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Quirk H. Engaging underrepresented groups in community physical activity initiatives: a qualitative study of parkrun in the UK. BMC Public Health 2024; 24:804. [PMID: 38486214 PMCID: PMC10938745 DOI: 10.1186/s12889-024-18314-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 03/08/2024] [Indexed: 03/18/2024] Open
Abstract
BACKGROUND Underrepresented groups, including racial/ethnic minority groups and individuals with low socioeconomic status face complex barriers to engaging in community-based health initiatives. This research uses parkrun, an outdoor, mass-participation, weekly physical activity and volunteering initiative, to explore the engagement strategies ('outreach activities') that have been used to promote the inclusivity and diversity of parkrun events. METHODS Ten adult parkrun Ambassadors who fulfilled volunteer roles that involved promoting parkrun to underrepresented groups in the UK were interviewed. Interviews took place via telephone or video call in April-July 2021. Interview transcripts were analysed thematically. RESULTS Engagement strategies implemented by Ambassadors varied from opportunistic promotion within communities to strategic negotiations at higher decision-making levels. Approaches were characterised by a community-centred focus that ensured community networks and assets were utilised. Stories were considered valuable indicators of successful outreach. A common challenge to outreach for Ambassadors was limited personal and organisational capacity that impeded the widescale scope, reach and scalability of parkrun's engagement attempts. CONCLUSIONS Parkrun Ambassadors have used a wide range of outreach activities at different levels of influence. A number of challenges to doing sustainable and effective outreach have been highlighted that need to be addressed. Working with and alongside communities where community-based health initiatives events take place to understand how to address inclusivity issues could contribute to greater participation by underrepresented groups.
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Affiliation(s)
- Helen Quirk
- Sheffield Centre for Health and Related Research (SCHARR), School of Medicine and Population Health, University of Sheffield, 30 Regent Street, S1 4DA, Sheffield, UK.
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2
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Santoso MV, Petrie HC, Kerr RB, Lane C, Kassim N, Martin H, Mtinda E, Lupafya E, Young S. A Mixed Methods Exploration of the Role of Participation in a Nutrition-Sensitive Agroecology Intervention in Rural Tanzania. Curr Dev Nutr 2023; 7:100098. [PMID: 37396961 PMCID: PMC10314235 DOI: 10.1016/j.cdnut.2023.100098] [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: 10/18/2021] [Revised: 05/05/2023] [Accepted: 05/08/2023] [Indexed: 07/04/2023] Open
Abstract
Background Participation is key to the successful implementation of nutrition-related interventions, but it has been relatively overlooked. Objective We sought to describe participation intensity among smallholder farmers in a randomized nutrition-sensitive agroecology study in rural Tanzania. We explored the association between baseline characteristics and overall participation intensity (quantitatively at the individual level and qualitatively at the group level), the association of participation intensity with 2 process indicators, and the association between participation intensity and key study outcomes. Methods Data came from 7 rounds of surveys with 295 women and 267 men across 29 months and 2 rounds of semi-structured interviews with the 20 "mentor farmers" who delivered the intervention. Participation intensity was based on the number of months of attendance at village-level project meetings or household visits (range: 0-29). Multivariable models of participation were built. Results Women and men participated for 17.5 ± 7.2 and 13.6 ± 8.3 months, respectively. Participation intensity followed 1 latent trajectory: initially low, with a sharp increase after month 7, and plateaued after the first year. At baseline, higher participation intensity was associated with older age, higher education, level of women's empowerment, being in the middle quintile of wealth, and qualitatively, village residence. Higher participation intensity was associated with 2 process indicators - better recall of topics discussed during meetings and greater knowledge about key agroecological methods. High participation intensity was positively associated with increased use of sustainable agricultural practices among all participants, and among women, with husband's involvement in household tasks and child's dietary diversity score. Conclusions Participation intensity covaried with key study outcomes, suggesting the value of increased attention to implementation in nutrition-related programs for providing insights into drivers of impact. We hope that investigations of participation, including participation intensity, will become more widespread so that intervention impacts, or lack thereof, can be better understood.
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Affiliation(s)
| | - Halle Claire Petrie
- Department of Anthropology, Northwestern University, Evanston, IL, United States
| | - Rachel Bezner Kerr
- Department of Global Development, Cornell University, Ithaca, NY, United States
| | - Charlotte Lane
- International Initiative for Impact Evaluation, Washington, DC, United States
| | - Neema Kassim
- Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
| | - Haikael Martin
- Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
| | | | - Esther Lupafya
- Soils, Food and Healthy Communities (SFHC), Ekwendeni, Malawi
| | - Sera Young
- Department of Anthropology, Northwestern University, Evanston, IL, United States
- Institute for Policy Research, Northwestern University, Evanston, IL, United States
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Gilburn AS. New Parkrunners Are Slower and the Attendance Gender Gap Narrowing Making Parkrun More Inclusive. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3602. [PMID: 36834295 PMCID: PMC9959326 DOI: 10.3390/ijerph20043602] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 02/10/2023] [Accepted: 02/16/2023] [Indexed: 06/18/2023]
Abstract
Parkrun is a weekly mass-participation event. Finishes are recorded, with the resulting database potentially containing important public health information. The aim of this study was to identify characteristics of events that overcome barriers to participation, and to identify changing patterns in the demographics of participants. GLMMs were generated of age-graded performance, gender ratio and age of participants at Scottish parkrun events. Predictor variables included age, gender, participant, runs, date, elevation gain, surface and travelling time to the next nearest venue. There was a decline in the mean performance of participants at events, yet individual performances improved. The gender ratio showed higher male participation with a narrowing gender gap. Events in the most remote parts of Scotland had lower performance and a higher proportion of female participants. Events on slower surfaces had more female participants. Parkrun events are becoming more inclusive, with more females and participants exhibiting low performance. In more remote parts of Scotland, more females participated in parkrun than males, suggesting parkrun has overcome traditional barriers to female participation in sport. Prioritising the creation of events at remote locations and on slower surfaces could increase inclusivity further. General practitioners prescribing parkrun might want to prescribe attendance at slower events for female patients.
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Affiliation(s)
- Andre S Gilburn
- Biological and Environmental Sciences, University of Stirling, Stirling FK9 4LA, UK
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Kolb WH, Bade MJ, Bradberry C. Implementation of clinical practice guidelines for low back pain: A case control cohort study of knowledge translation in a multi-site healthcare organization. J Eval Clin Pract 2022; 28:288-302. [PMID: 34761482 DOI: 10.1111/jep.13633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 08/30/2021] [Accepted: 09/09/2021] [Indexed: 12/01/2022]
Abstract
RATIONALE The benefits of clinical practice guideline (CPG) adoption for the management of patients with back pain are well documented. However, the gap between knowledge creation and implementation remains wide with few studies documenting the iterative process of comprehensive implementation in clinical settings. The objective of this study was to improve adherent physical therapy care according to CPG's for low back pain and describe the knowledge to action (K2A) process used in a rural healthcare organization. METHODS A prospective case control cohort design was used to evaluate physical therapy provider practice changes during an 18 month intervention. Four clinical sites were selected, two of which received multifaceted educational and process interventions tailored to feedback from ongoing K2A cycle outcomes. Overall program assessment included monthly charge code reports for adherence and a pre-post survey of confidence for guideline use. Pragmatic Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) criteria were used to complete the process evaluation. RESULTS A significant difference (p < 0.001, mean difference 13.5, CI [8.5,18.5]) for charge code adherence favoured education site-1 over control site-2 after implementation. Adherence scores remained above target at both education sites 18 months after implementation. Survey differences were significant for confidence scores at education sites in use of the cognitive behavioural category, overall treatment category use and guideline communication. Process evaluation supported multifaceted interventions tailored to education sites with average cost measured by staff education time of 15.5 h per therapist trained. CONCLUSION This study extends the literature of guideline implementation by describing the unique cycles required for promoting provider behaviour change within a rural healthcare system. Adherence and confidence results suggest increased provider CPG use which was supported by the process evaluation. This study demonstrates the importance of multiple site comparisons, long-term reporting and standardized frameworks for assessment of real-world CPG implementation.
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Affiliation(s)
- William H Kolb
- Department of Physical Therapy, Radford University Waldron College of Health Professions, Radford University Carilion Campus, Roanoke, Virginia, USA
| | - Michael J Bade
- Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.,Veterans Affairs Eastern Colorado Healthcare System, Geriatric Research Education and Clinical Center, Denver, Colorado, USA
| | - Caleb Bradberry
- School of Computing and Information Sciences, Radford University Artis College of Science and Technology, Radford, Virginia, USA
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Bernhart JA, Wilcox S, McKeever BW, Ehlers DK, O’Neill JR. A Self-Determination Theory Application to Physical Activity in Charity Sports Events. Am J Lifestyle Med 2022. [DOI: 10.1177/15598276221077204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Charity sports events, specifically 5K events, reach large numbers of people and may help promote physical activity (PA). Few studies exist applying Self-Determination Theory (SDT) to participation in these events. This study examined changes in SDT constructs of Autonomy, Competence, and Relatedness satisfaction in participants (n = 207) of charity 5K events and (2) examined relationships among post-event SDT constructs, PA, and intention to complete future events. Participants completed online surveys before and after a charity 5K event using the Psychological Needs Satisfaction in Exercise Scale, Behavioral Regulation in Exercise Questionnaire-2, and International Physical Activity Questionnaire-Short Form. Repeated measures analysis of covariance analyzed the first purpose and regression the second. Competence satisfaction increased ( P = .04) and relatedness satisfaction decreased ( P = .04). Higher post-event relatedness satisfaction was associated with intention to complete future charity 5K events (OR = 1.05, 95% CI: 1.00, 1.11). Higher post-event autonomy, competence, and relatedness satisfaction and intrinsic motivation were associated with greater post-event MET-minutes of PA (all P < .05).Findings may be useful for promoting PA and helping organizations increase participation. Specifically, events facilitating relatedness among participants may lead to repeat participation as these events have opportunities to fulfill SDT outcomes and increase post-event PA.
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Affiliation(s)
- John A Bernhart
- Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Sara Wilcox
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Brooke W. McKeever
- School of Journalism and Mass Communications, University of South Carolina, Columbia, SC, USA
| | - Diane K. Ehlers
- Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA
| | - Jennifer R. O’Neill
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
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Quirk H, Bullas A, Haake S, Goyder E, Graney M, Wellington C, Copeland R, Reece L, Stevinson C. Exploring the benefits of participation in community-based running and walking events: a cross-sectional survey of parkrun participants. BMC Public Health 2021; 21:1978. [PMID: 34727918 PMCID: PMC8561845 DOI: 10.1186/s12889-021-11986-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 10/12/2021] [Indexed: 12/02/2022] Open
Abstract
Background Whilst the benefits of physical activity for health and wellbeing are recognised, population levels of activity remain low. Significant inequalities exist, with socioeconomically disadvantaged populations being less physically active and less likely to participate in community events. We investigated the perceived benefits from participation in a weekly running/walking event called parkrun by those living in the most socioeconomically deprived areas and doing the least physical activity. Methods A cross-sectional online survey was emailed to 2,318,135 parkrun participants in the UK. Demographic and self-reported data was collected on life satisfaction, happiness, health status, physical activity, motives, and the perceived benefits of parkrun. Motivation, health status and benefits were compared for sub-groups defined by physical activity level at parkrun registration and residential Index of Multiple Deprivation. Results 60,000 completed surveys were received (2.7% of those contacted). Respondents were more recently registered with parkrun (3.1 v. 3.5 years) than the parkrun population and had a higher frequency of parkrun participation (14.5 v. 3.7 parkruns per year). Those inactive at registration and from deprived areas reported lower happiness, lower life satisfaction and poorer health compared to the full sample. They were more likely to want to improve their physical health, rather than get fit or for competition. Of those reporting less than one bout of activity per week at registration, 88% (87% in the most deprived areas) increased their physical activity level and 52% (65% in the most deprived areas) reported improvements to overall health behaviours. When compared to the full sample, a greater proportion of previously inactive respondents from the most deprived areas reported improvements to fitness (92% v. 89%), physical health (90% v. 85%), happiness (84% v. 79%) and mental health (76% v. 69%). Conclusion The least active respondents from the most socioeconomically deprived areas reported increases to their activity levels and benefits to health and wellbeing since participating in parkrun. Whilst the challenge of identifying how community initiatives like parkrun can better engage with underrepresented populations remains, if this can be achieved they could have a critical public health role in addressing inequalities in benefits associated with recreational physical activity. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11986-0.
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Affiliation(s)
- Helen Quirk
- School of Health and Related Research, The University of Sheffield, 30 Regent St, Sheffield, S1 4DA, UK.
| | - Alice Bullas
- Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK
| | - Steve Haake
- Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK
| | - Elizabeth Goyder
- School of Health and Related Research, The University of Sheffield, 30 Regent St, Sheffield, S1 4DA, UK
| | | | | | - Robert Copeland
- Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK
| | - Lindsey Reece
- Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - Clare Stevinson
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
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Fullagar S, Petris S, Sargent J, Allen S, Akhtar M, Ozakinci G. Action research with parkrun UK volunteer organizers to develop inclusive strategies. Health Promot Int 2021; 35:1199-1209. [PMID: 31778185 DOI: 10.1093/heapro/daz113] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
This article addresses the challenge of promoting physical activity through a focus on equity and engaging physically inactive citizens through the development of inclusive strategies within parkrun UK-a free, volunteer-led, weekly mass community participation running event. We discuss how a UK-based action research design enabled collaboration with volunteer event organizers to understand participant experiences, constraints and develop localized inclusive practices. In contrast with 'expert'-driven health behaviour interventions, our research pursued a 'ground up' approach by asking what can be learnt from the successes and challenges of organizing community events, such as parkrun UK, to promote inclusion? A modified participatory action research approach was used with four parkrun sites across England, Scotland and Northern Ireland, that involved quantitative and qualitative analysis of survey data (n = 655) that informed the process. Our analysis explored parkrunners' and volunteer organizers' perceptions relating to (i) the demographics of parkrun participation and (ii) actions for change in relation to the challenges of engaging marginalized groups (women, ethnic minorities, low income, older people, those with disabilities or illness). We discuss the challenges and opportunities for addressing (in)equity and inclusion through volunteer-based organizations and the implications for translating knowledge into organizational strategies.
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Affiliation(s)
- Simone Fullagar
- Department of Tourism, Sport & Hotel Management, Griffith University, Parklands Dr, Southport, 4222, Australia.,Department for Health, University of Bath, Cleveland Dr, Bath, BA27AY, England
| | - Sandra Petris
- University of Glasgow, Institute of Health and Wellbeing, Lilybank Gardens, Glasgow G12 8RZ, Scotland
| | - Julia Sargent
- The Open University, Institute of Educational Technology, Walton Hall, Milton Keynes, MK7 6AA, England
| | - Stephanie Allen
- Cancer Focus Northern Ireland, Eglantine Ave, Belfast BT9 6DX, UK
| | - Muhsina Akhtar
- Islington Bangladeshi Association, Caledonian Rd, Kings Cross, London, N19BT, England
| | - Gozde Ozakinci
- University of St Andrews, School of Medicine, St Andrews, KY16 9TF, Scotland, UK
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Mönninghoff A, Kramer JN, Hess AJ, Ismailova K, Teepe GW, Tudor Car L, Müller-Riemenschneider F, Kowatsch T. Long-term Effectiveness of mHealth Physical Activity Interventions: Systematic Review and Meta-analysis of Randomized Controlled Trials. J Med Internet Res 2021; 23:e26699. [PMID: 33811021 PMCID: PMC8122296 DOI: 10.2196/26699] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 02/24/2021] [Accepted: 04/02/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Mobile health (mHealth) interventions can increase physical activity (PA); however, their long-term impact is not well understood. OBJECTIVE The primary aim of this study is to understand the immediate and long-term effects of mHealth interventions on PA. The secondary aim is to explore potential effect moderators. METHODS We performed this study according to the Cochrane and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We searched PubMed, the Cochrane Library, SCOPUS, and PsycINFO in July 2020. Eligible studies included randomized controlled trials of mHealth interventions targeting PA as a primary outcome in adults. Eligible outcome measures were walking, moderate-to-vigorous physical activity (MVPA), total physical activity (TPA), and energy expenditure. Where reported, we extracted data for 3 time points (ie, end of intervention, follow-up ≤6 months, and follow-up >6 months). To explore effect moderators, we performed subgroup analyses by population, intervention design, and control group type. Results were summarized using random effects meta-analysis. Risk of bias was assessed using the Cochrane Collaboration tool. RESULTS Of the 2828 identified studies, 117 were included. These studies reported on 21,118 participants with a mean age of 52.03 (SD 14.14) years, of whom 58.99% (n=12,459) were female. mHealth interventions significantly increased PA across all the 4 outcome measures at the end of intervention (walking standardized mean difference [SMD] 0.46, 95% CI 0.36-0.55; P<.001; MVPA SMD 0.28, 95% CI 0.21-0.35; P<.001; TPA SMD 0.34, 95% CI 0.20-0.47; P<.001; energy expenditure SMD 0.44, 95% CI 0.13-0.75; P=.01). Only 33 studies reported short-term follow-up measurements, and 8 studies reported long-term follow-up measurements in addition to end-of-intervention results. In the short term, effects were sustained for walking (SMD 0.26, 95% CI 0.09-0.42; P=.002), MVPA (SMD 0.20, 95% CI 0.05-0.35; P=.008), and TPA (SMD 0.53, 95% CI 0.13-0.93; P=.009). In the long term, effects were also sustained for walking (SMD 0.25, 95% CI 0.10-0.39; P=.001) and MVPA (SMD 0.19, 95% CI 0.11-0.27; P<.001). We found the study population to be an effect moderator, with higher effect scores in sick and at-risk populations. PA was increased both in scalable and nonscalable mHealth intervention designs and regardless of the control group type. The risk of bias was rated high in 80.3% (94/117) of the studies. Heterogeneity was significant, resulting in low to very low quality of evidence. CONCLUSIONS mHealth interventions can foster small to moderate increases in PA. The effects are maintained long term; however, the effect size decreases over time. The results encourage using mHealth interventions in at-risk and sick populations and support the use of scalable mHealth intervention designs to affordably reach large populations. However, given the low evidence quality, further methodologically rigorous studies are warranted to evaluate the long-term effects.
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Affiliation(s)
- Annette Mönninghoff
- Institute for Customer Insight, University of St. Gallen, St. Gallen, Switzerland
- Institute for Mobility, University of St. Gallen, St. Gallen, Switzerland
| | - Jan Niklas Kramer
- Centre for Digital Health Interventions, Institute of Technology Management, University of St. Gallen, St. Gallen, Switzerland
- CSS Insurance, Lucerne, Switzerland
| | - Alexander Jan Hess
- Centre for Digital Health Interventions, Institute of Technology Management, University of St. Gallen, St. Gallen, Switzerland
- Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland
| | - Kamila Ismailova
- Centre for Digital Health Interventions, Institute of Technology Management, University of St. Gallen, St. Gallen, Switzerland
| | - Gisbert W Teepe
- Centre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland
| | - Lorainne Tudor Car
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
- School of Public Health, Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
| | | | - Tobias Kowatsch
- Centre for Digital Health Interventions, Institute of Technology Management, University of St. Gallen, St. Gallen, Switzerland
- Centre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
- Future Health Technologies Programme, Campus for Research Excellence and Technological Enterprise (CREATE), Singapore-ETH Centre, Singapore, Singapore
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Ori EM, Berry TR, McCormack GR, Brett KR, Lambros GA, Ghali WA. Leveraging Professional Sports Teams to Encourage Healthy Behavior: A Review of 4 Years of Calgary Flames Health Training Camp Events. Front Public Health 2020; 8:553434. [PMID: 33330306 PMCID: PMC7716346 DOI: 10.3389/fpubh.2020.553434] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Accepted: 10/15/2020] [Indexed: 11/13/2022] Open
Abstract
Professional sporting teams may be well-positioned to act as promoters of health behaviors given their fixture within a community, and association with physical activity, nutrition, and other healthy behaviors. Over 4 years, the Calgary Flames Sport and Entertainment Corporation in conjunction with local health promotion professionals, delivered a health promotion event to the public, The Calgary Flames Health Training Camp (FHTC) in Calgary, Alberta, Canada. The purpose of these annual events has been to inspire and encourage healthy behavior uptake and adherence. A description of the FHTC over each of 4 years (2015–2018), lessons learned, and some evaluative work done alongside the event on 2 of the 4 years. In 2017, self-report surveys were administered to event attendees to assess current health status including physical activity, socio-cognitive variables, health information preference, and intention to make healthful behavior change based on event attendance. Biometric data was collected including blood pressure, height, weight, and resting heart rate. Evaluations of the four consecutive events showed that the Calgary Flames Sport and Entertainment Corporation has an ability to attract substantial numbers of the general public to attend FHTC events. Self-report measures from 2017 suggest that already-active populations may be most interested in attending however, the events do appear to inspire attendees to consider behavioral changes for health. The events helped to identify individuals with health risks requiring medical attention but has not yet resulted in known behavior changes. Positive community health impacts may arise from collaboration between health promoters and professional sporting organizations.
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Affiliation(s)
- Elaine M Ori
- Faculty of Health, Community and Education, Mount Royal University, Calgary, AB, Canada.,Faculty of Kinesiology, Recreation and Sport, University of Alberta, Edmonton, AB, Canada
| | - Tanya R Berry
- Faculty of Kinesiology, Recreation and Sport, University of Alberta, Edmonton, AB, Canada
| | - Gavin R McCormack
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.,O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada
| | | | | | - William A Ghali
- O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada
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10
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Bernhart JA, Wilcox S, Decker L, Ehlers DK, McKeever BW, O'Neill JR. "It's having something that you've done it for": Applying Self-Determination Theory to participants' motivations in a for-cause physical activity event. J Health Psychol 2020; 27:119-134. [PMID: 32757667 DOI: 10.1177/1359105320947811] [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: 11/15/2022] Open
Abstract
For-cause physical activity events reach many people. Little research has applied Self-Determination Theory to participants' experiences in for-cause physical activity events. This qualitative study explored participants' (n = 18) experiences in 5K for-cause physical activity events and intention to complete future events. Interviews were recorded and transcribed verbatim. Emergent coding assessed responses for themes. Constructs of competence and relatedness were most prevalent and an altruistic desire to support the cause. Participants highlighted feelings of community supporting their intention to complete future events. Overall, experiences aligned with Self-Determination Theory. Future studies may include altruism to understand leveraging opportunities for promoting physical activity.
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Affiliation(s)
| | | | | | - Diane K Ehlers
- University of South Carolina, USA.,University of Nebraska Medical Center, USA
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11
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Rowbotham S, Conte K, Hawe P. Variation in the operationalisation of dose in implementation of health promotion interventions: insights and recommendations from a scoping review. Implement Sci 2019; 14:56. [PMID: 31171008 PMCID: PMC6555031 DOI: 10.1186/s13012-019-0899-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Accepted: 04/22/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND While 'dose' is broadly understood as the 'amount' of an intervention, there is considerable variation in how this concept is defined. How we conceptualise, and subsequently measure, the dose of interventions has important implications for understanding how interventions produce their effects and are subsequently resourced and scaled up. This paper aims to explore the degree to which dose is currently understood as a distinct and well-defined implementation concept outside of clinical settings. METHODS We searched four databases (MEDLINE, PsycINFO, EBM Reviews and Global Health) to identify original research articles published between 2000 and 2015 on health promotion interventions that contained the word 'dose' or 'dosage' in the title, abstract or keywords. We identified 130 articles meeting inclusion criteria and extracted data on how dose/dosage was defined and operationalised, which we then synthesised to reveal key themes in the use of this concept across health promotion interventions. RESULTS Dose was defined in a variety of ways, including in relation to the amount of intervention delivered and/or received, the level of participation in the intervention and, in some instances, the quality of intervention delivery. We also observed some conflation of concepts that are traditionally kept separate (such as fidelity) either as slippage or as part of composite measures (such as 'intervention dose'). DISCUSSION Dose is not a well-defined or consistently applied concept in evaluations of health promotion interventions. While current approaches to conceptualisation and measurement of dose are suitable for interventions in organisational settings, they are less well suited to policies delivered at a population level. Dose often accompanies a traditional monotonic linear view of causality (e.g. dose response) which may or may not fully represent the intervention's theory of how change is brought about. Finally, we found dose and dosage to be used interchangeably. We recommend a distinction between these terms, with 'dosage' having the advantage of capturing change to amount 'dispensed' over time (in response to effects achieved). Dosage therefore acknowledges the inevitable dynamic and complexity of implementation.
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Affiliation(s)
- Samantha Rowbotham
- Menzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, Charles Perkins Centre, University of Sydney, Sydney, Australia.
- The Australian Prevention Partnership Centre, Sydney, Australia.
| | - Kathleen Conte
- Menzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, Charles Perkins Centre, University of Sydney, Sydney, Australia
- The Australian Prevention Partnership Centre, Sydney, Australia
| | - Penelope Hawe
- Menzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, Charles Perkins Centre, University of Sydney, Sydney, Australia
- The Australian Prevention Partnership Centre, Sydney, Australia
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12
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Wiltshire GR, Fullagar S, Stevinson C. Exploring parkrun as a social context for collective health practices: running with and against the moral imperatives of health responsibilisation. SOCIOLOGY OF HEALTH & ILLNESS 2018; 40:3-17. [PMID: 28990198 DOI: 10.1111/1467-9566.12622] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Critiques of public health policies to reduce physical inactivity have led to calls for practice-led research and the need to reduce the individualising effects of health promotion discourse. The purpose of this paper is to examine how parkrun - an increasingly popular, regular, community-based 5 km running event - comes to be understood as a 'health practice' that allows individuals to enact contemporary desires for better health in a collective social context. Taking a reflexive analytical approach, we use interview data from a geographically diverse sample of previously inactive parkrun participants (N = 19) to explore two themes. First, we argue that parkrun offers a space for 'collective bodywork' whereby participants simultaneously enact personal body projects while they also experience a sense of being 'all in this together' which works to ameliorate certain individualising effects of health responsibilisation. Second, we examine how parkrun figures as a health practice that makes available the subject position of the 'parkrunner'. In doing so, parkrun enables newly active participants to negotiate discourses of embodied risk to reconcile the otherwise paradoxical experience of being an 'unfit-runner'. Findings contribute to sociological understandings of health and illness through new insights into the relation between health practices and emerging physical cultures, such as parkrun.
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