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Rose CL, Owen KB, Foley BC, Reece LJ. “We Don’t Have to Do Things the Way They’ve Been Done Before”; Mixed-Method Evaluation of a National Grant Program Tackling Physical Inactivity through Sport. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137931. [PMID: 35805601 PMCID: PMC9265654 DOI: 10.3390/ijerph19137931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 06/24/2022] [Accepted: 06/25/2022] [Indexed: 11/16/2022]
Abstract
National strategies are needed to continue to promote the broader benefits of participating in sport and organised physical activity to reduce physical inactivity and related disease burden. This paper employs the RE-AIM framework to evaluate the impact of the federally funded $150 million Move it AUS program in engaging inactive people in sport and physical activity through the Participation (all ages) and Better Ageing (over 65 years) funding streams. A pragmatic, mixed-methods evaluation was conducted to understand the impact of the grant on both the participants, and the funded organisations. This included participant surveys, case studies, and qualitative interviews with funded program leaders. A total of 75% of participants in the Participation stream, and 65% in the Better Ageing stream, were classified as inactive. The largest changes in overall physical activity behaviour were seen among socioeconomically disadvantaged participants and culturally and linguistically diverse participants. Seven key insights were gained from the qualitative interviews: Clarity of who, Partnerships, Communication, Program delivery, Environmental impacts, Governance, and that Physical inactivity must be a priority. The Move It AUS program successfully engaged physically inactive participants. Additional work is needed to better engage inactive people that identify as culturally and linguistically diverse, Aboriginal and/or Torres Strait Islander and those that live in disadvantaged communities in sport and physical activities. Tangible actions from the seven key insights should be adopted into workforce capability planning for the sport sector to effectively engage physically inactive communities.
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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.
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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
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Can Health-Enhancing Sporting Programs in Sports Clubs Lead to a Settings-Based Approach? An Exploratory Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18116082. [PMID: 34200013 PMCID: PMC8200194 DOI: 10.3390/ijerph18116082] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 05/31/2021] [Accepted: 06/01/2021] [Indexed: 02/06/2023]
Abstract
There is limited knowledge about how a settings-based approach can be best applied in a sports club setting. This qualitative exploratory study examined whether and how sporting programs focusing on individual behavior change (i.e., increasing physical activity levels of inactive people) and implemented on the micro-level of the sports club, can be a first step towards a settings-based approach (i.e., inclusion of the meso- and macro-level of the sports club). In addition, this study explored factors that influenced the inclusion of the meso- and macro-level of the sports club. Telephone interviews were conducted with representatives of sixteen sports clubs about program activities on all levels of the sports club. Thematic analyses were performed to explore stimulating and hindering factors. After multiple years, six sports clubs also had program activities on the meso-level and twelve sports clubs had activities on the macro-level. Program activities differed per level within a sports club and on the same level between sports clubs. Cultural and social factors influenced macro-level activities, while predominantly economic factors influenced meso-level activities. Based on these factors, sports clubs could develop, prioritize, and choose strategies that support them in developing a settings-based approach when increasing physical activity levels of inactive citizens.
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Parjanen S. The elements of cross-sectoral collaboration between primary care and the sports sector. MANAGING SPORT AND LEISURE 2021. [DOI: 10.1080/23750472.2020.1757492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Satu Parjanen
- School of Engineering Science, Lappeenranta-Lahti University of Technology LUT, Lahti, Finland
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Millar P, Doherty A. Readiness to build capacity in community sport organizations. MANAGING SPORT AND LEISURE 2020. [DOI: 10.1080/23750472.2020.1763830] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Patti Millar
- Department of Kinesiology, Faculty of Human Kinetics, University of Windsor, Windsor, Ontario, Canada
| | - Alison Doherty
- School of Kinesiology, Faculty of Health Sciences, Western University, London, Ontario, Canada
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Loss J, Brew-Sam N, Metz B, Strobl H, Sauter A, Tittlbach S. Capacity Building in Community Stakeholder Groups for Increasing Physical Activity: Results of a Qualitative Study in Two German Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072306. [PMID: 32235419 PMCID: PMC7177804 DOI: 10.3390/ijerph17072306] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 03/25/2020] [Accepted: 03/26/2020] [Indexed: 12/27/2022]
Abstract
Community capacity building is an essential approach for health promotion, combining a participatory approach with the view to community ownership. Little research focuses on practical capacity building strategies and monitoring. Our paper looks into involving stakeholders in facilitated group discussions as a specific strategy for fostering capacity building processes. These processes focused on physical activity (PA) promotion in two German communities (ACTION4men). Along the dimensions of capacity building suggested in literature (e.g., problem solving, resource mobilization, leadership), we implemented two participatory stakeholder groups (1/community). These groups were motivated to develop and implement PA interventions for men >50 years. For measuring capacity building processes, a semi-standardized monitoring instrument was used to document all group meetings. Additionally, we conducted semi-standardized interviews with group participants and drop-outs to capture their perspectives on capacity building. All documents were analyzed using thematic analysis. We successfully established stakeholder groups that planned and implemented a range of local measures meant to increase PA among older men. In one community, the process was sustainable, whereby the group continued to meet regularly over years. Capacity building was successful to a certain degree (e.g., regarding participation, problem assessment, and resource mobilization), but stalled after first meetings. Capacity building processes differed between the two communities in terms of leadership and sustainability. The developed interventions mainly addressed the access to organized sport courses, rather than tackling walkability or active transport. The theoretical capacity building approach was successful to develop and implement programs aimed at promoting PA. The actual capacity building processes depend upon the composition of stakeholder groups and inherent power relations.
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Affiliation(s)
- Julika Loss
- Medical Sociology, Institute of Epidemiology and Preventive Medicine, University of Regensburg, 93059 Regensburg, Germany; (N.B.-S.); (B.M.); (A.S.)
- Correspondence: ; Tel.: +49-941-9445220
| | - Nicola Brew-Sam
- Medical Sociology, Institute of Epidemiology and Preventive Medicine, University of Regensburg, 93059 Regensburg, Germany; (N.B.-S.); (B.M.); (A.S.)
| | - Boris Metz
- Medical Sociology, Institute of Epidemiology and Preventive Medicine, University of Regensburg, 93059 Regensburg, Germany; (N.B.-S.); (B.M.); (A.S.)
| | - Helmut Strobl
- Social and Health Sciences in Sport, University of Bayreuth, 95440 Bayreuth, Germany; (H.S.); (S.T.)
| | - Alexandra Sauter
- Medical Sociology, Institute of Epidemiology and Preventive Medicine, University of Regensburg, 93059 Regensburg, Germany; (N.B.-S.); (B.M.); (A.S.)
| | - Susanne Tittlbach
- Social and Health Sciences in Sport, University of Bayreuth, 95440 Bayreuth, Germany; (H.S.); (S.T.)
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Ooms L, van Kruijsbergen M, Collard D, Leemrijse C, Veenhof C. Sporting programs aimed at inactive population groups in the Netherlands: factors influencing their long-term sustainability in the organized sports setting. BMC Sports Sci Med Rehabil 2019; 11:33. [PMID: 31827807 PMCID: PMC6862784 DOI: 10.1186/s13102-019-0137-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 09/24/2019] [Indexed: 12/02/2022]
Abstract
Background The organized sports sector has received increased interest as a setting to stimulate physical activity among inactive target groups. To include many inactive people and to obtain population health benefits, it is important that effective sporting programs are sustained (i.e. continuation of program activities) over a long period of time. This study identified the factors influencing the long-term sustainability of these kind of sporting programs located within local sports clubs in the Netherlands. Methods Fourteen Dutch sporting programs aimed at increasing physical activity levels of inactive population groups and funded within the National Action Plan for Sport and Exercise (NAPSE) were the focus of this study. The programs were developed by ten Dutch National Sports Federations (NSFs) and implemented by different sports clubs in the Netherlands within a three-year funded implementation period (2008–2011). This research consisted of semi-structured face-to-face interviews with the program coordinators of the NSFs (n = 14) and semi-structured telephone interviews with representatives of sports clubs that provided the programs (n = 17 continued the program, n = 11 discontinued the program) six and a half years after the funding period ended (November 2017–March 2018). A sustainability framework with five pre-specified main themes (i.e. program design, implementation, trainer/coach, organizational setting, broader community environment) guided data collection and (deductive) thematic analysis. Results Ten of the fourteen NAPSE funded sporting programs were sustained at the level of the NSFs. Most factors facilitating (+) and impeding (−) the long-term sustainability of the programs were common to both NSFs and sports clubs, like program adaptation (+) and a lack of program financing (−). Program evaluation (+) and high program costs (−) were specific factors mentioned by NSFs, while factors related to human resources (e.g. lack of volunteers (−)) or the sports club nature (e.g. social aspect in program design (+)) applied to sports clubs. The factors were summarized in the form of a checklist. Conclusions Key factors influencing the long-term sustainability of the sporting programs were identified. The results can be used to develop strategies to promote long-term sustainability of these kind of programs and inform funding guidelines in countries with a similar organized sports infrastructure.
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Kitchin PJ, Peile C, Lowther J. Mobilizing capacity to achieve the mainstreaming of disability sport. MANAGING SPORT AND LEISURE 2019. [DOI: 10.1080/23750472.2019.1684839] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- P. J. Kitchin
- School of Sport, Ulster University, Newtownabbey, Northern Ireland
| | - Charlotte Peile
- Students’ Union, Ulster University, Newtownabbey, Northern Ireland
| | - Jim Lowther
- School of Sport, Ulster University, Newtownabbey, Northern Ireland
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Leenaars KEF, Smit E, Wagemakers A, Molleman GRM, Koelen MA. The role of the care sport connector in the Netherlands. Health Promot Int 2018; 33:422-435. [PMID: 28011656 DOI: 10.1093/heapro/daw097] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction To stimulate physical activity and guide primary care patients towards local sport facilities, Care Sport Connectors (CSC), to whom a broker role has been ascribed, were introduced in 2012 in the Netherlands. The aim of this study was to explore CSCs' role in connecting the primary care sector and the PA sector. Method Fifteen CSCs were selected to participate in this study and were followed in their work of connecting both sectors. Over the course of one year, three rounds of interviews were held with these CSCs on the topics of their role and the connection between the primary care and the PA sector. Both top-down and bottom-up codes were used to analyse the interviews. Results CSCs fulfilled three roles: 1) broker, 2) referral, 3) organiser. The extent to which CSCs fulfilled these roles was influenced by the way municipalities implemented the CSC funding. CSCs set up two forms of collaboration structures: 1) project basis and 2) referral scheme. CSCs perceived the following barriers to connecting the primary care and the PA sector: lack of knowledge and time, primary care professionals' own interests, and lack of suitable sport activities for the target group. Conclusion The CSC role seems to hold the promise of improving collaboration between the primary care and the PA sector, especially, because the roles that CSCs perceive themselves as having seem to be directed at eliminating barriers in this connection. Future research is needed to study whether CSCs are capable of establishing a connection over time.
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Affiliation(s)
- K E F Leenaars
- Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, EW Wageningen, The Netherlands
| | - E Smit
- Academic Collaborative Centre AMPHI, Primary Health Care, Radboud university medical Center, Nijmegen, The Netherlands
| | - A Wagemakers
- Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, EW Wageningen, The Netherlands
| | - G R M Molleman
- Academic Collaborative Centre AMPHI, Primary Health Care, Radboud university medical Center, Nijmegen, The Netherlands
| | - M A Koelen
- Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, EW Wageningen, The Netherlands
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Ooms L, Leemrijse C, Collard D, Schipper-van Veldhoven N, Veenhof C. Characteristics of insufficiently active participants that benefit from health-enhancing physical activity (HEPA) promotion programs implemented in the sports club setting. BMC Public Health 2018; 18:685. [PMID: 29859064 PMCID: PMC5984747 DOI: 10.1186/s12889-018-5579-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 05/21/2018] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Health-enhancing physical activity (HEPA) promotion programs are implemented in sports clubs. The purpose of this study was to examine the characteristics of the insufficiently active participants that benefit from these programs. METHODS Data of three sporting programs, developed for insufficiently active adults, were used for this study. These sporting programs were implemented in different sports clubs in the Netherlands. Participants completed an online questionnaire at baseline and after six months (n = 458). Of this sample, 35.1% (n = 161) was insufficiently active (i.e. not meeting HEPA levels) at baseline. Accordingly, two groups were compared: participants who were insufficiently active at baseline, but increased their physical activity to HEPA levels after six months (activated group, n = 86) versus participants who were insufficiently active both at baseline and after six months (non-activated group, n = 75). Potential associated characteristics (demographic, social, sport history, physical activity) were included as independent variables in bivariate and multivariate logistic regression analyses. RESULTS The percentage of active participants increased significantly from baseline to six months (from 64.9 to 76.9%, p < 0.05). The bivariate logistic regression analyses showed that participants in the activated group were more likely to receive support from family members with regard to their sport participation (62.8% vs. 42.7%, p = 0.02) and spent more time in moderate-intensity physical activity (128 ± 191 min/week vs. 70 ± 106 min/week, p = 0.02) at baseline compared with participants in the non-activated group. These results were confirmed in the multivariate logistic regression analyses: when receiving support from most family members, there is a 216% increase in the odds of being in the activated group (OR = 2.155; 95% CI: 1.118-4.154, p = 0.02) and for each additional 1 min/week spent in moderate-intensity physical activity, the odds increases with 0.3% (OR = 1.003; 95% CI: 1.001-1.006, p = 0.02). CONCLUSIONS The results suggest that HEPA sporting programs can be used to increase HEPA levels of insufficiently active people, but it seems a challenge to reach the least active ones. It is important that promotional strategies and channels are tailored to the target group. Furthermore, strategies that promote family support may enhance the impact of the programs.
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Affiliation(s)
- Linda Ooms
- Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN Utrecht, the Netherlands
- Mulier Institute, PO Box 85445, 3508 AK Utrecht, the Netherlands
| | - Chantal Leemrijse
- Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN Utrecht, the Netherlands
| | - Dorine Collard
- Mulier Institute, PO Box 85445, 3508 AK Utrecht, the Netherlands
| | - Nicolette Schipper-van Veldhoven
- Windesheim University, Research Group for Sport Pedagogy, PO Box 10090, 8000 GB Zwolle, the Netherlands
- Netherlands Olympic Committee and Netherlands Sports Federation (NOC*NSF), PO Box 302, 6800 AH Arnhem, the Netherlands
| | - Cindy Veenhof
- Physical Therapy Research, Department of Rehabilitation, Physiotherapy Sciences & Sports, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA Utrecht, the Netherlands
- Expertise Center Innovation of Care, Research Group Innovation of Mobility Care, University of Applied Sciences Utrecht, PO Box 12011, 3501 AA Utrecht, the Netherlands
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Barnes M, Cousens L, MacLean J. Trust and collaborative ties in a community sport network. MANAGING SPORT AND LEISURE 2018. [DOI: 10.1080/23750472.2018.1465840] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Martha Barnes
- Department of Recreation & Leisure Studies, Brock University, St. Catharines, ON, Canada
| | - Laura Cousens
- Department of Sport Management, Brock University, St. Catharines, ON, Canada
| | - Joanne MacLean
- Faculty of Health Sciences, University of the Fraser Valley, Chilliwack, BC, Canada
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Leenaars KEF, Smit E, Wagemakers A, Molleman GRM, Koelen MA. Exploring the impact of the care sport connector in the Netherlands. BMC Public Health 2017; 17:813. [PMID: 29037216 PMCID: PMC5644127 DOI: 10.1186/s12889-017-4830-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 10/06/2017] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Regular physical activity (PA) is deemed to contribute to the primary and secondary prevention of several chronic diseases, like diabetes mellitus, cancer, cardiovascular diseases, and osteoporosis. In 2012, Care Sport Connectors (CSC), to whom a broker has been ascribed, were introduced in the Netherlands to stimulate PA and guide primary care patients towards local sport facilities. The aim of this study was to explore which structural embedding is the most promising for CSCs' work. METHODS In three rounds of interviews, 13 CSCs were followed for 2 years in their work. In these interviews, a network survey was used to identify organisations in the CSCs' network, whether they collaborated with these organisations, and the role of the organisations in the connection. Data from the network survey were analysed using the RE-AIM framework and disaggregated into how CSCs were structurally embedded (Type A: only PA sector; Type B: different sectors; Type C: partnership). A related samples Wilcoxon signed rank test was performed to study how the CSCs' network developed between 2014 and 2016. RESULTS All CSCs established a connection between the primary care and the PA sector in which the average number of organisations with which CSCs collaborated increased significantly between 2014 (8.3) and 2016 (19.8) (p = 0.002). However, differences were identified in the way CSCs were structurally embedded and in the way they established the connection. Type A CSCs established the connection mostly around their own activities, supported PA organisations with their activities, and collaborated with primary care and welfare professionals around their own activities. Type B and Type C CSCs established the connection by organising, supporting, and implementing different kinds of activities targeting different kinds of audiences, and collaborated mostly with primary care professionals around the referral of professionals' patients. CONCLUSIONS The results of this study suggest that adopting an integral approach (Type B and C) for the structural embedding of the CSC is more promising for reaching the desired outcomes. Whether CSCs really improve the target groups' PA level and health needs to be further studied. TRIAL REGISTRATION Dutch Trial Register NTR4986 . Registered 14 December 2014.
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Affiliation(s)
- Karlijn E. F. Leenaars
- Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, P.O. Box 8130, 6700 EW Wageningen, The Netherlands
| | - Eva Smit
- Academic Collaborative Centre AMPHI, Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
| | - Annemarie Wagemakers
- Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, P.O. Box 8130, 6700 EW Wageningen, The Netherlands
| | - Gerard R. M. Molleman
- Academic Collaborative Centre AMPHI, Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
| | - Maria A. Koelen
- Department of Social Sciences, Health and Society Group, Wageningen University & Research Centre, P.O. Box 8130, 6700 EW Wageningen, The Netherlands
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Ooms L, Veenhof C, de Bakker DH. The Start2Bike program is effective in increasing health-enhancing physical activity: a controlled study. BMC Public Health 2017; 17:606. [PMID: 28662659 PMCID: PMC5493001 DOI: 10.1186/s12889-017-4523-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Accepted: 06/20/2017] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND The sports club is seen as a new relevant setting to promote health-enhancing physical activity (HEPA) among inactive population groups. Little is known about the effectiveness of strategies and activities implemented in the sports club setting on increasing HEPA levels. This study investigated the effects of Start2Bike, a six-week training program for inactive adults and adult novice cyclers, on HEPA levels of participants in the Netherlands. METHODS To measure physical activity, the Short QUestionnaire to ASsess Health-enhancing physical activity was used (SQUASH). Start2Bike participants were measured at baseline, six weeks and six months. A matched control group was measured at baseline and six months. The main outcome measure was whether participants met the Dutch Norm for Health-enhancing Physical Activity (DNHPA: 30 min of moderate-intensity activity on five days a week); Fit-norm (20 min of vigorous-intensity activity on three days a week); and Combi-norm (meeting the DNHPA and/or Fit-norm). Other outcome measures included: total minutes of physical activity per week; and minutes of physical activity per week per domain and intensity category. Statistical analyses consisted of McNemar tests and paired t-tests (within-group changes); and multiple logistic and linear regression analyses (between-group changes). RESULTS In the Start2Bike group, compliance with Dutch physical activity norms increased significantly, both after six weeks and six months. Control group members did not alter their physical activity behavior. Between-group analyses showed that participants in the Start2Bike group were more likely to meet the Fit-norm at the six-month measurement compared to the control group (odds ratio = 2.5; 95% confidence interval (CI) = 1.1-5.8, p = 0.03). This was due to the Start2Bike participants spending on average 193 min/week more in vigorous-intensity activities (b = 193; 95% CI = 94-293, p < 0.001) and 130 min/week more in sports activities (b = 130; 95% CI = 82-178, p < 0.001) than control group members. CONCLUSIONS Start2Bike positively influences HEPA levels of participants by increasing participation in sport. A relatively short sporting program, offered by a sports club, can be used to encourage less active people to engage in and continue sport at HEPA levels. Overall, sport can contribute to health through increased HEPA and the sports club can serve as a setting to stimulate this.
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Affiliation(s)
- Linda Ooms
- Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN, Utrecht, The Netherlands
| | - Cindy Veenhof
- Physical Therapy Research, Program in Clinical Health Sciences & Department of Rehabilitation, Nursing Science and Sport, Brain Center Rudolf Magnus, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands
- Utrecht University of Applied Sciences, Faculty of Health Care, PO Box 12011, 3501 AA, Utrecht, The Netherlands
| | - Dinny H. de Bakker
- Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN, Utrecht, The Netherlands
- Scientific Center for Transformation in Care and Welfare (Tranzo), Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands
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Finch CF, Donaldson A, Gabbe BJ, Muhammad A, Shee AW, Lloyd DG, Cook J. The evolution of multiagency partnerships for safety over the course of research engagement: experiences from the NoGAPS project. Inj Prev 2016; 22:386-391. [PMID: 27016461 PMCID: PMC5256167 DOI: 10.1136/injuryprev-2015-041922] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Revised: 02/09/2016] [Accepted: 02/11/2016] [Indexed: 11/03/2022]
Abstract
OBJECTIVE Implementation of effective population-level injury prevention interventions requires broad multiagency partnerships. Different stakeholders address this from varying perspectives, and potential conflicts in priorities need to be addressed for such partnerships to be effective. The researcher-led National Guidance for Australian football Partnerships and Safety (NoGAPS) project involved the engagement and participation of seven non-academic partners, including government health promotion and safety agencies; peak sports professional and advocacy bodies and health insurance organisations. DESIGN The partnership's ongoing development was assessed by each partner completing the Victorian Health Promotion Foundation Partnership Analysis Tool (VPAT) annually over 2011-2015. Changes in VPAT scores were compared through repeated measures analysis of variance. RESULTS Overall, mean total VPAT scores increased significantly over the 5-year period (125.1-141.2; F5,30=4.61, p=0.003), showing a significant improvement in how the partnership was functioning over time. This was largely driven by significant increases in several VPAT domains: 'determining the need for a partnership' (F5,30=4.15, p=0.006), 'making sure the partnership works' (F5,30=2.59, p=0.046), 'planning collaborative action' (F5,30=5.13, p=0.002) and 'minimising the barriers to the partnership' (F5,30=6.66, p<0.001). CONCLUSION This is the first study to assess the functioning of a multiagency partnership to address sport injury prevention implementation. For NoGAPS, the engagement of stakeholders from the outset facilitated the development of new and/or stronger links between non-academic partners. Partners shared the common goal of ensuring the real-world uptake of interventions and research evidence-informed recommendations. Effective multiagency partnerships have the potential to influence the implementation of policies and practices beyond the life of a research project.
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Affiliation(s)
- Caroline F Finch
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), SMB Campus, Federation University Australia, Ballarat, Victoria, Australia
| | - Alex Donaldson
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), SMB Campus, Federation University Australia, Ballarat, Victoria, Australia
| | - Belinda J Gabbe
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Akram Muhammad
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), SMB Campus, Federation University Australia, Ballarat, Victoria, Australia
| | - Anna Wong Shee
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), SMB Campus, Federation University Australia, Ballarat, Victoria, Australia
| | - David G Lloyd
- Centre for Musculoskeletal Research, Griffith Health Institute, Griffith University, Gold Coast Campus, Gold Coast, Queensland, Australia.,School of Sport Science, Exercise and Health, University of Western Australia, Crawley, Australia
| | - Jill Cook
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), SMB Campus, Federation University Australia, Ballarat, Victoria, Australia.,La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia
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Facilitators and barriers in the collaboration between the primary care and the sport sector in order to promote physical activity: A systematic literature review. Prev Med 2015; 81:460-78. [PMID: 26522091 DOI: 10.1016/j.ypmed.2015.10.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Revised: 10/19/2015] [Accepted: 10/21/2015] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The aim of this review was to identify collaborative initiatives between the primary care and the sport sector in order to promote physical activity (PA), and barriers and facilitators in these initiatives. METHOD Pubmed, SportDiscus, Web of Science, and SOCindex were systematically searched for publications published between 2000 and June 2014. Publications reporting on collaboration between the primary care and the sport sector to promote PA were included. Publications reporting on non-empirical data were excluded, except for study protocols. RESULTS The search process yielded 1352 publications. After selection, 40 publications were included. Twenty-eight different initiatives were divided into four forms of collaboration, and two approaches to promote PA were distinguished with different kinds of facilitators and barriers. In the referral of patients, sport professionals' lack of medical knowledge, and health professionals' lack of time, were seen as barriers. In networks to organize activities to promote PA among the community, different shared interests and different cultures were seen as barriers. CONCLUSION This review showed that performance of intersectoral collaboration and the collaboration between both sectors are still unexplored. This review provides a first step towards an insight into collaboration and factors that facilitate or hinder collaboration between these sectors.
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Ooms L, Veenhof C, Schipper-van Veldhoven N, de Bakker DH. Sporting programs for inactive population groups: factors influencing implementation in the organized sports setting. BMC Sports Sci Med Rehabil 2015; 7:12. [PMID: 26038708 PMCID: PMC4451741 DOI: 10.1186/s13102-015-0007-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2014] [Accepted: 05/13/2015] [Indexed: 11/19/2022]
Abstract
Background The organized sports sector has received increased attention as a setting to promote health-enhancing physical activity (HEPA) to the general population. For significant public health impact, it is important that successful HEPA programs are widely adopted, implemented and continued as ongoing practice. The importance of evaluating the context in which programs are implemented has been identified as critical. However, little research has focused on understanding the organized sports implementation context, including factors facilitating and impeding implementation. In this study, the main factors influencing implementation of HEPA programs in the organized sports setting were studied. Methods Fourteen sporting programs in the Netherlands aimed at increasing participation in sports by inactive population groups and funded within the National Action Plan for Sport and Exercise (NAPSE) were investigated. The programs were developed by ten Dutch National Sports Federations (NSFs) and implemented by different sports clubs in the Netherlands over a 3-year implementation period (June 2008–June 2011). The qualitative research component involved yearly face-to-face interviews (i.e. fourteen interviews each year, n = 12 program coordinators) and a group meeting with the program coordinators of the NSFs (n = 8). Cross-case comparisons and thematic analyses were performed to identify and categorize important facilitating and impeding factors respectively. The quantitative research component, used to identify the most important facilitating and impeding factors across all sporting programs, consisted of ranking of factors according to importance by the program coordinators (n = 12). Results Different factors act during six identified (implementation) phases. When comparing factors across phases, several key learnings were evident. Successful implementation relied, for example, on program design and enthusiastic individuals within sporting organizations. On the other hand, inactive people were hard to reach and participation of sports clubs was not self-evident. The findings were discussed in a broader context. Conclusions This study adds to the knowledge base concerning the implementation of sporting programs, aimed at inactive people, in the organized sports setting. The main factors facilitating and impeding implementation were identified. The results of this study can be used by sports practitioners and policy makers when developing and implementing HEPA programs in this setting. Electronic supplementary material The online version of this article (doi:10.1186/s13102-015-0007-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Linda Ooms
- Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN Utrecht, The Netherlands
| | - Cindy Veenhof
- Physical Therapy Research, Program in Clinical Health Sciences & Department of Rehabilitation, Nursing Science and Sport, Brain Center Rudolf Magnus, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands
| | | | - Dinny H de Bakker
- Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN Utrecht, The Netherlands ; Scientific Center for Transformation in Care and Welfare (Tranzo), Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands
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