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Lammons W, Nobility L, Markham S, Saloniki E. PPIE in a technical research study: Using public involvement to refine the concept and understanding and move towards a multidimensional concept of disability. Health Expect 2024; 27:e14072. [PMID: 38747318 PMCID: PMC11094671 DOI: 10.1111/hex.14072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 04/29/2024] [Accepted: 05/01/2024] [Indexed: 05/19/2024] Open
Abstract
BACKGROUND Disability is often an essentialised and oversimplified concept. We propose refining this while incorporating the multidimensional nature of disability by increasing the use of existing survey questions and their corresponding data to enrich, broaden and inform understandings of disability. METHODS We combined patient and public involvement and engagement (PPIE) with focus groups and concept mapping to collaboratively map disability survey questions into conceptual models of disability with six members of the public with lived experiences of disability. RESULTS Using reflexive thematic analysis, we identified three qualitative themes and eight subthemes through a series of four PPIE activities: (1) understanding concepts of disability based on individual experience, subthemes: 1.1-preference for the biopsychosocial model, 1.2-'Reviewing' instead of mapping survey questions and 1.3-comparing questions to real life; (2) consistency between understanding needs and implementing adjustments, subthemes: 2.1-connecting preparation and operation, 2.2-inclusivity and adjustments in activities and 2.3-feedback for improving activities and (3) real-world applications-targeted awareness raising, subthemes: 3.1-who, where, what and how to share activity findings and results, 3.2-sharing with human resource and equality, diversity and inclusion professionals. CONCLUSION Members of the public who collaborated in these activities felt empowered, engaged and supported throughout this study. This approach offers a model for other researchers to cede power to the public over the research aspects typically reserved for researchers. PATIENT OR PUBLIC CONTRIBUTION We involved members of the public with lived experience throughout this study-co-design, co-facilitation, collaboratively mapping the disability or disability-related survey questions into conceptual models of disability, evaluation of the activities, co-analysis and co-authorship.
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Affiliation(s)
- William Lammons
- National Institute of Health and Care Research Applied Research Collaboration (NIHR ARC), North ThamesLondonUK
- Department of Primary Care and Population Health, Institute of Epidemiology and Health CareUniversity College LondonLondonUK
| | - Lucky Nobility
- National Institute of Health and Care Research Applied Research Collaboration (NIHR ARC), North ThamesLondonUK
| | - Sarah Markham
- National Institute of Health and Care Research Applied Research Collaboration (NIHR ARC), North ThamesLondonUK
- Department of Biostatistics and Health InformaticsKing's College LondonLondonUK
| | - Eirini‐Christina Saloniki
- National Institute of Health and Care Research Applied Research Collaboration (NIHR ARC), North ThamesLondonUK
- Department of Primary Care and Population Health, Institute of Epidemiology and Health CareUniversity College LondonLondonUK
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Johnson S, Van Hoye A, Geidne S, Donaldson A, Rostan F, Lemonnier F, Tezier B, Vuillemin A. A health promoting sports club framework: strategies from the field. Glob Health Promot 2024; 31:85-90. [PMID: 37837371 DOI: 10.1177/17579759231195562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2023]
Abstract
The application of the settings-based approach to sports clubs requires a context-specific framework to develop and operationalize health promotion interventions. Incorporating top-down and bottom-up perspectives into interventions increases their efficiency, success and sustainability. In 2020, the health promoting sports club (HPSC) model and intervention framework were created, including strategies and intervention components. A subsequent concept mapping study generated 35 statements from sports club stakeholders highlighting their needs when developing health promotion initiatives. This commentary integrates the concept mapping results into the HPSC model and intervention framework. The process added new sports club levels, updated existing and developed new intervention components, then classified them into the framework. The revised HPSC model has seven levels while the revised intervention framework includes 13 strategies and 69 intervention components. This revised HPSC framework provides sports club stakeholders, public health experts and researchers a means to develop and implement targeted health promotion interventions.
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Affiliation(s)
- Stacey Johnson
- LAMHESS, Université Côte d'Azur, Nice, France
- Institut de Cancérologie de l'Ouest, Saint-Herblain, France
| | | | - Susanna Geidne
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Australia
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Khudair M, Tempest GD, Condello G, Capranica L, Hettinga FJ, Ling FCM. Exploring correlates of physical activity behaviour in UK children and their inter-relationships using a multidisciplinary approach: A concept mapping study. J Sports Sci 2023; 41:1801-1812. [PMID: 38184791 DOI: 10.1080/02640414.2023.2300564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 12/20/2023] [Indexed: 01/08/2024]
Abstract
It is still unknown which correlates of physical activity behaviour (PAB) may be effective and how they may influence PAB in UK children. The objective of the current study was to generate a conceptual analysis of the correlates of PAB in UK children (5-12 years) using the input of researchers in the field of physical activity (PA experts; PAE) and other fields (non-PA experts; non-PAE). A concept mapping approach was used to identify potential (new) correlates of PAB in children, assess their importance based on rating of potential modifiability and effect, and generate a concept map depicting the associations between them. In the first (brainstorming) stage (n = 32 experts) yielded 93 correlates, including 14 new correlates not identified in previous reviews. In the second (rating and sorting) stage (n = 26 experts), 32 correlates were rated as important and a four-cluster concept map was generated including themes related to Society/community, Home/social setting, Personal/social setting and Psychological/emotional correlates. Two additional concept maps were generated for PAE and non-PAE. From expert opinion, we identified new correlates of PAB that warrant further research and we highlight the need to consider the interaction between intrapersonal and external correlates when designing interventions to promote PA in UK children.
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Affiliation(s)
- Mohammed Khudair
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Gavin Daniel Tempest
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | | | - Laura Capranica
- Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - Florentina Johanna Hettinga
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Fiona Chun Man Ling
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
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Tézier B, Lucas Q, Johnson S, Vuillemin A, Lemonnier F, Rostan F, Guillemin F, Van Hoye A. A RE-AIM framework analysis of a sports club health promotion MOOC: the PROSCeSS MOOC. Health Promot Int 2023; 38:daad069. [PMID: 37432775 DOI: 10.1093/heapro/daad069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023] Open
Abstract
Acquisition of health promotion (HP) skills and knowledge is essential for interventions development in this field. In sports clubs (SC), little HP training exists even though it was requested by SC actors. In response, the PROSCeSS (PROmotion de la Santé au sein du Clubs SportifS) MOOC (Massive Open Online Course) was developed to support actors of HP in the SC in the development of HP interventions. The present study evaluates the MOOC's effectiveness and learning process. The RE-AIM framework, measuring reach, effectiveness, adoption, implementation and maintenance was used to structure this study. Surveys were sent before and after the MOOC to the 2814 learners. Among the 502 (18%) respondents to the pre-survey, 80% reported belonging to a SC as a coach (35%) or manager (25%). The 14% of pre-survey respondents who completed the post-survey increased their HP knowledge score by 42% and their confidence to implement HP actions by 6%. Results present the strategies considered most important and feasible by the learners and the main barriers to the implementation of HP actions in the SC. This study shows that MOOC appears to be an appealing (93% of learners were satisfied) and effective solution (as long as it is followed) to develop HP knowledge and skills of SC actors in HP, meeting their needs and constraints. Although improvements should be made (especially in terms of promoting adoption), this type of educational format should be encouraged to support the HP potential of SC.
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Affiliation(s)
| | | | - Stacey Johnson
- Institut de Cancérologie de l'Ouest, Nantes 44000, France
- UPR6312 LAHMESS, Université Côte d'Azur Nice 06000,, France
| | - Anne Vuillemin
- UPR6312 LAHMESS, Université Côte d'Azur Nice 06000,, France
| | | | | | | | - Aurélie Van Hoye
- UR4360 APEMAC, Université de Lorraine, Nancy 54000, France
- Physical Education and Sport Sciences Department, University of Limerick, Limerick V94T9PX, Ireland
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Van Hoye A, Geidne S, Vuillemin A, Dowd K, Glibo I, Heck S, Ibsen B, Johnson S, Kingsland M, Kokko S, Lane A, Ooms L, Overbye M, Woods C, Zeimers G, Whiting S, Winand M. Health promoting sports federations: theoretical foundations and guidelines. Front Public Health 2023; 11:1147899. [PMID: 37497027 PMCID: PMC10366374 DOI: 10.3389/fpubh.2023.1147899] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 06/22/2023] [Indexed: 07/28/2023] Open
Abstract
Background Researchers and policy-makers have highlighted that the potential for organized sports to promote health has been underexploited. Sports clubs have limited capacity to promote health due to their voluntary nature and have called for support from their national sports federations. The present article provides guidelines, based on the theoretical principles of health promoting sports clubs and an analysis of practical tools and proven strategies, to support national sports federations to invest in health promotion (HP). Methods A qualitative iterative study was undertaken, based on five 2-h meetings of a group of 15 international researchers in HP in sports clubs. Notes and minutes from meetings, as well as shared outputs were analyzed based on the health promoting sports club framework. Results Guidelines developed for national sports federations to promote health includes a definition of a health promoting sports federation (HPSF), a description of how the settings-based approach to HP adapts to national sports federations, as well as practical applications of health promoting sports club's intervention strategies. The analysis of existing tools also demonstrated that most tools are centered on a single dimension of health (social, mental, physical, spiritual or community), and often on a specific health topic. Furthermore, they do not cover HP as a continuous long-lasting process, but are generally short-term programs. The HPSF clarifies theoretical concepts, their practical implementation via case studies and outlines intervention components and tools useful for sports federations in their implementation of HP. Conclusion The guidelines developed in this study are intended to facilitate national sports federations to acknowledge/understand, reinforce/underpin and foster current and further investment in HP.
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Affiliation(s)
- Aurélie Van Hoye
- Physical Activity for Health Research Cluster, Health Research Institute,Physical Education and Sports Sciences Department, University of Limeric, Limerick, Ireland
| | - Susanna Geidne
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| | | | - Kieran Dowd
- SHE Research Group, Technological University of the Shannon, Athlone, Ireland
| | - Iva Glibo
- European Sport NGO Youth, Stockholm, Sweden
| | - Sandra Heck
- Ecole Nationale de l’Education Physique et des Sports (ENEPS), Luxembourg City, Luxembourg
| | | | - Stacey Johnson
- Department of Human and Social Sciences, Institut de Cancérologie de l’Ouest René Gauducheau, Saint-Herblain, Angers, France
| | | | - Sami Kokko
- Faculty of Sports and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Aoife Lane
- SHE Research Group, Technological University of the Shannon, Athlone, Ireland
| | | | - Marie Overbye
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
| | - Catherine Woods
- Physical Activity for Health Research Cluster, Health Research Institute,Physical Education and Sports Sciences Department, University of Limeric, Limerick, Ireland
| | - Geraldine Zeimers
- Louvain Research Institute in Management and Organization (LouRIM), Mor Sciences Faculty, UCLouvain, Louvain-la-Neuve, Belgium
| | - Stephen Whiting
- WHO European Office for the Prevention and Control of NCDs, Copenhagen, Denmark
| | - Mathieu Winand
- LUNEX International University of Health, Exercise and Sports, Differdange, Luxembourg
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Jenkins CL, Wills J, Sykes S. Settings for the development of health literacy: A conceptual review. Front Public Health 2023; 11:1105640. [PMID: 36875396 PMCID: PMC9978221 DOI: 10.3389/fpubh.2023.1105640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 01/31/2023] [Indexed: 02/18/2023] Open
Abstract
Advances in conceptualizing settings in health promotion include understanding settings as complex and interlinked systems with a core commitment to health and related outcomes such as health literacy. Traditional settings for the development of health literacy include health care environments and schools. There is a need to identify and conceptualize non-traditional and emerging settings of twenty-first-century everyday life. The aim of this conceptual review is to inform a conceptual model of a "non-traditional" setting for the development of health literacy. The model uses the example of the public library to propose four equity-focused antecedents required in a setting for the development of health literacy: the setting acknowledges the wider determinants of health, is open access, involves local communities in how it is run, and facilitates informed action for health. The review concludes that a settings approach to the development of health literacy can be conceptualized as part of a coordinated "supersetting approach," where multiple settings work in synergy with each other.
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Affiliation(s)
- Catherine L Jenkins
- Institute of Health and Social Care, London South Bank University, London, United Kingdom
| | - Jane Wills
- Institute of Health and Social Care, London South Bank University, London, United Kingdom
| | - Susie Sykes
- Institute of Health and Social Care, London South Bank University, London, United Kingdom
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Tezier B, Guillemin F, Vuillemin A, Johnson S, Lemonnier F, Rostan F, Van Hoye A. Development of a health-promoting sports club’s intervention in France applying participatory action research. Health Promot Int 2022; 37:6823576. [DOI: 10.1093/heapro/daac145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
The recognition of sports clubs (SC) as health-promoting settings is increasing, as well as the number of health promotion (HP) interventions implemented in this setting. However, minimal understanding of their development process and the persistent gap between theoretical knowledge and real-life practice is a major limitation to their implementation. This article describes a participatory research approach, implicating 29 stakeholders in sports and HP (6 HP researchers, 9 HP professionals, 6 representatives from regional and national sports organizations and 8 representatives from SC), leading to the co-construction of a health-promoting SC intervention. Stakeholders were mobilized through four stages: (i) analysis of effective programs, (ii) co-construction workshops, (iii) evaluation of relevance and acceptability, and (iv) beta-testing of a massive open online course (MOOC). A qualitative analysis was carried out on data collected through notetaking, recordings, transcripts, email exchanges and produced documents. This work led to the development of an HP intervention, including an MOOC, as well as a seven-step SC-tailored program. The convergence of theoretical knowledge and contextual real-life practice made it possible to respond to the specific needs and implementation problems encountered by SC actors and to develop acceptable strategies and tools.
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Affiliation(s)
- Benjamin Tezier
- APEMAC, Université de Lorraine , 54500 Vandoeuvre-lès-Nancy , France
| | - Francis Guillemin
- APEMAC, Université de Lorraine , 54500 Vandoeuvre-lès-Nancy , France
| | | | | | - Fabienne Lemonnier
- Department of Health Promotion, Santé Publique France , 94410 Saint-Maurice , France
| | - Florence Rostan
- Department of Health Promotion, Santé Publique France , 94410 Saint-Maurice , France
| | - Aurélie Van Hoye
- APEMAC, Université de Lorraine , 54500 Vandoeuvre-lès-Nancy , France
- PfAH (Physical Activity for Health) Research Cluster, University of Limerick , Limerick , Ireland
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Tezier B, Guillemin F, Vuillemin A, Johnson S, Lemonnier F, Rostan F, Van Hoye A. Evaluation of implementation and effects of a health-promoting sports club intervention using a mixed-method design: PROSCeSS protocol. BMJ Open Sport Exerc Med 2022; 8:e001444. [PMID: 36213761 PMCID: PMC9535210 DOI: 10.1136/bmjsem-2022-001444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2022] [Indexed: 11/07/2022] Open
Abstract
Public authorities and academics have advocated for applying been advocating for the application of the setting-based approach to sports clubs. However, studies have shown that existing health promotion (HP) interventions in sports clubs poorly understand and apply this approach. Moreover, methods used to evaluate these interventions do not inform their implementation process, limiting the generation effectiveness’ proofs. This study aims at evaluating the implementation process and effectiveness of an HP intervention in sports clubs (PROmotion de la Santé dans les ClubS de Spor; PROSCeSS), based on the health-promoting sports club (HPSC) model. A type 3 hybrid design, using a multiphase mixed-method: QUAN→QUAL→ QUAN+QUAL (qual)→QUAL (quan+qual), will be used. Phase A will be a pre–post–quantitative study with one HP officer, five managers and five coaches from 30 sports clubs exploring the effects of the PROSCeSS intervention on HP perceptions and health literacy. Phase B will be focus groups with participants from HP initiatives that the 30 sports clubs will have previously put in place to detect changes in health. Phase C will explain the results of phases A and B by choice of strategies and adherence to standardised steps, measured through semistructured interviews and implementation data collection. Phase D will cross-reference the semistructured interviews, the sports club characteristics questionnaire and the implementation data collection to study the relationships between the context and the implementation process. This protocol will identify ‘what works’, ‘for whom’, in ‘what context’ in terms of HPSC and clarify which intervention components are more effective at improving HP. This evaluation design will help to develop appropriate approaches to evaluate HP interventions.
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Affiliation(s)
| | | | - Anne Vuillemin
- LAHMESS, University of Côte d'Azur, Nice, Provence-Alpes-Côte d'Azu, France
| | - Stacey Johnson
- Institut de Cancérologie de l'Ouest, Saint Herblain, Pays de la Loire, France
| | | | | | - Aurélie Van Hoye
- APEMAC, University of Lorraine, Nancy, Grand Est, France,PAfH Research Center, Physical Education and Sport Sciences Department, University of Limerick, Limerick, Ireland
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Tan Q, Shao W. Investigation on Health Promotion by the Typical Sports for Teenagers with Self-Efficacy and Sports Commitment Questionnaires. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2021; 2021:8677182. [PMID: 34504540 PMCID: PMC8423539 DOI: 10.1155/2021/8677182] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 08/09/2021] [Indexed: 01/01/2023]
Abstract
This work studied the health promotion by the typical sports using self-efficacy and sports commitment questionnaires for 804 teenagers, who were from different interest-oriented sport classes. Five typical interest-oriented sport classes were selected due to the difference in sport characteristics: basketball, swimming, tennis, taekwondo, and archery. Statistical analyses, ANOVA analysis, and multiple comparisons (with least significant difference, LSD) were applied to the collected data. It has been found that boys and girls have similar self-efficacy of adolescent sports health. Adolescents' self-efficacy of sports health has significant differences among different sports items, where the basketball group scored the highest. Adolescents in the professional level have the highest self-efficacy of sports health, whereas the skillful level and beginner level have no significant difference. The male students are more enthusiastic and fond of sports than female students. There are significant differences between sports commitment and sports health of adolescents in different sports, where the basketball group scored the highest. Exercise induces higher score of sports commitment; however, no significant difference is observed for the skillful level and the beginner level. The significant positive correlation is found between sports health and self-efficacy and sports commitment, self-efficacy, and sports commitment. Besides, the role of self-efficacy is partial intermediary between sports health and sports commitment.
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Affiliation(s)
- Qiaoyin Tan
- College of Teacher Education, Zhejiang Normal University, Jinhua, Zhejiang 321004, China
| | - Weide Shao
- College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua, Zhejiang 321004, China
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Can Health-Enhancing Sporting Programs in Sports Clubs Lead to a Settings-Based Approach? An Exploratory Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18116082. [PMID: 34200013 PMCID: PMC8200194 DOI: 10.3390/ijerph18116082] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 05/31/2021] [Accepted: 06/01/2021] [Indexed: 02/06/2023]
Abstract
There is limited knowledge about how a settings-based approach can be best applied in a sports club setting. This qualitative exploratory study examined whether and how sporting programs focusing on individual behavior change (i.e., increasing physical activity levels of inactive people) and implemented on the micro-level of the sports club, can be a first step towards a settings-based approach (i.e., inclusion of the meso- and macro-level of the sports club). In addition, this study explored factors that influenced the inclusion of the meso- and macro-level of the sports club. Telephone interviews were conducted with representatives of sixteen sports clubs about program activities on all levels of the sports club. Thematic analyses were performed to explore stimulating and hindering factors. After multiple years, six sports clubs also had program activities on the meso-level and twelve sports clubs had activities on the macro-level. Program activities differed per level within a sports club and on the same level between sports clubs. Cultural and social factors influenced macro-level activities, while predominantly economic factors influenced meso-level activities. Based on these factors, sports clubs could develop, prioritize, and choose strategies that support them in developing a settings-based approach when increasing physical activity levels of inactive citizens.
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