Promoting functional foods as acceptable alternatives to doping: potential for information-based social marketing approach

Context matters: athletes' perception of dopers' values, actions and vulnerabilities

Background

Although athletes seem to hold uniform views towards non-dopers, their perception of dopers is more nuanced, reflecting positive and negative attributes. Research also indicates that rarely a single factor can explain doping, but a host of reasons that intertwine. A holistic understanding of how values play a role in decisions in anti-doping and the elements that influence athletes' doping vulnerability is timely and warranted.

Methods

We recruited elite athletes from 13 countries representing 27 sports at a national or international level (N = 60) to participate as part of a larger research project. Data were collected via focus group interviews focusing on values, value priorities and perceptions about the role of values in doping as a phenomenon and in dopers' actions. Data were analysed using iterative thematic analysis.

Results

Three themes were identified: (1) athletes' personal stance on doping, (2) dopers in the eyes of the anti-doping-compliant athletes, and (3) doping vulnerability is a balance. Athletes in this study strongly opposed doping but showed empathy and understanding toward athletes who doped under certain circumstances. Furthermore, athletes believed that "clean" and "doping" athletes are not always distinguished by the values they hold, leading to the realisation that all athletes can be vulnerable to doping at some point. This vulnerability is a balance between risks and protective factors in a complex interaction between environmental, personal, and situational influences. Each element (e.g., values, environment) can be a motivator or a barrier. Consequently, doping vulnerability is highly idiosyncratic and dynamic.

Conclusion

If doping is not due to a lack of moral values but the consequences of combined risk factors that override the guiding function of values, then doping can happen to anyone, "good" athletes included. Developers and facilitators of anti-doping education programmes are advised to embrace this important aspect. The results also contribute to developing the doping vulnerability concept as a balance between risks and protective factors and draw attention to the clean athlete vulnerability, which is rooted in the combination of strategic performance enhancement via non-prohibited means, their exposure to anti-doping requirements and the constant high level of suspicion that surrounds them.

A national anti-doping education programme reduces doping susceptibility in British athletes

The World Anti-Doping Agency's International Standard for Education instructs that national and international sport organisations evaluate their education programmes. We addressed this directive by examining the effectiveness of a national anti-doping programme. Athletes (N = 302, 41% female) completed measures of doping susceptibility, intention to use dietary supplements, Spirit of Sport and moral values, anti-doping knowledge and practice, and whistleblowing, prior-to and three-months after attending an anti-doping education programme. At three-month follow-up, athletes reported decreased doping susceptibility and intention to use dietary supplements coupled with increased importance of values, anti-doping knowledge, anti-doping practice and whistleblowing. Within-participant, moderated-mediation analyses revealed that programme-related changes in doping susceptibility were indirectly related to changes in intention to use dietary supplements, and, that this indirect relationship was moderated by moral values. These findings confirm the effectiveness of a national anti-doping education programme and highlight the contribution of dietary supplement use and personal values to changes in doping susceptibility.

Health Culture and Running: Non-Elite Runners' Understandings of Doping and Supplementation

Participants at the non-elite level of road running often take up the sport for purposes of health, as a way of taking responsibility for their own well-being. Often, these runners use dietary supplements as a way to improve health and to potentially enhance running performance. Supplements are distinct from banned performance enhancing drugs (PEDs), as they are legal and widely available, though very loosely regulated. Research demonstrates that the line between supplements and banned PEDs is increasingly blurry as cases of cross-contaminated and mislabeled supplements continue to be found. Such products may pose health risks to unsuspecting consumers. Despite anti-doping agencies' warnings to elite runners about these risks, non-elite runners are rarely told by any sport or anti-doping body to be wary of supplements. They are, however, inundated with media coverage of doping scandals usually involving only a few of the substances banned in sport. In short, these runners are often left to navigate supplement use on their own and many conflate supplement availability with safety. This article explores these routine dietary supplement practices among non-elite runners. Drawing from interviews with 28 non-elite runners in New York City, I discuss the perceptions and understandings of doping and dietary supplement use within the context of health culture. Interview data reveal that the social acceptance of dietary supplements and their widespread use among the broader public reinforce the notion among non-elite runners that such products are objectively safe and healthy. I argue that based on their assumptions of supplement safety, non-elite runners view dietary supplements as distinctly different from PEDs and that this difference encourages their use as health and performance aids.

Cross-cultural adaptation and validation of the spanish version of the performance enhancement attitude scale (petróczi, )

The aim of the present study was to cross-culturally adapt and validate the Spanish version of the Performance Enhancement Attitude Scale (PEAS). A cross-sectional multi-sample survey with 17 independent datasets was carried out. Cross-cultural adaptation of the PEAS into Spanish was conducted through forward/backward translations, consensus panels and comparative analyses of known-groups to establish evidence for its reliability and validity. Weighted Kappa coefficients with quadratic weighting were used to assess the reliability of each item, with Cronbach's internal consistency coefficients for overall scale's reliability and Spearman's correlation coefficient for test-retest reliability over a one-week period. Confirmatory factor analysis (CFA) was performed to assess the scale's structure. Differences between self-admitted doping users and non-users were analysed to verify the PEAS' construct validity in 8 datasets. Spearman's correlation coefficient was also used to assess the relationships between the PEAS and self-esteem, self-efficacy and perceived descriptive norm to establish convergent validity. The scale showed satisfactory levels of internal consistency (α = 0.71-0.85), reliability of each item (Kappa values range 0.34-0.64) and temporal stability (r = 0.818; p < 0.001). CFA showed acceptable fit (RMSEA <0.08, mean RMSEA = 0.055; χ(2)/df < 3, mean χ(2)/df = 1.89) for all but one samples. As expected, self-admitted doping users showed more positive attitude toward doping than non-users. Significant and strong negative relationship was found between PEAS and self-efficacy; weak negative correlation with self-esteem and and positive correlation with perceived descriptive norm. The Spanish version of PEAS showed satisfactory psychometric properties. Considerations for application and improvement are outlined. Key pointsFirst study that crosses culturally adapted the PEAS to the Spanish language.The Spanish version of PEAS has satisfactory psychometric properties.Users scored higher than non-users indicating a satisfactory construct validity. Significant positive correlation was found between PEAS and projected use.Significant negative correlation between PEAS and self-esteem and self-efficacy.