1
|
Jeanes R, O’Connor J, Penney D, Spaaij R, Magee J, O’ Hara E, Lymbery L. A mixed-method analysis of the contribution of informal sport to public health in Australia. Health Promot Int 2024; 39:daae048. [PMID: 38809233 PMCID: PMC11135211 DOI: 10.1093/heapro/daae048] [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] [Indexed: 05/30/2024] Open
Abstract
Informal sport is a growth area of sport participation but there has been limited examination of how informal and unstructured forms of participation may contribute to health outcomes that are important for public health. This article aims to address the current lack of data examining the health outcomes associated with informal sport participation and consider the potential role of informal sport within efforts to promote healthier communities through sport. The article seeks to broaden understanding of how informal sport participation can contribute to health outcomes, particularly with regard to increasing physical activity and enhancing mental health and social connection. The article discusses the findings of an Australian mixed-method study that draws on observation, survey, interview and focus group data to examine the prospective health and social benefits of informal sport participation for adults. The findings demonstrate that informal sport participation can contribute to physical and mental health outcomes and facilitate social connection. Analysis of the observation data enabled an examination of the economic value of informal sport in relation to the health benefits it affords. The study provides valuable evidence of the value of informal sport for enhancing community health and broadens understanding of how sport can be utilized as a health promotion resource. The article concludes by suggesting that through leveraging existing infrastructure and the self-organizing aspects of informal sport, local government and health stakeholders can harness its potential to improve public health outcomes and address health inequities.
Collapse
Affiliation(s)
- Ruth Jeanes
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, McMahon’s Road, Frankston 3199, Victoria, Australia
| | - Justen O’Connor
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, McMahon’s Road, Frankston 3199, Victoria, Australia
| | - Dawn Penney
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, McMahon’s Road, Frankston 3199, Victoria, Australia
- School of Education, Edith Cowan University, 270 Joondalup Drive Joondalup, WA 6027, Australia
| | - Ramon Spaaij
- College of Sport, Health and Engineering, Victoria University, Nicholson & Buckley Streets, Footscray, 3011, Victoria, Australia
- School of Governance, Utrecht University, Bijlhouwerstraat 6 3511 ZC, Utrecht, The Netherlands
| | - Jonathan Magee
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, McMahon’s Road, Frankston 3199, Victoria, Australia
- School of Education, Edith Cowan University, 270 Joondalup Drive Joondalup, WA 6027, Australia
| | - Eibhlish O’ Hara
- School of Education, Edith Cowan University, 270 Joondalup Drive Joondalup, WA 6027, Australia
| | - Lisa Lymbery
- College of Sport, Health and Engineering, Victoria University, Nicholson & Buckley Streets, Footscray, 3011, Victoria, Australia
| |
Collapse
|
2
|
Tezier B, Van Hoye A, Vuillemin A, Lemonnier F, Rostan F, Guillemin F. Pilot study of a health promotion intervention in sports clubs. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2024; 36:7-22. [PMID: 38580468 DOI: 10.3917/spub.241.0007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
Abstract
Sports clubs (SCs) are an ideal setting for promoting health. However existing health promotion (HP) interventions in SCs mainly target a single health behavior and men who do sports, and evaluations of such interventions provides little information about their deployment. To overcome these limitations, the PROSCeSS intervention was co-constructed based on the theoretical model of the health-promoting SC and multi-level, multi-determinant health strategies. The aim of this pilot study was to evaluate the deployment of the PROSCeSS intervention and identify the factors influencing its deployment. A qualitative study, using recordings of meetings, email and telephone exchanges, and interviews with project leaders of fourteen SC, was carried out. Although a low number of SCs had completed the intervention, they all considered that they have a role to play in helping their members maintain good health. Their ability to develop HP activities and to implement the intervention was influenced by the resources available, the support they received from their sports federation, and the ability of each project leader to get involved in the intervention. The SCs that deployed the intervention implemented several strategies enabling them to integrate health into the organizational, social, economic, and environmental habits of the SCs and to develop new HP activities, such as adapted sports activity sessions and activities to teach members about first aid, nutrition, and good practices for warming up. This study highlights the importance of understanding the specificities of the contexts in which HP interventions are deployed. Having led to a reworking of the intervention steps and the development of an appropriate evaluation design, it also highlights the essential role of pilot studies in the development and evaluation of interventions.
Collapse
|
3
|
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.
Collapse
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
| | | | | | | | | |
Collapse
|
4
|
Van Hoye A, Regan C, Lane A, Vuillemin A, Woods C. Implementation of the GAA 'healthy clubs project' in Ireland: a qualitative study using the Consolidated Framework for Implementation Research. Health Promot Int 2024; 39:daad191. [PMID: 38243778 PMCID: PMC10799314 DOI: 10.1093/heapro/daad191] [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] [Indexed: 01/21/2024] Open
Abstract
The sports clubs' role in promoting health has been acknowledged by policy makers and researchers, but there is little evidence on how sports clubs implement health-related interventions. The present article investigates the Gaelic Athletic Association Healthy Club Project (HCP) implementation process (mechanisms, barriers, leverages) over a 10-year timeframe. A case study design helped to produce and compare a data synthesis for five clubs involved since 2013. A qualitative iterative data collection, including document analysis was conducted through 20 focus groups with Healthy Club Officers, coaches, participants and members. The Consolidated Framework for Implementation Research was used in the deductive analysis process, conducted by the first author. Results have shown the success of the HCP in placing health promotion on the agenda of sports clubs leading to informal policy for health promotion, even if activities and recognition are directed toward and coming from the community. This study also underlines the virtuous cycle of the settings-based approach in enhancing membership and volunteer recognition through health promotion actions, and the importance of social good and corporate social activities for sports clubs. Nevertheless, the HCP still relies on limited human resources, is not recognized by competitive oriented adult playing members. and acknowledged as a resource by some coaches, limiting its rootedness in the core business of sports clubs. Future research should empower the HCP community to focus on organizational changes and develop outcomes for individuals, for the club as a whole as well as for the local community.
Collapse
Affiliation(s)
- A Van Hoye
- Physical Activity for Health Research Centre, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, V94T9PX Limerick, Ireland
- UMR 1319 INSPIIRE, Université de Lorraine, 54600 Vandoeuvre-les-Nancy, France
| | - C Regan
- Community and Health Department, Gaelic Athletic Association, D03 P6K7 Dublin, Ireland
| | - A Lane
- SHE Research Group, Technological University of the Shannon, N37HD68 Athlone, Ireland
| | - A Vuillemin
- LAHMESS, Université Côte d’Azur, 06200 Nice, France
| | - C Woods
- Physical Activity for Health Research Centre, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, V94T9PX Limerick, Ireland
| |
Collapse
|
5
|
Heikkilä L, Korpelainen R, Aira T, Alanko L, Heinonen OJ, Kokko S, Parkkari J, Savonen K, Toivo K, Valtonen M, Vasankari T, Villberg J, Vanhala M. Is health promotion in sports clubs associated with adolescent participants' fruit and vegetable consumption? Eur J Public Health 2023; 33:1102-1108. [PMID: 37665763 PMCID: PMC10710333 DOI: 10.1093/eurpub/ckad158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Although sports clubs' potential for health promotion is acknowledged, research on whether they promote healthy eating is limited. We aimed to evaluate Finnish youth sports clubs' health promotion orientation, as well as associations between sports clubs' health promotion orientation, coaches' nutritional discussions and sports club participants' (SPs') fruit and/or vegetable consumption. METHODS The cross-sectional study included 554 SPs aged 14-16 years, 275 club officials and 311 coaches. Participants replied to questionnaires about sports clubs' health promotion and their own health behaviours, including dietary habits. Health promotion orientation was estimated using a Health Promoting Sports Club (HPSC) index (range 0-22) and nutritional discussions and fruit and/or vegetable consumption as frequencies. A mixed-effects multivariable logistic regression was used to analyse the associations. RESULTS Most sports clubs (69%) had a high health promotion orientation, but the variation between the clubs was wide (HPSC index range 5-21). SPs' daily fruit and/or vegetable consumption was associated with female gender [odds ratio (OR) 3.48, 95% confidence interval (CI) 2.23-5.42, P < 0.001], better self-rated health (OR 3.26, 95% CI 1.13-9.41, P = 0.03), higher average school grades (OR 1.67, 95% CI 1.04-2.67, P = 0.03), and SPs' responses that their coach had often discussed nutrition (OR 2.11, 95% CI 1.41-3.14, P < 0.001). CONCLUSION Although sports clubs' orientation towards health promotion was mostly high, it seems not to be enough to promote healthy eating among adolescent participants. Instead, coaches' nutritional discussions were associated with adolescents' fruit and/or vegetable consumption.
Collapse
Affiliation(s)
- Laura Heikkilä
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Oulu, Finland
- Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Raija Korpelainen
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Oulu, Finland
- Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Tuula Aira
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Lauri Alanko
- Sports Medicine Clinic, Foundation for Sports and Exercise Clinic, Helsinki, Finland
- Sports and Exercise Medicine Clinic, Central Finland Hospital Nova, Jyväskylä, Finland
| | - Olli J Heinonen
- Paavo Nurmi Centre & Unit for Physical Activity and Health, University of Turku, Turku, Finland
| | - Sami Kokko
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Jari Parkkari
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- Tampere Research Center of Sports Medicine, Tampere, Finland
| | - Kai Savonen
- Kuopio Research Institute of Exercise Medicine, Kuopio, Finland
- Department of Clinical Physiology and Nuclear Medicine, Science Service Center, Kuopio University Hospital, Kuopio, Finland
| | - Kerttu Toivo
- Tampere Research Center of Sports Medicine, Tampere, Finland
- UKK Institute of Health Promotion Research, Tampere, Finland
| | - Maarit Valtonen
- Finnish Institute of High Performance Sports KIHU, Jyväskylä, Finland
| | - Tommi Vasankari
- UKK Institute of Health Promotion Research, Tampere, Finland
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Jari Villberg
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Marja Vanhala
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Oulu, Finland
- Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| |
Collapse
|
6
|
Chrétien A, D’arripe-Longueville F, Haffner K, Hayotte M, Bernier M, Vuillemin A. Using a socioecological approach to explore healthy lifestyle in elite sport: a qualitative study of French athletes', coaches', and managers' perspectives. Int J Qual Stud Health Well-being 2023; 18:2251235. [PMID: 37674351 PMCID: PMC10599688 DOI: 10.1080/17482631.2023.2251235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 08/18/2023] [Indexed: 09/08/2023] Open
Abstract
Elite athletes are continually subjected to a range of constraints specific to high performance, and these can have a negative impact on their health. Although many studies have explored the individual factors related to risky behaviours and disorders in elite sport contexts, few have focused on health promotion. Consequently, the interpersonal, institutional, and policy factors of the health-related behaviours of elite athletes are still poorly explored. Based on the socioecological model, this study aimed to identify the factors involved in the health-related lifestyle of elite athletes. Semi-structured interviews were conducted with 45 participants: athletes (N = 32), their coaches (N = 6) and the managers of elite sport centres (N = 7). Both deductive and inductive thematic analyses were performed. Our results highlight the views of the actors. Regarding intrapersonal factors, resilience qualities and health literacy appeared as key factors in influencing the health-related lifestyle of elite athletes. At the interpersonal level, parents and coaches emerged as the main sources of educational support. Regarding institutional factors, the health policies of the elite sport centres were key factors in supporting the athletes' healthy lifestyle. These results encourage the development of health promotion programs at different levels of intervention.
Collapse
Affiliation(s)
- Aurélia Chrétien
- Graduate School of Health Science Ecosystems, Université Côté d'Azur, LAMHESS, Nice, France
| | | | - Kevin Haffner
- Faculté des Sciences du Sport et de l’éducation, Université de Bretagne Occidentale, CREAD, Brest, France
| | - Meggy Hayotte
- Graduate School of Health Science Ecosystems, Université Côté d'Azur, LAMHESS, Nice, France
| | - Marjorie Bernier
- Faculté des Sciences du Sport et de l’éducation, Université de Bretagne Occidentale, CREAD, Brest, France
| | - Anne Vuillemin
- Graduate School of Health Science Ecosystems, Université Côté d'Azur, LAMHESS, Nice, France
| |
Collapse
|
7
|
Lim ASX, Schweickle MJ, Liddelow C, Liddle SK, Vella SA. Process evaluations of health-promotion interventions in sports settings: a systematic review. Health Promot Int 2023; 38:daad114. [PMID: 37721373 PMCID: PMC10506172 DOI: 10.1093/heapro/daad114] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/19/2023] Open
Abstract
Sports settings have been identified as an ideal place to conduct complex multi-level health-promotion interventions, with the potential to engage a broad audience. Whilst the benefits of delivering health-promotion interventions in sports settings are well documented, such interventions' real-world implementation and success must be better understood. Process evaluations can be conducted to provide information related to an intervention's fidelity, replication, scaling, adoption, and the underlying mechanisms driving outcomes. This systematic review summarizes how process evaluations of health-promotion interventions are conducted in sports settings and highlight facilitators and barriers to health-promotion intervention delivery using narrative synthesis. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, searches included original peer-reviewed articles from inception-January 2023. We searched eight electronic databases: Academic Search Complete; MEDLINE, PsycARTICLES; PsycINFO; SPORTSDiscus with Full Text; MEDLINE; SCOPUS; Pub Med, and Pro Quest Central. Thirty-two studies were included. Findings suggest that most process evaluations of health-promotion interventions have acknowledged the inherent complexity of sports settings, and investigated factors that explain their intervention's success (e.g. trust building, engagement). However, poor use of process evaluation frameworks or guidelines resulted in wide variations of how process evaluations are conducted and reported, which made findings difficult to integrate and standardize with consistency. Accordingly, this review provides a guide on how future process evaluations can be conducted to improve health-promotion interventions' transparency, replicability and reliability in real-world settings.
Collapse
Affiliation(s)
- Angie S X Lim
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Northfields Avenue, Wollongong, New South Wales, 2522, Australia
| | - Matthew J Schweickle
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Northfields Avenue, Wollongong, New South Wales, 2522, Australia
| | - Caitlin Liddelow
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Northfields Avenue, Wollongong, New South Wales, 2522, Australia
| | - Sarah K Liddle
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton, Victoria, 3800, Australia
| | - Stewart A Vella
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Northfields Avenue, Wollongong, New South Wales, 2522, Australia
| |
Collapse
|
8
|
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.
Collapse
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
| |
Collapse
|
9
|
Prowse R, Lawlor N, Powell R, Neumann EM. Creating healthy food environments in recreation and sport settings using choice architecture: a scoping review. Health Promot Int 2023; 38:daad098. [PMID: 37705493 PMCID: PMC10500220 DOI: 10.1093/heapro/daad098] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/15/2023] Open
Abstract
Recreation and sport settings (RSS) are ideal for health promotion, however, they often promote unhealthy eating. Choice architecture, a strategy to nudge consumers towards healthier options, has not been comprehensively reviewed in RSS and indicators for setting-based multi-level, multi-component healthy eating interventions in RSS are lacking. This scoping review aimed to generate healthy food environment indicators for RSS by reviewing peer-reviewed and grey literature evidence mapped onto an adapted choice architecture framework. One hundred thirty-two documents were included in a systematic search after screening. Data were extracted and coded, first, according to Canada's dietary guideline key messages, and were, second, mapped onto a choice architecture framework with eight nudging strategies (profile, portion, pricing, promotion, picks, priming, place and proximity) plus two multi-level factors (policy and people). We collated data to identify overarching guiding principles. We identified numerous indicators related to foods, water, sugary beverages, food marketing and sponsorship. There were four cross-cutting guiding principles: (i) healthy food and beverages are available, (ii) the pricing and placement of food and beverages favours healthy options, (iii) promotional messages related to food and beverages supports healthy eating and (iv) RSS are committed to supporting healthy eating and healthy food environments. The findings can be used to design nested, multipronged healthy food environment interventions. Future research is needed to test and systematically review the effectiveness of healthy eating interventions to identify the most promising indicators for setting-based health promotion in RSS.
Collapse
Affiliation(s)
- Rachel Prowse
- Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Philip Drive, St. John's NL A1B 3V6, Canada
| | - Natasha Lawlor
- Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Philip Drive, St. John's NL A1B 3V6, Canada
| | - Rachael Powell
- Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Philip Drive, St. John's NL A1B 3V6, Canada
| | - Eva-Marie Neumann
- Library Services Division, Health Canada, Jeanne Mance Building, 200 Eglantine Driveway, Tunney’s Pasture, Ottawa, ON K1A 0K9, Canada
| |
Collapse
|
10
|
O’Riordan C, Savage E, Newell M, Flaherty G, Hartigan MSc I. Cardiovascular Disease Risk Factor Profile of Experienced Male Amateur Marathon Runners: A Systematic Review. Sports Health 2023; 15:661-672. [PMID: 37249222 PMCID: PMC10467474 DOI: 10.1177/19417381231176534] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
CONTEXT Male amateur marathon runners represent a unique subset of the population who may be at increased risk of cardiovascular disease (CVD) due to their underlying risk factors and their involvement in vigorous exercise such as marathon running. OBJECTIVE To assess the modifiable risk factors (MRFs) of CVD in experienced male amateur marathon runners and health interventions on CVD risk factors. DATA SOURCES CINAHL, Cochrane Library, Embase, Medline, and SPORTDiscus. STUDY SELECTION Studies selected according to the inclusion criteria. STUDY DESIGN Systematic review. LEVEL OF EVIDENCE Level 3. DATA EXTRACTION The publication dates included were from June 1, 2008 to February 29, 2020.Published primary epidemiological, observational, randomized controlled trial (RCT) and/or non-RCT studies assessing the MRFs of CVD and health interventions on CVD risk factors in male amateur marathon runners aged ≥18 years and written in the English language were included in the review. RESULTS Five studies met the inclusion criteria for analysis. These included male amateur marathon runners (n = 862), aged 42 to 77 years. Hypertension, hyperlipidemia, smoking, and alcohol use were MRFs positively associated with an increased risk of coronary atherosclerosis found in a subset of male marathon runners. No studies examined health interventions on CVD risk factors in any of the included studies. All 5 studies were of good quality from the National Heart, Lung, and Blood Institute quality assessment tools used. The risk of bias was low to moderate. CONCLUSION There is a paucity of observational studies evaluating the CVD MRFs. Negative lifestyle behaviors exist within this population despite their engagement in physical exercise through marathon running. Marathon running does not negate the long-term effects caused by past negative lifestyle behaviors. This systematic review identifies that this population may not be aware of their possible risk of atherosclerosis and, consequently, CVD.
Collapse
Affiliation(s)
- Catherine O’Riordan
- School of Nursing and Midwifery, University College Cork, Ireland
- National Institute for Prevention and Cardiovascular Health, Croí Heart and Stroke Centre, Newcastle, Galway, Ireland
| | - Eileen Savage
- School of Nursing and Midwifery, University College Cork, Ireland
| | - Micheál Newell
- School of Medicine, University of Galway, Ireland
- National Institute for Prevention and Cardiovascular Health, Croí Heart and Stroke Centre, Newcastle, Galway, Ireland
| | - Gerard Flaherty
- School of Medicine, University of Galway, Ireland
- National Institute for Prevention and Cardiovascular Health, Croí Heart and Stroke Centre, Newcastle, Galway, Ireland
| | | |
Collapse
|
11
|
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.
Collapse
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
| |
Collapse
|
12
|
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.
Collapse
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
| |
Collapse
|
13
|
Jackman PC, Lane A, Allen-Collinson J, Henderson H. Older adults' and service providers' experiences of a settings-based health promotion initiative in English football. Health Promot Int 2023; 38:daad027. [PMID: 37339012 PMCID: PMC10797665 DOI: 10.1093/heapro/daad027] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/22/2023] Open
Abstract
The study was undertaken to explore the experiences of older adults and service providers in a settings-based health promotion initiative in a football club. We conducted semi-structured interviews with 10 older adults attending an 'Extra Time Hub' (ETH) and two staff delivering the initiative. Our reflexive thematic analysis generated six themes. Findings revealed the brand of the sports club attracted some to join the ETH, but through partnerships with local agencies, the initiative was also successful in widening participation beyond older adults with an interest in football. Participants perceived that the ETH was beneficial for their mental health, helped them develop social connections, and promoted positive physical activity experiences. Moreover, the variety of pleasures derived from participation were also discussed. Our findings also illustrate the central role of staff in older adults' experiences of this form of health promotion. Overall, this study contributes to understandings of settings-based health promotion activities in sports clubs, and also demonstrates the potential for sports clubs to widen engagement with the local community through health promotion for older adults.
Collapse
Affiliation(s)
- Patricia C Jackman
- School of Sport and Exercise Science, University of Lincoln, Lincoln, UK
| | - Aoife Lane
- Department of Sport and Health Sciences, Technological University of the Shannon, Athlone, Ireland
| | | | - Hannah Henderson
- School of Sport and Exercise Science, University of Lincoln, Lincoln, UK
| |
Collapse
|
14
|
van Nassau F, Huis A, van de Glind I, Andersen E, Bunn C, Gray CM, Hunt K, Jelsma JGM, van Mechelen W, Morgan H, Røynesdal Ø, Pereira HV, van der Ploeg HP, Roberts GC, Silva MN, Sørensen M, Wyke S, Nijhuis-van der Sanden MWG, van Achterberg T. Factors influencing the implementation of the EuroFIT lifestyle change program in professional football clubs in Europe: a qualitative study in four European countries. Transl Behav Med 2023; 13:212-225. [PMID: 36694360 PMCID: PMC10105865 DOI: 10.1093/tbm/ibac100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
This paper investigated facilitators and barriers to implementing the European Football Fans in Training program (EuroFIT) in professional sports clubs in England, the Netherlands, Norway, and Portugal. We analyzed qualitative data collected at clubs that delivered EuroFIT, based on semi-structured interviews with coordinating staff (n = 15), coaches (n = 16), and focus group interviews with participants (n = 108), as well as data from clubs that considered delivering EuroFIT in the future, based on interviews with staff (n = 7) and stakeholders (n = 8). Facilitators for implementation related to the content and structure of the program, its evidence-base, and the context for delivery in the football stadia. Financial and human resources were both facilitators and barriers. Further barriers were mostly practical, relating to human resources and infrastructure. Major differences between countries related to experience and commitment to running community projects, and differences in infrastructure, financing, and human resources. Professional football clubs' ability to support health promotion efforts depended on their ethos and the financial and human resources available to them. Overall, the EuroFIT program was well received by clubs, coaches, participants, and stakeholders, which was reflected by the many facilitators supporting sustained implementation. For sustainable implementation, it is crucial that clubs and their stakeholders engage fully with the EuroFIT program and understand that for an adequate program delivery their views (ethos) and ways of working influence the implementation and thereby the effectiveness of EuroFIT. An important prerequisite for future roll out of EuroFIT would be a strong EuroFIT delivery partner organization to ensure financial and human resources while overseeing and guiding the quality of delivery in clubs.
Collapse
Affiliation(s)
- Femke van Nassau
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Anita Huis
- Radboud Institute for Health Sciences, Radboud University Medical Center, IQ Healthcare, Nijmegen, The Netherlands
| | - Irene van de Glind
- Radboud Institute for Health Sciences, Radboud University Medical Center, IQ Healthcare, Nijmegen, The Netherlands
| | - Eivind Andersen
- Department of Sport and Social Sciences, NSSS, Institute for Sport and Social Sciences, Oslo, Norway
| | - Christopher Bunn
- School of Social and Political Sciences, University of Glasgow, Glasgow, UK
| | - Cindy M Gray
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Kate Hunt
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.,Institute for Social Marketing and Health, University of Stirling, Stirling, UK
| | - Judith G M Jelsma
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Willem van Mechelen
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Heather Morgan
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
| | - Øystein Røynesdal
- Department of Sport and Social Sciences, NSSS, Institute for Sport and Social Sciences, Oslo, Norway.,Department of Teacher Education, NLA University College, Bergen, Norway.,Department of Coaching and Psychology, Norwegian School of Sport Sciences, Oslo, Norway
| | - Hugo V Pereira
- CIDEFES Faculdade de Educação Física e Desporto, Universidade Lusófona, Lisbon, Portugal.,Faculdade de Motricidade Humana, Centro Interdisciplinar para o Estudo da Performance Humana (CIPER), Universidade de Lisboa, Lisbon, Portugal
| | - Hidde P van der Ploeg
- Department of Public and Occupational Health and Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Glyn C Roberts
- Department of Sport and Social Sciences, NSSS, Institute for Sport and Social Sciences, Oslo, Norway
| | - Marlene N Silva
- CIDEFES Faculdade de Educação Física e Desporto, Universidade Lusófona, Lisbon, Portugal.,Faculdade de Motricidade Humana, Centro Interdisciplinar para o Estudo da Performance Humana (CIPER), Universidade de Lisboa, Lisbon, Portugal
| | - Marit Sørensen
- Department of Sport and Social Sciences, NSSS, Institute for Sport and Social Sciences, Oslo, Norway
| | - Sally Wyke
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | | | - Theo van Achterberg
- Department of Public Health and Primary Care, KU Leuven, Academic Centre for Nursing and Midwifery, Leuven, Belgium
| |
Collapse
|
15
|
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.
Collapse
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
| |
Collapse
|
16
|
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.
Collapse
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
| |
Collapse
|
17
|
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.
Collapse
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
| |
Collapse
|
18
|
Tataw D, Kim SH. Antisocial Behavior and Attitudes Towards Antisocial Behavior after a Five-Year Municipal Youth and Family Master Plan in Pomona, California, USA. SOCIAL WORK IN PUBLIC HEALTH 2022; 37:655-678. [PMID: 35642340 DOI: 10.1080/19371918.2022.2072037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Within an integrated conceptual framework made up of social cognitive theory, theory of fundamental causes, and the risk and protective factor approach, we assess reported antisocial behavior and favorable attitudes toward antisocial behavior among youths and parents in a high-school sample after the implementation of a Youth and Family Master Plan in Pomona, California, USA from 2005 to 2009. We perform z tests for same students (8th grade 2005 and 12th grade 2009), same grade (8th,10th, and 12th grade), inter-grade, same year, and overall, 2005 to 2009 comparisons for Pomona, Los Angeles, and US national samples. It was hypothesized that after five years of implementation, Pomona Youth and Family Master Plan (PYFMP) activities will reduce antisocial behavior and favorable parental and youth attitudes toward antisocial behavior. Within a p-value of 05, z-test results show a decline in youth antisocial behavior among youths in the Pomona sample. Patterns in youth antisocial behavior were not consistent with youth favorable attitudes toward antisocial behavior but were consistent with perceived parental favorable attitudes toward antisocial behavior. Though youth favorable attitudes toward antisocial behavior were generally rising within the Pomona data, when compared to the rates of change in Los Angeles and US, Pomona rates of change were lower. Intra and inter jurisdictional patterns above could be attributed to the community multicomponent interventions of the PYFMP. They also align with assumptions and explanations offered in the integrated conceptual framework, which suggest a mediating role for environmental factors.
Collapse
Affiliation(s)
- David Tataw
- School of Allied Health, College of Health and Human Services, Northern Kentucky University, Highland Heights, Kentucky, USA
| | - Suk-Hee Kim
- School of Social Work, College of Health and Human Services, Northern Kentucky University, USA
| |
Collapse
|
19
|
O'Connor J, Jeanes R, Denison E, Lambert K, Bevan N. Examining Pride Cups as a health promotion resource to address homophobia in Australian men's sport. Health Promot Int 2022; 37:6722676. [PMID: 36166266 DOI: 10.1093/heapro/daac093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Effective interventions are needed to stop homophobic behaviours in sport settings as these behaviours are associated with negative health and social outcomes for individuals who identify as Lesbian, Gay, Bisexual, Transgender, Queer or other diverse genders and sexualities. This paper reports the results of a quasi-experimental study commissioned by a public health agency to explore the benefits of a novel intervention that has been widely adopted by Australian community sport clubs. The 'Pride Cup' intervention includes education for club leaders, sport participants and the hosting of a rainbow-themed 'pride game'. Survey responses of male participants from six randomly selected sport clubs which had received the intervention (n = 148) were compared to responses (n = 137) from six randomly selected comparison clubs (Australian Football, cricket, field hockey, roller derby). Employing a post-test-only design, the study explored differences in homophobic attitudes, behaviours and individual efficacy to react negatively to homophobic behaviours. The study found significant differences (p < 0.001) in self-reported use of homophobic slurs (e.g. fag) in the last 2 weeks by participants in the treatment (11%) versus comparison (31.8%) clubs, and significant differences in the perceived use of these slurs by teammates (25.9% vs. 56.6%) or coaches (7.8% vs. 23.3%). There were also significant differences in efficacy scores, but no differences in homophobic attitudes. These results, combined with evidence of community-driven adoption, support the allocation of public health resources to conduct larger scale trials using pre/post designs to confirm these findings.
Collapse
Affiliation(s)
- Justen O'Connor
- Faculty of Education, Monash University, Clayton, Victoria 3800, Australia
| | - Ruth Jeanes
- Faculty of Education, Monash University, Clayton, Victoria 3800, Australia
| | - Erik Denison
- Faculty of Arts, Monash University, Clayton, Victoria 3800, Australia
| | - Karen Lambert
- Faculty of Education, Monash University, Clayton, Victoria 3800, Australia
| | - Nadia Bevan
- Faculty of Arts, Monash University, Clayton, Victoria 3800, Australia
| |
Collapse
|
20
|
Johnson S, Vuillemin A, Lane A, Dowd K, Geidne S, Kokko S, Donaldson A, Seghers J, Whiting S, Van Hoye A. Development of the health promoting sports club-national audit tool. Eur J Public Health 2022; 32:i28-i37. [PMID: 36031823 PMCID: PMC9421409 DOI: 10.1093/eurpub/ckac072] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background Sports clubs have requested support from national governing authorities to invest in health promotion (HP), by developing policies, guidelines and dedicated funding. This article outlines the development of a national audit tool to review policies development and implementation to support HP in sports clubs. Methods A five-step process was undertaken by an international project team: (i) a rapid literature review to identify items assessing policies in physical activity, HP and sports, (ii) a thematic analysis to categorize items, (iii) a Delphi method to analyze item relevance, country specificity, reformulation, validation and organization, (iv) face validity through an online survey and in-depth interviews with expert representatives on physical activity and sports and (v) audit tool finalization though project team consensus. Results Eight sources were reviewed with 269 items identified. Items were coded into 25 categories with 3 broad themes: policies, actors and settings-based approach. The Delphi study extracted and refined 50 items and categorized them into 10 sections. After revisions from 22 surveys and 8 interviews, consensus was reached by the international project team on 41 items categorized into 11 sections: Role of ministry or department; Policies; Communication; Implementation and Dissemination; Evaluation and Measurement methods; Sub-national-level policies; Funding and Coordination; Participative approach; Actors and Stakeholders; National sporting events; Case studies and Implicated stakeholders. Conclusion To progress HP in the sports club context it is necessary to understand existing national-level policies. This national audit tool will aid in monitoring and assessing national policies for health promoting sports clubs.
Collapse
Affiliation(s)
| | | | - Aoife Lane
- Technological University of the Shannon, Athlone, Ireland
| | - Kieran Dowd
- Technological University of the Shannon, Athlone, Ireland
| | - Susanna Geidne
- School of Health Sciences, Örebro University, Örebro, Sweden
| | - Sami Kokko
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Australia
| | - Jan Seghers
- Department of Movement Sciences, KU Leuven, Leuven, Belgium
| | - Stephen Whiting
- WHO European Office for Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| | - Aurélie Van Hoye
- Université de Lorraine, APEMAC, Nancy, France.,Physical Education and Sport Sciences Department, University of Limerick, Ireland
| |
Collapse
|
21
|
Wang M, Li L. Research and Implementation of Distributed Computing Management System for College Students' Sports Health Based on Integrated Regional Collaborative Medical Care. Occup Ther Int 2022; 2022:9306200. [PMID: 35655945 PMCID: PMC9132689 DOI: 10.1155/2022/9306200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 04/23/2022] [Accepted: 04/27/2022] [Indexed: 11/23/2022] Open
Abstract
This paper constructs and applies a university student sports health management system through the theory of integrated regional collaborative medical care and distributed computing technology. Firstly, it analyzes the current situation and problems of cross-regional medical care, the root causes, and the corresponding business scenarios, reflecting the development trend of cross-regional medical care, in the light of the current practical needs of cross-regional medical care. In response to the strong demand for cross-regional medical care, this paper gives the overall design of the distributed computing system, for the deployment and architecture of the cross-regional platform; the registration of cross-regional patients, regional platforms, and health events and documents; and data exchange, service integration, and process integration, etc. The corresponding design is given. The research was conducted on several medical institutions to refine the functional requirements for the construction of the regional collaborative medical platform, and the requirements were analyzed to present the research results of the collaborative medical project. Based on this, requirements were made for the preparation of the project construction data center and medical institutions, and the remote consultation and two-way referral modules of the distributed collaborative medical platform were designed, which are processed and analyzed through a system composed of multiple servers. The results are returned to the user, and the design results were tested for functionality, compatibility, security, and other usability tests. The necessity and feasibility of the college physical health test data platform were analyzed. Students have various needs for physical test data management, the necessity of designing the college physical health test data platform, and the feasibility of the college physical health test data platform in terms of technical means, theoretical basis, and social environment.
Collapse
Affiliation(s)
- Mian Wang
- School of Science and Technology, Nanchang University, Jiangxi 330006, China
| | - Lijuan Li
- Sports Institute, Nanchang University, Jiangxi 330006, China
| |
Collapse
|
22
|
|
23
|
Exploring the provision and motives behind the adoption of health-promotion programmes in professional football clubs across four European countries. PLoS One 2021; 16:e0259458. [PMID: 34797842 PMCID: PMC8604315 DOI: 10.1371/journal.pone.0259458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 10/19/2021] [Indexed: 11/19/2022] Open
Abstract
This study mapped existing health-promotion provisions targeting adults in professional football clubs across England, the Netherlands, Norway, and Portugal, and explored motives behind the clubs’ adoption of the European Fans in Training (EuroFIT) programme. We surveyed top-tier football clubs in the four countries and interviewed representatives from football clubs and the clubs’ charitable foundation who delivered EuroFIT. The findings showed large between-country differences, with football clubs in England reporting far greater healthy lifestyle provision than other countries. Relatively few health-promotion programmes targeted adults, particularly in the Netherlands, Portugal, and Norway. Club representatives reported that the motives for adopting the EuroFIT programme often involved adhering to both the social objectives of the football club or club’s foundation and business-related objectives. They viewed the scientific evidence and evaluation underpinning EuroFIT as helpful in demonstrating the value and potential future impact of both the programme and the clubs’ wider corporate social responsibility provision.
Collapse
|
24
|
Geidne S, Van Hoye A. Health Promotion in Sport, through Sport, as an Outcome of Sport, or Health-Promoting Sport-What Is the Difference? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179045. [PMID: 34501633 PMCID: PMC8430460 DOI: 10.3390/ijerph18179045] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Accepted: 08/24/2021] [Indexed: 01/14/2023]
Abstract
What do we currently know about the relationship between health promotion and sport in research [...].
Collapse
Affiliation(s)
- Susanna Geidne
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, SE-701 82 Örebro, Sweden
- Correspondence:
| | - Aurélie Van Hoye
- APEMAC, University of Lorraine, Villers-lès-Nancy, 54600 Nancy, France;
| |
Collapse
|
25
|
Van Hoye A, Johnson S, Geidne S, Donaldson A, Rostan F, Lemonnier F, Vuillemin A. The health promoting sports club model: an intervention planning framework. Health Promot Int 2021; 36:811-823. [PMID: 33111939 DOI: 10.1093/heapro/daaa093] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
Researchers and policymakers acknowledge sports clubs (SCs) as health promoting settings. Limited research links the health promoting sports club (HPSC) concept with evidence-driven strategies to provide SCs guidance to develop health promotion (HP) interventions. As implementation science insists on theoretically grounded interventions, the present work's objective was to provide SCs an evidence-driven intervention framework for planning, developing and implementing HP initiatives. Four iteratively sequenced steps were undertaken: (i) investigation of 'health promoting' indicators, (ii) adaptation of the HPSC concept to create the HPSC model, (iii) formulation of published evidence-driven guidelines into strategies and implementable intervention components (ICs) and (iv) merging the HPSC model with the ICs to create an intervention planning framework for SCs. First, researchers drafted five HPSC indicators. Second, they defined three SC levels (macro, meso and micro) and four health determinants (organizational, environmental, economic and social) to create an HPSC model. Third, researchers used published guidelines to develop 14 strategies with 55 ICs. Fourth, three workshops (one each with French master-level sport students, French sport and health professionals and Swedish sport and health professionals) had participants classify the ICs into the model. The HPSC model and intervention framework are starting points to plan, select and deliver interventions to increase SC HP. This planning framework is usable in several ways: (i) clubs can apply strategies to achieve specific goals, (ii) clubs can target specific levels with corresponding ICs and (iii) ICs can be used to address particular health determinants.
Collapse
Affiliation(s)
- Aurélie Van Hoye
- University of Lorraine, APEMAC, 30 rue du Jardin Botanique, CS 30156, 54600 Villers-lès-Nancy, France
| | | | - Susanna Geidne
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro SE-701 82, Sweden
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Plenty Road, Bundoora, Victoria 3086, Australia
| | - Florence Rostan
- Santé publique France, 12 rue du Val-d'Osne, 94415 Saint-Maurice Cedex, France
| | - Fabienne Lemonnier
- Santé publique France, 12 rue du Val-d'Osne, 94415 Saint-Maurice Cedex, France
| | | |
Collapse
|
26
|
Lozano-Sufrategui L, Pringle A, Zwolinsky S, Drew KJ. Professional football clubs' involvement in health promotion in Spain: an audit of current practices. Health Promot Int 2021; 35:994-1004. [PMID: 31539049 DOI: 10.1093/heapro/daz097] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The implementation of effective community-based health interventions within Spanish football clubs has the potential to positively influence the public health agenda and enable the healthcare system in Spain to be more successful and sustainable. This paper aims to explore the involvement of Spanish football clubs in health promotion activities, their potential for future involvement and what that would require. A mixed methods explanatory sequential design, with a purposive sample of La Liga clubs. Data collection included online questionnaires and phone interviews. Quantitative methods enabled us to describe the number and types of programmes the clubs are currently involved in. Qualitative data was useful to further unpick the processes followed by the clubs in planning and developing health promotion programmes, while identifying any determinants to change. Seventeen clubs completed questionnaires and 11 participated in interviews. Clubs generally support inclusive programmes that target disadvantaged groups. Health-related programmes focus on healthy eating, physical activity and blood donation. Thematic analysis of interviews with 11 representatives of La Liga clubs resulted in three-key themes. These related to: (i) Diversity of programmes; (ii) (Lack of) evidence-based approaches to intervention design and evaluation and (iii) Contrasting views about a club's role in health promotion interventions. Spanish football clubs have potential to reach into communities that are currently underserved. However, there is limited infrastructure and understanding within the clubs to do this. Nevertheless, there is huge opportunity for organizations with public health responsibility in Spain to implement translational approaches within football-based settings.
Collapse
Affiliation(s)
| | - Andy Pringle
- Active Lifestyles, Carnegie School of Sport, Leeds Beckett University, Leeds LS6 3QS, UK
| | - Stephen Zwolinsky
- Active Lifestyles, Carnegie School of Sport, Leeds Beckett University, Leeds LS6 3QS, UK
| | - Kevin J Drew
- Active Lifestyles, Carnegie School of Sport, Leeds Beckett University, Leeds LS6 3QS, UK
| |
Collapse
|
27
|
Youth Perspectives on What Makes a Sports Club a Health-Promoting Setting-Viewed through a Salutogenic Settings-Based Lens. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147704. [PMID: 34300153 PMCID: PMC8307637 DOI: 10.3390/ijerph18147704] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 07/17/2021] [Accepted: 07/18/2021] [Indexed: 12/23/2022]
Abstract
Sports participation has the potential to contribute to young people’s health. A prerequisite for young people to benefit from sports is that they stay in sports. Studies that consider both personal and contextual factors are needed to unpack the broader health-promoting potential of youth sports. The purpose of the study is to contribute to knowledge about the health-promoting potential of young people’s participation in organized sports by exploring youth perspectives on what makes a sports club health-promoting with a focus on health resources that young people consider important for sports club participation. For this cross-sectional study a brief survey was conducted with 15–16 year old students (n = 123) at two schools in Sweden, asking three open-ended questions about their participation in sports. The study used a salutogenic theory-driven analysis in combination with statistical analysis. Five health resources that young people consider important for sports club participation are revealed. On an individual, more ‘swimmer’-related level, these are personal well-being and social relations, including relationally meaningful activities, and on an organizational level, relating to the ‘river’, that sports clubs offer a supportive and well-functioning environment. For sports clubs to be health-promoting settings for young people and thus hopefully to reduce drop-out, we need a more sustainable approach emphasizing drop-in, drop-through, and drop-over as a continuous iterative process. We also need to consider the complexity of sports participation for young people, involving individual, organizational and environmental issues.
Collapse
|
28
|
Donaldson A, Staley K, Cameron M, Dowling S, Randle E, O’Halloran P, McNeil N, Stukas A, Nicholson M. The Challenges of Partnering to Promote Health through Sport. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18137193. [PMID: 34281130 PMCID: PMC8297032 DOI: 10.3390/ijerph18137193] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 06/25/2021] [Accepted: 06/29/2021] [Indexed: 11/16/2022]
Abstract
Interagency partnerships and collaborations underpin a settings-based approach to health promotion in all settings, including sport. This study used an online concept mapping approach to explore the challenges that Regional Sports Assemblies (RSAs) in Victoria, Australia experienced when working in partnerships to develop and deliver physical activity programs in a community sport context. Participants from nine RSAs brainstormed 46 unique partnership-related challenges that they then sorted into groups based on similarity of meaning and rated for importance and capacity to manage (6-point scale; 0 = least, 5 = most). A six cluster map (number of statements in cluster, mean cluster importance and capacity ratings)—Co-design for regional areas (4, 4.22, 2.51); Financial resources (3, 4.00, 2.32); Localised delivery challenges (4, 3.72, 2.33); Challenges implementing existing State Sporting Association (SSA) products (9, 3.58, 2.23); Working with clubs (8, 3.43, 2.99); and Partnership engagement (18, 3.23, 2.95)—was considered the most appropriate interpretation of the sorted data. The most important challenge was Lack of volunteer time (4.56). Partnerships to implement health promotion initiatives in sports settings involve multiple challenges, particularly for regional sport organisations working in partnership with community sport clubs with limited human and financial resources, to implement programs developed by national or state-based organisations.
Collapse
Affiliation(s)
- Alex Donaldson
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
- Correspondence:
| | - Kiera Staley
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
| | - Matthew Cameron
- Victorian Health Promotion Foundation (VicHealth), West Melbourne, VIC 3003, Australia; (M.C.); (S.D.)
| | - Sarah Dowling
- Victorian Health Promotion Foundation (VicHealth), West Melbourne, VIC 3003, Australia; (M.C.); (S.D.)
| | - Erica Randle
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
| | - Paul O’Halloran
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
- School of Psychology and Public Health, La Trobe University, Bundoora, VIC 3086, Australia
| | - Nicola McNeil
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
| | - Arthur Stukas
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
- School of Psychology and Public Health, La Trobe University, Bundoora, VIC 3086, Australia
| | - Matthew Nicholson
- Centre for Sport and Social Impact, La Trobe Business School, La Trobe University, Bundoora, VIC 3086, Australia; (K.S.); (E.R.); (P.O.); (N.M.); (A.S.); (M.N.)
- Monash University Malaysia, Subang Jaya 47500, Malaysia
| |
Collapse
|
29
|
Jakobsson BT, Lundvall S. Learn, Have Fun and Be Healthy! An Interview Study of Swedish Teenagers' Views of Participation in Club Sport. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136852. [PMID: 34202387 PMCID: PMC8297030 DOI: 10.3390/ijerph18136852] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/16/2021] [Accepted: 06/21/2021] [Indexed: 11/16/2022]
Abstract
In Sweden, participation in club sport is a vital part of many children’s lives. Despite this, many stop in their teenage years, raising questions concerning if and in what ways club sport can provide health-promoting activities via longer, sustained participation. The aim of this cross-sectional study is to explore and discuss young people’s views of club sport from a health-promoting perspective. The analysis draws on three sets of qualitative data: results from focus groups interviews conducted in 2007 (n = 14) and in 2016 (n = 8) as well as 18 in-depth interviews conducted 2008. Antonovsy’s salutogenic theory and his sense of coherence (SOC) model inspired the analysis. Teenagers want to be a part of club sport because of a sense of enjoyment, learning, belonging and feeling healthy. Teenagers stop when sport becomes too serious, non-flexible, time-consuming and too competitive. The urge for flexibility and possibilities to make individual decisions were emphasised in 2016. The organisation of club sport, it seems, has not adapted to changes in society and a generation of teenagers’ health interests. Club sport has the potential to be a health-promoting arena, but the focus should be on changing the club sport environment, instead of a focus on changing young people.
Collapse
Affiliation(s)
- Britta Thedin Jakobsson
- The Swedish School of Sport and Health Sciences (GIH), 114 86 Stockholm, Sweden;
- Correspondence: ; Tel.: +46-8-120-538-26
| | - Suzanne Lundvall
- The Swedish School of Sport and Health Sciences (GIH), 114 86 Stockholm, Sweden;
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, 411 20 Gothenburg, Sweden
| |
Collapse
|
30
|
Building Public Health Capacity through Organizational Change in the Sport System: A Multiple-Case Study within Australian Gymnastics. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136726. [PMID: 34206499 PMCID: PMC8297274 DOI: 10.3390/ijerph18136726] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 06/17/2021] [Accepted: 06/18/2021] [Indexed: 12/21/2022]
Abstract
Sports clubs increasingly are settings for health promotion initiatives. This study explored organizational change processes and perceived facilitators and barriers relevant to implementing a health promotion initiative within gymnastics settings in New South Wales (NSW), Australia. A multiple-case design investigated the experiences of the state association (Gymnastics NSW) and five clubs from one region of NSW in a participatory Health-Promoting Gymnastics Clubs (HPGC) program. The program aimed to build the capacity of Gymnastics NSW to support affiliated clubs to become health-promoting settings. Interviews with organizational representatives explored their experiences of the program and identified factors that enabled or inhibited program adoption, implementation and sustainability. Facilitators and barriers identified included leadership and champions; organizational capacity and culture; priorities and timing; and characteristics of the HPGC framework. This multi-level, organizational change intervention demonstrated potential to create health-promoting gymnastics settings. Tailoring strategies in diverse club contexts required involvement of organizational leaders in program development and action planning. Despite positive impacts, pre-existing organizational culture inhibited integration of health promotion as a core value. Sustained organizational change may result from professional regulatory requirements (e.g., accreditation and affiliation), and policy directives and funding (for organizational change, not program delivery) from relevant government departments.
Collapse
|
31
|
Rato Barrio M, Ley C, Schomöller A, Dumon D. Mental Well-Being or Ill-Being through Coaching in Adult Grassroots Sport: A Systematic Mapping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126543. [PMID: 34204539 PMCID: PMC8296415 DOI: 10.3390/ijerph18126543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/10/2021] [Accepted: 06/12/2021] [Indexed: 12/27/2022]
Abstract
There is convincing evidence on the effects of sport and exercise on mental health and well-being. Less evidence is provided about how to achieve these benefits in the context of grassroots sport coaching. We systematically reviewed the scientific literature of three databases to narratively synthesize the current knowledge about which coaching-related factors influence well-being or ill-being, and how to promote mental health in adult athletes through sport coaches. The review includes 52 studies with different methodological and theoretical approaches and mental health outcomes. The wide range of themes were mapped and synthesized within two clusters, i.e., coaching behavior, antecedents, and context; and coach–athlete relationship and social support. The results highlight the importance of the promotion of empowering environments, autonomy-supportive coaching behavior, and coach–athlete relationship quality that relate to the satisfaction of basic psychological needs. The review also calls for a critical perspective, in the sense that the coaching context and working environment may not be empowering and supportive to the well-being of coaches and consequently to the athletes, and that coaches who want to provide autonomy-supportive environments may face various obstacles. Finally, the review synthesizes recommendations for the training of coaches, as one piece of a holistic mental health promotion.
Collapse
Affiliation(s)
- María Rato Barrio
- International Council of Sport Science and Physical Education (ICSSPE/CIEPSS), 14053 Berlin, Germany; (M.R.B.); (A.S.); (D.D.)
| | - Clemens Ley
- Institute of Sport Science, University of Vienna, 1150 Vienna, Austria
- Department of Health Sciences, FH Campus Wien, University of Applied Sciences, 1100 Vienna, Austria
- Correspondence:
| | - Anne Schomöller
- International Council of Sport Science and Physical Education (ICSSPE/CIEPSS), 14053 Berlin, Germany; (M.R.B.); (A.S.); (D.D.)
| | - Detlef Dumon
- International Council of Sport Science and Physical Education (ICSSPE/CIEPSS), 14053 Berlin, Germany; (M.R.B.); (A.S.); (D.D.)
| |
Collapse
|
32
|
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.
Collapse
|
33
|
Wolbring L, Reimers AK, Niessner C, Demetriou Y, Schmidt SCE, Woll A, Wäsche H. How to disseminate national recommendations for physical activity: a qualitative analysis of critical change agents in Germany. Health Res Policy Syst 2021; 19:78. [PMID: 33957943 PMCID: PMC8101134 DOI: 10.1186/s12961-021-00729-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 04/20/2021] [Indexed: 11/30/2022] Open
Abstract
Background Physical activity recommendations are reached by only a small part of the population. A common problem is that research findings on public health-related topics such as physical activity promotion are oftentimes not translated into practice. The involvement of relevant stakeholders, such as change agents (role models, decision-makers, and/or knowledge mediators), is a common strategy to implement physical activity recommendations in specific settings, as they have the necessary knowledge of contextual factors. However, dissemination and implementation of physical activity recommendations are often prevented by focusing exclusively on the health sector and by underestimating the individual perceptions and needs of change agents. Therefore, the purpose of this study was to address the problem of how physical activity recommendations can be translated into practice through comprehensive consideration of the situation and context of change agents from various sectors of society at different administrative levels. This allows for deriving recommendations for action on how a national dissemination strategy of physical activity recommendations should be designed. Methods Qualitative expert interviews were conducted with change agents from different sectors of society and administrative levels in Germany (N = 21). Case selection took place via a sampling plan. The interviews were recorded, transcribed verbatim, and analysed by two trained researchers using qualitative content analysis. Results The change agents’ perceived relevance of physical activity and physical activity promotion and their knowledge of physical activity recommendations varied across different sectors. Nine themes were identified covering the change agents’ needs for the implementation of physical activity recommendations: strengthening of political will and cooperation, availability of public space for physical activity, change in awareness and health education, professional qualification, financial incentives, development of physical activity-promoting programmes and structures, provision of resources, bridging the theory–practice gap, and knowledge of physical activity recommendations. Conclusions This exploratory study contributes to the development of an evidence-based dissemination strategy of physical activity recommendations involving change agents from various sectors. Cross-sectoral needs and obstacles were identified indicating gaps that have to be addressed. Future research should choose practice-oriented approaches to develop dissemination strategies that are adapted to the needs of local contexts. Supplementary Information The online version contains supplementary material available at 10.1186/s12961-021-00729-7.
Collapse
Affiliation(s)
- Laura Wolbring
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany.
| | - Anne Kerstin Reimers
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Claudia Niessner
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
| | - Yolanda Demetriou
- Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 60/62, 80992, Munich, Germany
| | | | - Alexander Woll
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
| | - Hagen Wäsche
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany
| |
Collapse
|
34
|
Health Promoting Sports Club in Practice: A Controlled Evaluation of the GAA Healthy Club Project. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094786. [PMID: 33946150 PMCID: PMC8124624 DOI: 10.3390/ijerph18094786] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 04/23/2021] [Accepted: 04/27/2021] [Indexed: 12/26/2022]
Abstract
Sport is a developing setting and a relevant system in health promotion but there are few examples of settings-based initiatives and systems thinking in sport. The Gaelic Athletic Association (GAA) Healthy Club Project (HCP) adopts a settings approach delivered through and by grassroots clubs who respond to local needs while working within a national support system. The aim of this evaluation was to assess and describe the health promotion impact and experience of the HCP. Healthy Clubs (n = 23) and Control Clubs (n = 10) completed a Healthy Club Questionnaire at the start and end of the 20-month HCP and Healthy Clubs took part in focus group discussions. Healthy Clubs, using the structures of the HCP, a commitment to health and community engagement, demonstrated a significant improvement in their overall orientation to health promotion, which was not apparent in Control Clubs. The health promotion message is pervading into many aspects of the GAA club apart from that which relates to the day to day business of coaching and providing physical activity for all. The HCP represents health promotion activity embedded within and across systems, with further development and evaluation recommended to measure delivery and impact at the individual level, organisational, and wider societal levels.
Collapse
|
35
|
Van Hoye A, Johnson S, Lemonnier F, Rostan F, Crochet L, Tezier B, Vuillemin A. Capitalization of Health Promotion Initiatives within French Sports Clubs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:888. [PMID: 33498585 PMCID: PMC7908457 DOI: 10.3390/ijerph18030888] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 01/10/2021] [Accepted: 01/15/2021] [Indexed: 11/16/2022]
Abstract
The settings-based approach to health promotion within sports clubs is a growing field of research. Evidence of health promotion intervention effectiveness in scientific literature is scarce, and little is known about their implementation mechanisms. The present study explores how promising health promotion interventions in eight French sports clubs are developed, and how the health promoting sports club's intervention planning framework is applied. A method to collect Experiential Knowledge in health promotion was used, based on two iterative interviews to analyze intervention mechanisms and completed with document analysis. A deductive analysis using the health promoting sports club intervention planning framework was then undertaken. Among the 14 evidence-driven strategies, 13 were implemented in sports clubs (min = 9; max = 13). Policies were not targeted by any of the interventions. Key competencies of the managers of these health promotion interventions were identified: (1) having a deep understanding of the public and environment, (2) acquiring a high capacity to mobilize internal and external human resources, (3) possessing communication skills and (4) having an ability to write grant applications. By using evidence-driven strategies and intervention components, sports professionals can use this experiential knowledge to create successful and sustainable interventions.
Collapse
Affiliation(s)
- Aurélie Van Hoye
- APEMAC, University of Lorraine, 54600 Villers-lès-Nancy, France;
| | - Stacey Johnson
- LAMHESS, Université Côte d’Azur, 06200 Nice, France; (S.J.); (A.V.)
| | - Fabienne Lemonnier
- Department of Health Promotion, Santé Publique France, 94410 Saint-Maurice, France; (F.L.); (F.R.); (L.C.)
| | - Florence Rostan
- Department of Health Promotion, Santé Publique France, 94410 Saint-Maurice, France; (F.L.); (F.R.); (L.C.)
| | - Laurianne Crochet
- Department of Health Promotion, Santé Publique France, 94410 Saint-Maurice, France; (F.L.); (F.R.); (L.C.)
| | - Benjamin Tezier
- APEMAC, University of Lorraine, 54600 Villers-lès-Nancy, France;
| | - Anne Vuillemin
- LAMHESS, Université Côte d’Azur, 06200 Nice, France; (S.J.); (A.V.)
| |
Collapse
|
36
|
Lincoln DJ, Clemens SL. Where children play sport: A comparative analysis of participation in organised sport in school and club settings. Health Promot J Austr 2020. [DOI: 10.1002/hpja.444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Douglas J. Lincoln
- Preventive Health Branch Department of Health Queensland Government Herston Australia
| | - Susan L. Clemens
- Preventive Health Branch Department of Health Queensland Government Herston Australia
| |
Collapse
|
37
|
Musoke D, Ndejjo R, Lubega GB, Ekirapa-Kiracho E. Use of photovoice to explore the potential role of youth in contributing to maternal health in rural Wakiso district, Uganda. Sex Reprod Health Matters 2020; 28:1854152. [PMID: 33308091 PMCID: PMC7888067 DOI: 10.1080/26410397.2020.1854152] [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] [Indexed: 11/23/2022] Open
Abstract
Despite youth constituting a large portion of the population in Uganda, their involvement in improving maternal health in their communities has been minimal. This paper explores the potential role of youth in contributing to maternal health in rural communities in Wakiso district, Uganda using photovoice. Photovoice was used as a community-based participatory research method among 10 youth (5 males and 5 females) over a period of 5 months. The photos taken by the youth were discussed in monthly meetings, and emerging data was analysed using thematic content analysis. Four themes emerged regarding how youth can contribute to improving maternal health in their communities. These themes were: community health education; advocacy for health improvement; community voluntary work; and being exemplary. The fifth and final theme provides the avenues, including drama and sports, that the youth suggested they could use for conveying messages to the community concerning maternal and general health. Health education on topics such as the importance of delivering at health facilities was emphasised. Regarding advocacy, the youth said they can be involved in reaching out to various stakeholders to raise concerns affecting maternal health. Voluntary work such as construction of energy stoves for pregnant women emerged. The youth also highlighted that they could be exemplary for instance by males accompanying their spouses during antenatal visits. With the need to continuously engage community actors in health initiatives, youth should be considered and supported as important stakeholders so they may engage in activities to improve health within their communities.
Collapse
Affiliation(s)
- David Musoke
- Lecturer, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Rawlance Ndejjo
- Research Associate, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Grace Biyinzika Lubega
- Research Assistant, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Elizabeth Ekirapa-Kiracho
- Senior Lecturer, Department of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| |
Collapse
|
38
|
Johnson S, Van Hoye A, Donaldson A, Lemonnier F, Rostan F, Vuillemin A. Building health-promoting sports clubs: a participative concept mapping approach. Public Health 2020; 188:8-17. [DOI: 10.1016/j.puhe.2020.08.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 08/07/2020] [Accepted: 08/27/2020] [Indexed: 12/24/2022]
|
39
|
Johnson S, Vuillemin A, Geidne S, Kokko S, Epstein J, Van Hoye A. Measuring Health Promotion in Sports Club Settings: A Modified Delphi Study. HEALTH EDUCATION & BEHAVIOR 2019; 47:78-90. [PMID: 31933396 DOI: 10.1177/1090198119889098] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Settings-based approaches have become an increasing health promotion focus since the World Health Organization's 1986 Ottawa Charter. While schools, cities, and prisons have implemented this approach, its development within sports environments is recent. Sports are a popular leisure-time activity, requiring validated tools to measure health promotion activity. This study's aim was to develop a measurement tool based on international consensus that measures perceptions of health promotion within sports clubs. It is grounded in the settings-based approach and builds on theory from previous works expanding their context and knowledge. An online, three-round international Delphi study was conducted, inviting experts in sports and health fields to participate in designing the tool. Round 1 created a collaborative list of items; Round 2 validated items based on relevance, importance, and feasibility; and the final round classified items into one determinant category-social, cultural, environmental, or economic. Panelists (69 experts) from 13 countries participated, creating a final list of 62 items at 3 organizational levels; the sports club level included 23 items, the officials level retained 20 items, and the coaching level contained 19 items. This study provides several innovations: (1) applying the settings-based approach to health promotion within sports clubs, (2) defining each club level (sports club, official, coaching) and determinants (social, cultural, environmental, economic) within 3-levels, (3) creating a tool that measures perceptions of health-promotion activities per level and determinant, and (4) obtaining expert consensus on included items. These advancements allow further research on promoting health within sports clubs.
Collapse
Affiliation(s)
| | | | | | - Sami Kokko
- University of Jyvaskyla, Jyväskylä, Finland
| | | | | |
Collapse
|