Design
The study design was descriptive and cross-sectional, with non-probability convenience sampling. The STROBE statement 21 was followed for the research design and development of the manuscript. Study participants gave their consent to participate prior to data collection and were informed of the research objectives and the confidentiality of the data obtained during the research. The institutional ethics committee reviewed and authorized the protocol designed for data collection (code: CE012101), in accordance with the code of the World Medical Association and the Declaration of Helsinki.
Participants
The sample size was calculated using Rstudio 3.15.0 software (Rstudio Inc., USA). The significance value was set at α=0.05. The standard deviation (SD) was established attending to perceived barriers of previous studies (SD=0.75) 22. With an estimated error (d) of 0.10, the required sample size for a 99% confidence interval (CI) was 200 subjects. The final sample consisted of 203 student-athletes with disabilities from five European countries (Spain, Portugal, Italy, Ireland and Romania). The inclusion criteria were established on the basis of previous studies 23: a) have a physical, sensory (visual or hearing) disability or cerebral palsy; b) have been enrolled in a sports federation for at least three years; and c) to be currently enrolled in the last years of compulsory education (pre-university education), a university degree, a university master's degree, or a doctorate.
Sample characteristics are shown in Table 1. Depending on gender, men were significantly older (p=0.013) and women spent more hours studying (p=0.006). Depending on the level of sports professionalisation, significant differences were found in the type of disability (p=0.007), in the stage of their sports career (p=0.002), in the hours per week studying (p=0.002) and doing sport (p=0.001). Bonferroni adjustment showed that, regarding hours spent studying, professional athletes spent significantly fewer hours than semi-professional athletes (Mean dif.: 9.83±2.84; p=0.002; 95%ICC: 2.96; 16.70) and amateur athletes (Mean dif.: 7.51±2.92; p=0.033; 95%ICC: 0.44; 14.59). Regarding the hours spent in sport, amateur athletes spent significantly fewer hours than professional athletes (Mean dif.: -10.88±3.04; p=0.001; 95%ICC: -18.24; -3.53) and semi-professional athletes (Mean dif.: -7.39±2.77; p=0.025; 95%ICC: -14.08; -0.70). Depending on the stage of their sports career, significant differences were found in age (p<0.001). The pairwise comparison showed that student-athletes who were at the end of their sport career were older than those who were at the highest level (Mean dif.: -4.75±1.79; p=0.026; 95%ICC: -9.08; -0.42) and at the beginning of their sport career (Mean dif.: -8.56±1.71; p=0.000; 95%ICC: -12.71; -4.42). The sports career stage also showed significant differences in studies (p=0.013) and self-consideration as an athlete (p=0.002). Depending on studies, significant differences were found in age (p=0.001) as pre-university student-athletes were significantly younger than those who studied a post-degree (Mean dif.: -5.76±1.52; p=0.001; 95%ICC: -9.44; -2.08). Significant differences were also found depending on the level of education in sports career stage (p=0.013).
-Table 1 here-
Measures
Perceptions of dual career student-athletes
To measure the perceptions of dual career student-athletes, the ‘Perceptions of dual career student-athletes’ (ESTPORT) questionnaire 24 was used, as in previous research 25,26. The internal consistency of the questionnaire is high (Cronbach's alpha coefficient > 0.70) reaching in this study a=0.857, understood as a high reliability 27. The original version is composed of 84 items. To obtain information about sociodemographic and contextual variables, questions number 1, 2, 7, 8, 9, were included. Furthermore, to know the difficulty of reconciling sporting and academic life, question 20 was also included. Finally, to discover the perceived barriers, the scores obtained in items 26 to 37 of the questionnaire were included. These questions used a Likert scale from 1 (strongly disagree) to 5 points (strongly agree).
Exercise Benefits/Barriers
To analyse the exercise benefits and barriers, the ‘Exercise Benefits/Barriers Scale’ (EBBS) 28 was used. The resulting instrument was tested for internal consistency (𝛼=0.954), validity of its constructs (variance explained: 65.2%), and test-retest reliability (ICC=0.89) 28. Cronbach's alpha coefficient in this study was 𝛼=0.776, understood as a high reliability 27. For this research, items about the barrier scale were included. These questions used a Likert scale from 4 (strongly agree) to 1 (strongly disagree).
Athletic Identity
The 'Athletic Identity Measurement Scale' (AIMS) was used 29 to measure athletic identity. The scale has shown an internal reliability coefficient of 𝛼=0.81 29. Cronbach's alpha coefficient in this study was 𝛼=0.776, understood as a high reliability 27. The AIMS is made up of seven items designed to assess aspects of athletic identification, with the athlete's role measured on a scale ranging from 1 (strongly disagree) to 7 (strongly agree).
Procedure
Universities from the participant countries (Spain, Portugal, Italy, Ireland and Romania) contacted their sports service to send the questionnaire to athletes with disabilities belonging to the universities, as well as local, regional and national associations and foundations whose main focus was on athletes with disabilities and the country's Paralympic Committee. The questionnaire was then circulated by email to all disabled athletes in their databases, specifying that it should only be completed by those who were currently enrolled in pre-university studies, university degree, or university post-degree studies.
Participants completed an informed consent form and a questionnaire anonymously and individually, without academic or competitive pressure. The questionnaire was disseminated through Google Forms® and the participants completed it in 20-30 minutes. All data was collected anonymously.
Statistical analysis
The normality of the data was initially assessed with the Kolmogorov-Smirnov test, homogeneity with the Levene’s test, and sphericity with the Mauchly test. All the variables included in the analysis showed a normal distribution, so parametric tests were performed. The descriptive analysis of quantitative variables showed mean values and standard deviations, while frequencies and percentages were calculated for qualitative variables. The Student’s t-test for independent samples was performed to find the existing differences in age, the scores of hours per each activity, difficulty in reconciling sport and studies, barriers towards achieving a good balance between sport and studies, exercise benefits/barriers and athletic identity depending on gender. Cohen’s d was calculated to establish the effect size (ES) in these cases, defined as small when d < 0.2; moderate when d < 0.8; and large when d > 0.8 30. For the analysis of the differences in age, the scores of hours per each activity, difficulty in reconciling sport and studies, barriers towards achieving a good balance between sport and studies, exercise benefits/barriers and athletic identity depending on type of disability, level of sports professionalisation, stage of the sports career and level of education pursed, a one-way analysis of variance (ANOVA) was used, carrying out the Bonferroni pairwise comparison in the variables with statistical significance, adjusting for the value of p. Partial eta squared (η2) was used to calculate the effect size (ES), and was defined as small: ES ≥ 0.10; moderate: ES ≥ 0.30; large: ES ≥ 1.2; very large: ES ≥ 2.0 31. The chi-square analysis (χ²) made it possible to establish the differences in the questions related to gender, type of disability, level of education, self-consideration as an athlete, and stage of the sports career. Cramér’s V was used for the post hoc comparison, and the contingency coefficient was used to obtain the statistical value. The maximum expected value was 0.707; r < 0.3 indicated a low association; r < 0.5 indicated a moderate association; and r > 0.5 indicated a high association 32. The p < 0.05 value was set to determine statistical significance. The statistical analysis was performed using the SPSS statistical package (v.25.0; SPSS Inc., IL, United States).