation></ref>
<ref id="B33">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Pennington</surname> <given-names>B.</given-names></name></person-group> (<year>2018, February 15</year>). <source>The ski team that sleeps together wins a lot of gold medals together. The New York Times</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2018/02/15/sports/olympics/norway-skiing-olympics.html">https://www.nytimes.com/2018/02/15/sports/olympics/norway-skiing-olympics.html</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B34">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Pinches</surname> <given-names>J.</given-names></name></person-group> (<year>2020, July 8</year>). <source>There is a culture of fear permeating through the whole of gymnastics and it has to stop. The Telegraph</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.telegraph.co.uk/authors/j/jennifer-pinches/">https://www.telegraph.co.uk/authors/j/jennifer-pinches/</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B35">
<citation citation-type="book"><person-group person-group-type="editor"><name><surname>Quick</surname> <given-names>J. C.</given-names></name> <name><surname>Tetrick</surname> <given-names>L. E.</given-names></name></person-group> (eds.). (<year>2011</year>). <source>Handbook of Occupational Health Psychology.</source> <publisher-loc>Washington, DC</publisher-loc>: <publisher-name>American Psychological Association</publisher-name>.</citation>
</ref>
<ref id="B36">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Raisman</surname> <given-names>A.</given-names></name></person-group> (<year>2018, January 20</year>). <source>Full Text of Aly Raisman&#x00027;s Statement. The New York Times. Jan 20</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.nytimes.com/2018/01/20/sports/full-text-of-aly-raismans-statement.html">https://www.nytimes.com/2018/01/20/sports/full-text-of-aly-raismans-statement.html</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B37">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Rhind</surname> <given-names>D.</given-names></name> <name><surname>Owusu-Sekyere</surname> <given-names>F.</given-names></name></person-group> (<year>2017</year>). <source>International Safeguards for Children in Sport: Developing and Embedding a Safeguarding Culture, 1 edn</source>. <publisher-loc>London</publisher-loc>: <publisher-name>Routledge</publisher-name>.</citation></ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rhind</surname> <given-names>D. J. A.</given-names></name> <name><surname>Owusu-Sekyere</surname> <given-names>F.</given-names></name></person-group> (<year>2020</year>). <article-title>Evaluating the impacts of working towards the International Safeguards for Children in Sport</article-title>. <source>Sport Manag. Rev</source>. <volume>23</volume>, <fpage>104</fpage>&#x02013;<lpage>116</lpage>. <pub-id pub-id-type="doi">10.1016/j.smr.2019.05.009</pub-id></citation></ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roberts</surname> <given-names>V.</given-names></name> <name><surname>Sojo</surname> <given-names>V.</given-names></name> <name><surname>Grant</surname> <given-names>F.</given-names></name></person-group> (<year>2020</year>). <article-title>Organisational factors and non-accidental violence in sport: a systematic review</article-title>. <source>Sport Manage. Rev</source>. <volume>23</volume>, <fpage>8</fpage>&#x02013;<lpage>27</lpage>. <pub-id pub-id-type="doi">10.1016/j.smr.2019.03.001</pub-id></citation></ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salas</surname> <given-names>E.</given-names></name> <name><surname>Bisbey</surname> <given-names>T.</given-names></name> <name><surname>Traylor</surname> <given-names>A.</given-names></name> <name><surname>Rosen</surname> <given-names>M.</given-names></name></person-group> (<year>2020</year>). <article-title>Can teamwork promote safety in organizations?</article-title> <source>Annu. Rev. Organ. Psychol. Organ. Behav</source>. <volume>7</volume>, <fpage>283</fpage>&#x02013;<lpage>313</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-orgpsych-012119-045411</pub-id></citation></ref>
<ref id="B41">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Skinner</surname> <given-names>B. F.</given-names></name></person-group> (<year>1953</year>). <source>Science and Human Behavior</source>. <publisher-loc>New York, NY</publisher-loc>: <publisher-name>Macmillan</publisher-name>.</citation></ref>
<ref id="B42">
<citation citation-type="web"><person-group person-group-type="author"><collab>Stop Street Harassment</collab></person-group> (<year>2018</year>). <source>The Facts Behind the &#x00023;MeToo Movement: A National Study on Sexual Harassment and Assault. Reston, VI: Stop Street Harassment</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.stopstreetharassment.org/wp-content/uploads/2018/01/2018-National-Sexual-Harassment-and-Assault-Report.pdf">http://www.stopstreetharassment.org/wp-content/uploads/2018/01/2018-National-Sexual-Harassment-and-Assault-Report.pdf</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tam</surname> <given-names>A.</given-names></name> <name><surname>Kerr</surname> <given-names>G.</given-names></name> <name><surname>Stirling</surname> <given-names>A.</given-names></name></person-group> (<year>2020</year>). <article-title>Influence of the &#x00023;MeToo Movement on Coaches&#x00027; practices and relations with athletes</article-title>. <source>Int. Sport Coach. J.</source> <volume>8</volume>, <fpage>1</fpage>&#x02013;<lpage>12</lpage>. <pub-id pub-id-type="doi">10.1123/iscj.2019-0081</pub-id></citation></ref>
<ref id="B44">
<citation citation-type="web"><person-group person-group-type="author"><collab>U.S. Center for SafeSport</collab></person-group> (<year>2021a</year>). <source>Response and Resolution</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://uscenterforsafesport.org/response-and-resolution/">https://uscenterforsafesport.org/response-and-resolution/</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B45">
<citation citation-type="web"><person-group person-group-type="author"><collab>U.S. Center for SafeSport</collab></person-group> (<year>2021b</year>). <source>Outreach initiatives: sport situation prevention approach</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://uscenterforsafesport.org/training-and-education/outreach-initiatives/">https://uscenterforsafesport.org/training-and-education/outreach-initiatives/</ext-link> (accessed February 16, 2021).</citation></ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>van der Kolk</surname> <given-names>B. A.</given-names></name></person-group> (<year>2002</year>). <article-title>Posttraumatic therapy in the age of neuroscience</article-title>. <source>Psychoanal Dialog</source>. <volume>12</volume>, <fpage>381</fpage>&#x02013;<lpage>392</lpage>. <pub-id pub-id-type="doi">10.1080/10481881209348674</pub-id></citation></ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vertommen</surname> <given-names>T.</given-names></name> <name><surname>Schipper-van Veldhoven</surname> <given-names>N. H. M. J.</given-names></name> <name><surname>Hartill</surname> <given-names>M. J.</given-names></name> <name><surname>Van Den Eede</surname> <given-names>F.</given-names></name></person-group> (<year>2013</year>). <article-title>Sexual harassment and abuse in sport: the NOC<sup>&#x0002A;</sup>NSF helpline</article-title>. <source>Int. Rev. Sociol. Sport</source>. <volume>50</volume>, <fpage>822</fpage>&#x02013;<lpage>839</lpage>. <pub-id pub-id-type="doi">10.1177/1012690213498079</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn id="fn0001"><p><sup>1</sup>Here, we use &#x0201C;authority figures in sport&#x0201D; or &#x0201C;sports authorities&#x0201D; to refer broadly to people in sport settings with real or perceived power over athletes including coaches, athletic directors, club or team managers, physicians, national sport governing body presidents/directors, international federation presidents/directors, International Olympic or Paralympic Committee leadership, etc.</p></fn>
</fn-group>
</back>
</article>