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Mental health in tennis: a cross-organisational hybrid summit-Delphi consensus process.

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Τίτλος: Mental health in tennis: a cross-organisational hybrid summit-Delphi consensus process.
Συγγραφείς: Kroshus-Havril E; Department of Pediatrics, University of Washington, Seattle, Washington, USA ekroshus@uw.edu.; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA., Capel-Davies J; International Tennis Federation, London, UK., Ellenbecker T; ATP Medical Services, Atlantic Beach, Florida, USA., Gouttebarge V; Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, Netherlands.; Section Sports Medicine, University of Pretoria, Pretoria, South Africa., Martin K; Performance Health, Women's Tennis Association, St Petersburg, Florida, USA., Miller S; International Tennis Federation, London, UK., Mountjoy M; Family Medicine, McMaster University Michael G DeGroote School of Medicine, Waterloo, Ontario, Canada.; Games Group, International Olympic Committee, Lausanne, Switzerland., Reardon CL; Department of Psychiatry, University of Wisconsin Madison, Madison, Wisconsin, USA., Stroia K; Performance Health, Women's Tennis Association, St Petersburg, Florida, USA., Hainline B; International Tennis Federation, London, UK.; Department of Neurology, NYU Grossman School of Medicine, New York, New York, USA.
Πηγή: British journal of sports medicine [Br J Sports Med] 2026 Jul 08; Vol. 60 (14), pp. 1011-1020. Date of Electronic Publication: 2026 Jul 08.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 0432520 Publication Model: Electronic Cited Medium: Internet ISSN: 1473-0480 (Electronic) Linking ISSN: 03063674 NLM ISO Abbreviation: Br J Sports Med Subsets: MEDLINE
Imprint Name(s): Publication: London : BMJ Publishing Group
Original Publication: Loughborough, Eng.
Ιατρικοί όροι (MeSH): Athletes*/psychology , Tennis*/psychology , Mental Health* , Consensus Statements as Topic*, Humans ; Consensus ; Delphi Technique ; Standard of Care
Περίληψη: We sought to generate recommendations for the tennis community regarding the provision of mental healthcare and the promotion of mental wellness among elite tennis athletes, including junior tennis athletes. Recommendations were generated using a multimethod approach that included an in-person summit held during the 2022 US Open Tennis Championships in New York, New York, USA, and an asynchronous Delphi consensus process. Participants (n=83) were purposively selected to ensure diverse representation from all seven governing bodies of tennis and the broader tennis ecosystem, including: current and former elite adult and junior players, coaches, sport administrators, parents, physiotherapists, athletic trainers, physicians (sports medicine, psychiatry, neurology), other licensed mental health providers, epidemiologists and other academic subject matter experts. The summit included expert presentations and cross-organisation group discussion, which were used to generate provisional consensus statements. Statements were rated anonymously and refined iteratively based on synthesis of open-ended feedback until predetermined numeric thresholds were reached. The summit also included discussion of implementation challenges and priorities. As a result of this process, 2 foundational principles and 25 actionable recommendations were adopted, covering 5 domains: (1) standards of care, (2) education, (3) media and social media, (4) safeguarding and (5) research. The foundational principles emphasised that mental health must be prioritised by tennis governing bodies and that these bodies should collaborate across the tennis ecosystem. This output is a starting point for coordinated mental health efforts in tennis. More broadly, this pragmatic process is a replicable model for cross-organisational collaboration in other high-performance sports.
(© Author(s) (or their employer(s)) 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.)
Competing Interests: Competing interests: VG is chair of the International Olympic Committee’s Mental Health Working Group. BH is vice president of the International Tennis Federation, chair of the ITF Sport Science and Medicine Commission, immediate past president of the US Tennis Association and a member of the International Olympic Committee’s Mental Health Working Group. MM is a member of the International Olympic Committee’s Mental Health Working Group, Deputy Editor of the British Journal of Sports Medicine and an editorial board member of the Injury Prevention and Health Promotion editions of the BJSM. EK-H is a paid consultant of the National Collegiate Athletic Association.
Contributed Indexing: Keywords: Consensus; Psychiatry; Psychological Safety; Psychology; Violence
Entry Date(s): Date Created: 20260618 Date Completed: 20260708 Latest Revision: 20260724
Update Code: 20260724
DOI: 10.1136/bjsports-2025-111479
PMID: 42315334
Βάση Δεδομένων: MEDLINE
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  Data: Mental health in tennis: a cross-organisational hybrid summit-Delphi consensus process.
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  Data: <searchLink fieldCode="AU" term="%22Kroshus-Havril+E%22">Kroshus-Havril E</searchLink>; Department of Pediatrics, University of Washington, Seattle, Washington, USA ekroshus@uw.edu.; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.<br /><searchLink fieldCode="AU" term="%22Capel-Davies+J%22">Capel-Davies J</searchLink>; International Tennis Federation, London, UK.<br /><searchLink fieldCode="AU" term="%22Ellenbecker+T%22">Ellenbecker T</searchLink>; ATP Medical Services, Atlantic Beach, Florida, USA.<br /><searchLink fieldCode="AU" term="%22Gouttebarge+V%22">Gouttebarge V</searchLink>; Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, Netherlands.; Section Sports Medicine, University of Pretoria, Pretoria, South Africa.<br /><searchLink fieldCode="AU" term="%22Martin+K%22">Martin K</searchLink>; Performance Health, Women's Tennis Association, St Petersburg, Florida, USA.<br /><searchLink fieldCode="AU" term="%22Miller+S%22">Miller S</searchLink>; International Tennis Federation, London, UK.<br /><searchLink fieldCode="AU" term="%22Mountjoy+M%22">Mountjoy M</searchLink>; Family Medicine, McMaster University Michael G DeGroote School of Medicine, Waterloo, Ontario, Canada.; Games Group, International Olympic Committee, Lausanne, Switzerland.<br /><searchLink fieldCode="AU" term="%22Reardon+CL%22">Reardon CL</searchLink>; Department of Psychiatry, University of Wisconsin Madison, Madison, Wisconsin, USA.<br /><searchLink fieldCode="AU" term="%22Stroia+K%22">Stroia K</searchLink>; Performance Health, Women's Tennis Association, St Petersburg, Florida, USA.<br /><searchLink fieldCode="AU" term="%22Hainline+B%22">Hainline B</searchLink>; International Tennis Federation, London, UK.; Department of Neurology, NYU Grossman School of Medicine, New York, New York, USA.
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  Data: <searchLink fieldCode="JN" term="%220432520%22">British journal of sports medicine</searchLink> [Br J Sports Med] 2026 Jul 08; Vol. 60 (14), pp. 1011-1020. <i>Date of Electronic Publication: </i>2026 Jul 08.
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  Data: We sought to generate recommendations for the tennis community regarding the provision of mental healthcare and the promotion of mental wellness among elite tennis athletes, including junior tennis athletes. Recommendations were generated using a multimethod approach that included an in-person summit held during the 2022 US Open Tennis Championships in New York, New York, USA, and an asynchronous Delphi consensus process. Participants (n=83) were purposively selected to ensure diverse representation from all seven governing bodies of tennis and the broader tennis ecosystem, including: current and former elite adult and junior players, coaches, sport administrators, parents, physiotherapists, athletic trainers, physicians (sports medicine, psychiatry, neurology), other licensed mental health providers, epidemiologists and other academic subject matter experts. The summit included expert presentations and cross-organisation group discussion, which were used to generate provisional consensus statements. Statements were rated anonymously and refined iteratively based on synthesis of open-ended feedback until predetermined numeric thresholds were reached. The summit also included discussion of implementation challenges and priorities. As a result of this process, 2 foundational principles and 25 actionable recommendations were adopted, covering 5 domains: (1) standards of care, (2) education, (3) media and social media, (4) safeguarding and (5) research. The foundational principles emphasised that mental health must be prioritised by tennis governing bodies and that these bodies should collaborate across the tennis ecosystem. This output is a starting point for coordinated mental health efforts in tennis. More broadly, this pragmatic process is a replicable model for cross-organisational collaboration in other high-performance sports.<br /> (© Author(s) (or their employer(s)) 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.)
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  Data: Competing interests: VG is chair of the International Olympic Committee’s Mental Health Working Group. BH is vice president of the International Tennis Federation, chair of the ITF Sport Science and Medicine Commission, immediate past president of the US Tennis Association and a member of the International Olympic Committee’s Mental Health Working Group. MM is a member of the International Olympic Committee’s Mental Health Working Group, Deputy Editor of the British Journal of Sports Medicine and an editorial board member of the Injury Prevention and Health Promotion editions of the BJSM. EK-H is a paid consultant of the National Collegiate Athletic Association.
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