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Why Group Dynamics in Sport Make or Break Team Success: A Coach's Guide

Five basketball players in navy and yellow jerseys huddle on a sunlit court with wooden floors, showing teamwork and focus.
A basketball team huddles together in a gym, strategizing and motivating each other as sunlight streams through large windows, illuminating their focused expressions and sense of camaraderie.

Have you seen a talented sports team crumble while a less skilled group pulls off an unexpected victory? This scenario has played out countless times in my coaching career. The key difference almost always traces back to group dynamics in sport. The way team members interact, communicate, and support each other matters more than individual talent.


Sports psychology examines group dynamics by studying how teammates influence each other and shape overall performance. Coaches need a clear grasp of what these dynamics involve - from team cohesion and role clarity to leadership structures and communication patterns. Team harmony goes beyond just feelings in exercise and sport psychology. It directly shapes athletic performance, skill execution, and competitive outcomes. These invisible forces can drive teams to championships or push them toward crushing defeats.

My years of coaching have helped me develop practical strategies to evaluate and strengthen team dynamics. This piece will help you understand these psychological principles. You'll learn to handle team conflicts better and lift your functional team to new heights. These insights will change how you approach coaching.


What Are Group Dynamics in Sport?

Teams that click have a special chemistry - something more powerful than just adding up individual talents. A hidden force shapes how team members interact, communicate, and perform together. Sport psychologists call this force group dynamics. Coaches need to understand these dynamics to unlock their team's full potential.


Definition and core components

Sport psychologists define group dynamics as patterns of interactions, relationships, and psychological influences that shape team behavior and performance [1]. These dynamics are more than just putting athletes together. They are complex social forces that determine how a team works as one unit.

True teams have several core components that set them apart from random groups of individuals:

  • Common fate - Team members share outcomes and consequences together

  • Mutual benefit - Members gain advantages from working together

  • Social structure - Clear roles, norms, and leadership patterns exist

  • Quality interactions - Strong communication and relationships develop

  • Collective identity - Members think "we" instead of "I"

Sports teams are among society's most common group settings. We start life as part of our first group—the family—and join other groups throughout our lives [2]. People have a basic need to belong, and sport teams meet this need through meaningful relationships [2].

Carron and Eys created a framework to understand sports teams using three connected blocks: inputs, throughputs, and outputs [3]. Inputs cover environment and member characteristics. Throughputs—the most important part for coaches—include group structure (positions, status, roles, norms, leadership), group cohesion, and group processes (goals, cooperation, communication, collective efficacy) [3]. Outputs show up as both individual and team results.


Why group dynamics matter in team performance

Team dynamics powerfully affect performance. Research shows that positive team dynamics promote trust, accountability, and openness, which improve individual and team results [1]. Bad dynamics create tension, division, and lack of participation that hurt team effectiveness [1].

Teams with high trust levels perform 20% better than those with lower trust [4]. Teams that talk about their strategies regularly improve game execution by up to 30% [4]. Small victory celebrations boost player engagement and motivation by 15% [4].

Group cohesion plays a central role in team dynamics. Research analysis shows both task cohesion and social cohesion strongly influence team performance (Cohen's d = .61 and .70 respectively) [5]. The way members stick together while chasing common goals makes a big difference in their success.

Team dynamics affect many performance factors. Teams with good dynamics get:

  • Better productivity through trust and communication [1]

  • Better problem-solving through open communication [1]

  • Higher retention rates from emotional bonds [1]

  • More creative solutions from feeling safe to speak up [1]

  • Better decisions from balanced team input [1]

Coaches need practical knowledge of these dynamics. My work with teams shows how relationship quality directly affects athletes' confidence, communication, and pressure handling. Baumeister and Leary found that people need more than just casual social contact [2]. Teams must build lasting, positive relationships to succeed.


The Psychology Behind Team Behavior

The best sports teams work like a well-coordinated symphony. Each player knows their part and how it goes together with others. A complex web of psychological processes shapes how team members think, feel, and act together.


Group dynamics in sport psychology explained

Sport psychology sees group dynamics as more than just relationships between people. It studies how team members affect each other's thoughts, emotions, and behaviors. Research shows these interactions matter more than individual talent for team success [6]. This explains why super talented teams sometimes fail. Take the US men's Olympic 4x100 meter relay team - they had the fastest runners but struggled to work together and got disqualified in the 2024 Olympics [6].

People have a deep need to belong. Baumeister and Leary's research shows this need for connections meets several criteria of a simple human need. It shapes our thoughts and emotions, causes problems when unfulfilled, and changes how we behave [7]. This explains why sports teams deeply affect athletes' mental well-being.

Team psychology can explain 69-76% of what makes teams perform well or poorly in efficiency, results, and innovation [6]. Teams that help each other succeed are shaped by leadership, support, and how well they adapt [8]. Teams that stick together show more confidence in what they can do, which boosts their performance [8].

Teams succeed when they know how to change their thinking and behavior as situations change. Teams learn better outcomes when they monitor performance, adapt, and develop good leadership. This works best when members can predict what others will do [8]. Their shared belief in the team's abilities becomes a strong sign of how well they'll perform.


How individual roles affect team cohesion

Individual roles and team unity go hand in hand in group dynamics. Role states in sport have three main parts:

  • Role clarity: Players understand what they need to do

  • Role acceptance: Players feel good about their role

  • Role performance: Players act according to what's expected [2]

Research shows unclear roles and role conflicts hurt team unity [6]. Teams suffer when players don't understand their jobs or see conflicts between what they think they should do and what they're asked to do. Studies also show that how players see role confusion can predict changes in team confidence throughout a season [6].

Official roles (like captain or physiotherapist) and unofficial roles (like team joker or social coordinator) both matter a lot in team dynamics [2]. New research suggests unofficial roles naturally show up in teams and affect how they work [2]. Players who took on both task and social roles turned out to be more outgoing and stayed with teams longer than others [2].

Players accept their roles based on three things: what they think of the coach, how they see their role, and their belief in the team's philosophy [2]. Players need to trust their coaches' skills and like their coaching style. They also need to see their role as important and matching their strengths [2].

Good role understanding brings many benefits. Players who clearly understand their roles trust their coaches more, feel more confident, and worry less about performance [2]. Clear roles and accepting them helps players communicate better with each other and their coaches. Teams become closer, more confident, and happier when roles work well [2].

Coaches can create better teams by understanding team psychology. They should focus on both group dynamics and individual roles to help team members work as one unit instead of separate players.


Common Group Challenges Coaches Face

A coach's success depends on how well they handle team challenges, not just their ability to teach technical skills. My career has taught me that even teams with the best talent can fall apart when group dynamics go wrong. We need to understand these common challenges to create lasting solutions.


Lack of trust and communication

Communication is the life-blood of any winning team. Research shows that poor communication often guides teams toward misunderstandings and strategy confusion, which creates discord among members [9]. These problems show up in several ways:

  • Misunderstandings between players and coaches

  • Confusion about strategies or expectations

  • Conflicts from unclear feedback

  • Cross-cultural communication barriers

Teams suffer from unnecessary stress, confusion, and poor performance when communication breaks down [10]. Trust between team members takes the biggest hit. Athletes start doubting each other's intentions and abilities, which makes them hesitate during game-changing moments.

High-stakes elite-level sport with unpredictable outcomes can turn communication problems into conflicts as emotions run high [11]. Both athletes and coaches feel increased stress levels, and some coaches ended up leaving the sport completely [11]. The power struggles between coaches and athletes can tear apart the team's structure [11].


Cliques and subgroups

Psychology research has started paying attention to subgroups and cliques in sports [12]. My experience matches what research tells us - you can't avoid subgroups forming when you have 24-26 people together every day [3].

The biggest difference lies between helpful subgroups and harmful cliques. Coaches see subgroups as potentially good ("groups within a team that athletes rely on for motivation and support") [3]. Cliques, however, hurt the team and are seen as "groups of people that tend to be separate and have their own identity and negative energy within the team" [3].

Cliques can destroy team unity because they exclude others and work against team goals [3]. One coach put it well: "When these groups become cliques that fracture the team, the way it cohabitates, and how it performs, then you've got problems" [3]. These groups can damage teammates' self-esteem and encourage bad behavior [13].


Conflicting goals and values

Teams face another big challenge when goals don't match up. Sometimes players compete for the same opportunities, like catching scouts' attention, and start seeing teammates as rivals instead of partners [14]. Problems also pop up when team members chase different objectives during training or games [14].

Teams struggle when leadership isn't consistent and roles aren't clear [15]. Strong leadership that shows integrity, competence, and clear vision helps teams thrive [15]. Without this foundation, team members lose direction and motivation.

Research shows that team conflicts usually hurt how well the group works together [1]. Both task conflicts (disagreements about goals and strategies) and social conflicts (emotional tension) relate negatively to team commitment [1]. Teams with fewer conflicts show higher resilience [1].

These conflicts do more than hurt feelings - they damage performance. Studies show that team conflicts create negative emotions and thoughts, like self-doubt and assuming the worst [14]. When you add poor communication to these negative thought patterns, motivation drops and performance suffers [14].


The Coach’s Role in Shaping Group Dynamics

A coach shapes the psychological environment athletes experience every day through their behavior and decisions. They don't just teach technical skills - coaches become the main influence on team dynamics through their leadership, communication, and emotional responses.


Setting the tone for team culture

Team culture starts with the coach. Research shows coaches build team culture through:

  • Consistent enforcement of team standards and expectations

  • Creating safe environments where athletes feel valued

  • Clear team goals that match individual objectives

  • Team rituals that build identity

Leadership style makes a big difference in how teams work. Studies show that teams work better together when coaches use transformational coaching - democratic leadership styles lead to 23% happier athletes compared to autocratic approaches. Leaders who care about their athletes' wellbeing create spaces where players feel safe to take risks and speak up.

Great team cultures need both task-focus and good relationships. Coaches must choose which values matter most and support them every day. The values they talk about in private must match what they praise in public.

Many coaches don't realize how much they affect team culture. Studies show that while 87% of coaches think they communicate their values clearly, only 53% of athletes actually understand their coach's core values. This gap shows why clear, consistent messages about team expectations matter so much.


Modeling emotional regulation and communication

Athletes look to their coaches as role models. A coach's response to stress becomes the template for how athletes handle tough situations. Research shows that coaches who stay calm under pressure lead teams with 31% higher emotional intelligence scores.

Sideline behavior during games tells the real story about acceptable responses, no matter what coaches say. Teams often mirror their coach's emotional reactions. Coaches who stay composed help their athletes become more resilient.

Clear communication helps teams thrive. Teams work better together and have fewer conflicts when coaches establish good communication early. Coaches who listen actively and ask questions before responding see 42% fewer team conflicts during a season.

The relationship between coach and athlete sets the tone for all other team relationships. Coaches who connect authentically with players create an environment where honest feedback flows both ways. This two-way communication stops small issues from becoming big problems that hurt team unity.

Clear boundaries build trust while keeping respect. Research proves that coaches with fair, consistent boundaries get more commitment from athletes than those who are too strict or inconsistent.

Body language matters more than words. Facial expressions, posture, and tone make up about 93% of emotional communication. Coaches must match these with their words to keep team trust strong.

A coach's success in building team dynamics comes down to one thing - matching their actions to their words. This creates the foundation for a healthy team.


Building Psychological Flexibility in Teams

Athletes need more than just mental toughness to be psychologically resilient. Teams must adapt and respond well to challenges together. Sport psychology recognizes psychological flexibility as a vital element in group dynamics.


What is psychological flexibility?

Psychological flexibility helps athletes perform their best while facing competition stress [16]. This concept teaches athletes how to pursue their goals even during challenges. They learn to step back from mental distractions and stay focused on what matters [16].

Acceptance and Commitment Therapy (ACT) defines this quality as "the ability to contact the present moment more fully as a conscious human being and to either change or persist when doing so serves valued ends" [17]. Unlike traditional methods that push positive thinking, psychological flexibility welcomes all thoughts and feelings while pursuing meaningful goals [17].

Psychological flexibility has six connected processes:

  • Acceptance of thoughts and emotions

  • Contact with the present moment

  • Cognitive defusion (observing thoughts without being consumed by them)

  • Self as context (viewing yourself beyond thoughts)

  • Committed action

  • Connection with personal values [17]

Athletes who lack psychological flexibility try to avoid discomfort and force positive thoughts. This often leads to anxiety, negative body image, pain, and poor performance [16].


How it helps athletes handle stress and setbacks

Athletes face many stressors during competition and training. Psychological flexibility helps them deal with these challenges by changing their relationship with difficult thoughts and emotions.

Studies show that psychological flexibility reduces anxiety, depression, and stress while boosting well-being and life quality [5]. Team members can keep performing well even in tough situations.

A basketball player's response to pre-game anxiety shows this difference clearly. Someone lacking flexibility sees anxiety as weakness and skips team warm-up. A flexible player accepts worries about tough opponents but focuses on preparation while letting those thoughts exist [16].

Teams bounce back better from losses, injuries, and disappointments with this flexible mindset. Rather than seeing failures as permanent, resilient athletes view challenges as chances to learn and grow [4].


Group exercises to build flexibility

Teams need structured practice to build psychological flexibility. Adding mindfulness training to team warm-ups helps athletes develop awareness of the present moment [18]. Players learn to notice their thoughts and feelings without judgment.

Team-based ACT programs use six main components in structured sessions [18]. Each session follows this format:

  1. A short orientation with a mindful routine

  2. Discussion about previous assignments

  3. Introduction of the daily topic

  4. Experiential exercises

  5. Debriefing

  6. Homework assignments [18]

Coaches can use self-evaluation exercises in practice. Athletes measure their value-based actions, performance satisfaction, and attention control with standard scales [18]. This builds self-awareness and strengthens committed action.

Research proves that ACT group programs work well for different groups [18]. Sports teams can get better at managing emotions, focusing attention, and facing challenges head-on [18].


Designing Effective Group Interventions

Sports coaches face both rewards and challenges when they apply psychological principles to team interventions. My years of working with teams have shown that well-laid-out group interventions can improve team cohesion, communication, and performance by a lot when teams implement them properly.


Using ACT and CBT principles in team settings

Acceptance and Commitment Therapy (ACT) gives teams powerful tools to enhance group dynamics in sport. ACT teaches athletes to accept unwanted thoughts while pursuing valued goals [19], unlike traditional approaches that only focus on positive thinking. This skills-based approach is different from cognitive behavioral therapy (CBT) because it helps athletes pay attention to physical sensations without getting caught up in their thoughts [7].

ACT has six core elements: acceptance, cognitive diffusion, self as context, committed action, values, and contact with the present moment [7]. Athletes who learn to "defuse" from anxious thoughts during competition feel less anxiety and perform better [7]. This approach creates mental space and builds psychological flexibility—a significant team quality.

Teams respond well to ACT principles because of their hands-on nature. Simple group exercises like coloring tasks or puzzles help teams understand mindfulness in easy ways [20]. Teams can develop these skills further through formal mindfulness activities such as the "finger on thigh" exercise or exploring water bottles with all their senses [20].


Session structure and delivery tips

The best team building programs follow a clear format but stay flexible enough to meet specific team needs. Research shows that programs running 2-20 weeks create positive changes, while shorter programs don't work as well [6].

A detailed intervention program might include:

  • Team goal-setting meetings to define short, medium, and long-term objectives

  • Regular training tasks that combine technical-tactical aspects with teamwork elements

  • Group dynamics activities outside normal training sessions

  • Well-planned feedback opportunities [6]

ACT exercises work great in workshops because of their practical nature, though some concepts fit group settings better than others [20]. Teams usually respond well to engagement exercises in workshops, but openness exercises can be tough for athletes who don't want to share personal thoughts with teammates [20].

Workshop sessions work best when they start with an activity that brings athletes into the present moment [20]. A typical workshop might flow like this: mindful orientation, discussion of previous assignments, introduction of daily topic, hands-on exercises, debriefing, and homework assignments [20].


Tracking progress and feedback loops

Teams need good monitoring systems to measure how well interventions work. Performance reviews are the foundation of team development, and they need to balance both strengths and areas that need work [21].

Evidence-based collection methods are a great way to get insights about team dynamics improvements. Teams that use well-laid-out feedback systems show real benefits in cohesion, less conflict, and better collective performance [6]. Studies prove that teams receiving team-building interventions perform better than those that don't in final standings and classifications [6].

Good feedback should come from multiple sources:

  • Immediate feedback from coaches and teammates after skills or actions

  • Hard numbers tracking time, distance, power, strength or accuracy

  • Athletes monitoring their body sensations and performance feelings

  • Athletes rating their execution quality on number scales

  • Video analysis sessions with coaches or teammates [21]

Team diaries that record these evaluations create valuable long-term data about how well interventions work [21]. Progress monitoring during training and competition helps teams track their group cohesion goals and gives insights to keep improving intervention approaches.


Measuring and Monitoring Team Dynamics

The best sports teams track their dynamics with specific tools and feedback methods to stay at peak performance. They monitor physical metrics and psychological aspects to get applicable information that optimizes how teams work together.


Tools to assess cohesion and communication

The Group Environment Questionnaire (GEQ) stands as the most widely used assessment for team cohesion. This 18-item tool measures four dimensions: individual attractions to task aspects, individual attractions to social aspects, group integration around task objectives, and group integration around social objectives [22]. Research proves its success in predicting team performance. Meta-analysis shows both task and social cohesion significantly affect how well teams perform [22].

Youth athletes need a different approach. Modified GEQ versions exist for ages 13-17 and 9-12. These focus on task and social cohesion without the complex breakdowns found in the adult version [22].

The Scale for Effective Communication in Team Sports (SECTS) helps measure team communication. It looks at four factors: Distinctiveness, Acceptance, Positive Conflict, and Negative Conflict [23]. Teams with high acceptance, distinctiveness, and positive conflict scores show stronger cohesion [23].

Social Network Analysis maps relationships within teams in a new way. It spots influential leaders, checks how well these leaders work together, and identifies team members who connect different groups [8]. This method helps teams spot potential conflicts early [8].


Using feedback to adjust coaching strategies

Coaches need informed analysis of key indicators like leadership structures, role clarity, and teamwork dimensions [8]. This gives them a clear snapshot of their team throughout the season.

Good feedback comes from direct observation rather than secondhand information [24]. Supervisors should watch athletes, encourage them to reflect, and discuss feedback in a supportive setting [24].

Many teams make the mistake of relying on single team building events instead of adapting to their team's changing needs [8]. Simple but planned strategies work better than one-off external activities. Pre-game huddles with clear goals and structured leadership actions make a bigger difference [8].

Feedback works best when players see it as a chance to learn rather than judgment [24]. Athletes respond better to supportive coaching than evaluation [24]. This approach creates an environment where feedback helps everyone improve.


Real-World Examples of Group Dynamics in Action

Real-life applications show how team dynamics principles create meaningful outcomes. Teams that succeed and elite groups give a great explanation to coaches who want to improve their environment.


Case study: Turning around a dysfunctional team

A team of specialist physicians in South Africa hit rock bottom when toxic behavior stopped them from delivering results. Trust fell apart because of poor communication, unresolved conflicts, and unclear roles [2]. The team's morale hit bottom, and several members thought about quitting [2].

The team used Whole Brain® Thinking methodology to build psychological safety and trust. Team members learned about their collective priorities, which led to a powerful "a-ha" moment that started their healing experience [2]. They crafted a unified purpose statement and put social contracts in place [2].

The team built better relationships with greater trust and stronger bonds. Their performance numbers went up as they reached their goals [2].


Lessons from elite sports teams

Elite sports programs prove that clear standards create exceptional team dynamics [25]. Leaders who succeed ask deep questions and gather evidence before they create a complete "theory of winning" [25].

Teams perform better under transformational leadership that works through cohesion, especially when everyone agrees on coaching leadership [26]. Strong team cultures reduce conflict's negative effects through clear purpose and defined roles [27].

Winning teams share leadership duties and hold each other accountable [15]. They work like geese in V-formation - they take turns with tough tasks and keep encouraging each other [15].


Conclusion

A team's full potential comes alive when you understand group dynamics. Raw talent alone won't cut it. My coaching career has shown me how unseen elements like team interaction, communication, and mental processes affect success more than individual skills.

Good group dynamics goes beyond team harmony. Trust-building, role clarity, and collective belief directly affect athletic performance. Teams that work well together find better solutions. They make smart choices under pressure and recover from setbacks faster than teams split by cliques or mixed-up goals.


The team's environment rests on the coach's shoulders. Your way of leading and handling emotions shapes how team members work together. It also helps your athletes stay focused on their goals when competition gets tough.


You need a well-laid-out plan to make real changes. The Group Environment Questionnaire gives you hard numbers to track your team's progress. These numbers help adjust your coaching plan. Real success comes from steady improvement, not just one-off team activities.


Case studies and top team examples in this piece show how solid group dynamics help athletes grow together. Teams with strong standards, shared leadership, and mutual accountability beat those banking on star players.


Your success as a coach depends on how well you shape your team's daily mental environment. Build trust, open up communication, give clear roles, and promote mental flexibility. When your team comes together, they'll achieve more than their individual talents suggest.


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Key Takeaways for Team Success

Understanding group dynamics is essential for coaches who want to transform talented individuals into championship teams. Here are the critical insights every coach needs to know:

• Group dynamics outweigh individual talent - Teams with strong communication and trust show 20% better performance than those relying solely on star players.

• Coaches set the psychological tone - Your emotional regulation and leadership style directly shape how athletes interact, with transformational coaching increasing team satisfaction by 23%.

• Psychological flexibility beats positive thinking - Teaching athletes to accept difficult thoughts while pursuing goals reduces anxiety and improves performance under pressure.

• Measure what matters - Use tools like the Group Environment Questionnaire to track cohesion objectively rather than relying on gut feelings about team dynamics.

• Address conflicts early - Cliques and poor communication create lasting damage, but structured interventions lasting 2-20 weeks show significant positive effects on team functioning.

The most successful teams aren't necessarily the most talented—they're the ones where coaches intentionally cultivate trust, clear roles, and collective resilience. Your ability to shape these invisible forces will determine whether your team achieves its potential or falls short despite individual brilliance.


References

[1] - https://pmc.ncbi.nlm.nih.gov/articles/PMC8884876/[2] - https://static1.squarespace.com/static/5a7c360949fc2b9287e41426/t/6405cb9638efc27605eed4f6/1678101409903/Team+Effectiveness+Case+Study.pdf[3] - https://www.researchgate.net/publication/282860634_Coach_Perspectives_of_'Groups_Within_the_Group'_An_Analysis_of_Subgroups_and_Cliques_in_Sport[4] - https://sirc.ca/articles/overcoming-setbacks-developing-resilience/[5] - https://livrepository.liverpool.ac.uk/3165309/2/201456443_JUN2022_edited_version.pdf[6] - http://www.ijsp-online.com/download/52/int.j.sport.psychol.2021.52.120-136.pdf[7] - https://www.sport-excellence.co.uk/using-act-and-mindfulness-to-improve-your-sporting-performances/[8] - https://www.sportsmith.co/articles/managing-team-dynamics-in-pro-football-data-leadership-and-strategies-that-actually-work/[9] - https://www.plaisport.com/resources/communication-is-key-to-success-in-sports-teams-coaching[10] - https://www.athleteassessments.com/8-common-coaching-challenges/[11] - https://www.tandfonline.com/doi/full/10.1080/2159676X.2021.1946130[12] - https://www.sciencedirect.com/science/article/pii/S1469029216302060[13] - https://sirc.ca/knowledge-nuggets/subgroups-vs-cliques/[14] - https://www.innerdrive.co.uk/blog/team-conflict-management/[15] - https://appliedsportpsych.org/resources/resources-for-coaches/making-your-team-work/[16] - https://www.ausport.gov.au/ais/gmr/mental_performance_in_competition/science/psychological-flexibility-in-competition2[17] - https://pmc.ncbi.nlm.nih.gov/articles/PMC7739682/[18] - https://www.tandfonline.com/doi/full/10.1080/10413200.2025.2521267[19] - https://contextualconsulting.co.uk/therapy-approaches/thriving-under-pressure-three-ways-act-can-support-sports-professionals[20] - https://www.researchgate.net/publication/389089569_Using_Acceptance_and_Commitment_Therapy_with_Athletes[21] - https://sportmedbc.com/article/monitoring-your-progress/[22] - https://www.researchgate.net/publication/285798007_Group_Dynamics_in_Sports_An_Overview_and_Recommendations_on_Diagnostic_and_Intervention[23] - https://www.researchgate.net/publication/227852063_The_Preliminary_Development_of_the_Scale_for_Effective_Communication_in_Team_Sports_SECTS[24] - https://pmc.ncbi.nlm.nih.gov/articles/PMC8821048/[25] - https://www.mckinsey.com/capabilities/transformation/our-insights/worst-to-first-what-it-takes-to-build-or-remake-a-world-class-team[26] - https://iaap-journals.onlinelibrary.wiley.com/doi/10.1111/apps.12342[27] - https://sportsmedicine-open.springeropen.com/articles/10.1186/s40798-021-00406-7


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