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Timm A, van Hoye A, Sharp P, Andersen TH, Hansen L, Oestergaard JN, Krustrup P, Cortsen K, Iversen PB, Rod MH, Klinker CD. Promoting men's health through sports clubs: A systematic rapid realist review. JOURNAL OF SPORT AND HEALTH SCIENCE 2024:100969. [PMID: 39209022 DOI: 10.1016/j.jshs.2024.100969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 02/21/2024] [Accepted: 04/11/2024] [Indexed: 09/04/2024]
Abstract
BACKGROUND Health promotion (HP) interventions delivered through sports clubs have demonstrated promising outcomes among men, but less is known about which aspects of the interventions work, for whom, and under what circumstances. This rapid realist review aims to understand the contexts, mechanisms, and outcomes of HP interventions for men delivered through sports clubs. METHODS A systematic literature search was conducted in February 2023 for studies published after 2013 in MEDLINE, Embase, and SPORTDiscus databases. INCLUDED STUDIES (a) were delivered by or in collaboration with sports clubs, (b) targeted men aged 18+ years, and (c) reported 1 or more HP outcome. A grey literature search was also performed. Studies were included in a realist synthesis based on richness and rigor. Hereafter, context-mechanisms-outcome (CMO) configurations were developed. RESULTS We identified and screened 3356 studies, finally including 60 studies describing 22 interventions. Most HP interventions were delivered in high income countries, included Caucasian men aged 35-65 years with overweight/obesity, and used professional sports clubs (mostly football) for recruitment and facilities. Quantitative HP outcomes were reported across 19 interventions. Of these 19 interventions, the majority reported on weight (n = 18), physical activity (n = 12), mental health (n = 10), and diet (n = 9). We identified 12 CMOs related to how HP interventions affected men's recruitment, engagement, and health behavior maintenance. CONCLUSION Our findings show that using sports clubs for HP interventions is effective for engaging men. Recruitment was facilitated by leveraging sports clubs' identity, addressing masculinity-related barriers, improving accessibility, and building trust. Engagement was enhanced through shared identity experiences, safe spaces, inclusive competition, and self-efficacy. However, there's limited evidence on behavior maintenance post-intervention, though involving community stakeholders seemed vital. In general, considerations should be made to avoid perpetuating traditional masculine norms, which may exclude some men and reinforce unhealthy behaviors. These findings can guide intervention development, emphasizing the need to harness men's perspectives in the process.
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Affiliation(s)
- Anne Timm
- Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Herlev, 2730, Denmark.
| | - Aurelie van Hoye
- UMR1319 Interdisciplinarité en Santé Publique, Intervention et Instruments de Mesures Complexes, University of Lorraine, Villers-les-Nancy, 54600, France; Physical Activity for Health research cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, V94T9PX, Ireland
| | - Paul Sharp
- School of Nursing and Department of Psychiatry, University of British Columbia, Vancouver, V6T 2B5, Canada; School of Health Sciences, University of New South Wales, Sydney, 2052, Australia
| | - Tue Helms Andersen
- Department of Education, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Herlev, 2730, Denmark
| | - Louise Hansen
- Department of Education, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Herlev, 2730, Denmark
| | | | - Peter Krustrup
- Sport and Health Sciences Cluster (SHSC), Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, 5230, Denmark; Danish Institute for Advanced Study (DIAS), Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, 5230, Denmark
| | - Kenneth Cortsen
- University College of Northern Denmark, Hjoerring, 9800, Denmark
| | | | - Morten Hulvej Rod
- National Institute of Public Health, University of Southern Denmark, Copenhagen, 1455, Denmark
| | - Charlotte Demant Klinker
- Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Herlev, 2730, Denmark
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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.
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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
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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.
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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
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Nau T, Bauman A, Smith BJ, Bellew W. A scoping review of systems approaches for increasing physical activity in populations. Health Res Policy Syst 2022; 20:104. [PMID: 36175916 PMCID: PMC9524093 DOI: 10.1186/s12961-022-00906-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 09/02/2022] [Indexed: 11/27/2022] Open
Abstract
Introduction The past decade has increasingly seen systems approaches as a featured theme in public health studies and policy documents. This trend is evident in the area of physical activity, which is a significant global health risk factor that is addressed in WHO’s Global Action Plan on Physical Activity. We undertook a comprehensive scoping review to characterize the application of systems approaches to physical activity, to develop a typology of the objectives, themes and methods of research papers that purported to apply systems thinking to this issue. Methods We searched electronic databases (PubMed, Web of Science, Scopus and PsycINFO) for studies published during the period 2010–2021 that explicitly applied systems approaches or methods to investigate and/or address population physical activity. A framework using systems-based methodological approaches was adapted to classify physical activity studies according to their predominant approach, covering basic descriptive, complex analytical and advanced forms of practice. We selected case studies from retained studies to depict the current “state of the art”. Results We included 155 articles in our narrative account. Literature reporting the application of systems approaches to physical activity is skewed towards basic methods and frameworks, with most attention devoted to conceptual framing and predictive modelling. There are few well-described examples of physical activity interventions which have been planned, implemented and evaluated using a systems perspective. There is some evidence of “retrofitted” complex system framing to describe programmes and interventions which were not designed as such. Discussion We propose a classification of systems-based approaches to physical activity promotion together with an explanation of the strategies encompassed. The classification is designed to stimulate debate amongst policy-makers, practitioners and researchers to inform the further implementation and evaluation of systems approaches to physical activity. Conclusion The use of systems approaches within the field of physical activity is at an early stage of development, with a preponderance of descriptive approaches and a dearth of more complex analyses. We need to see movement towards a more sophisticated research agenda spanning the development, implementation and evaluation of systems-level interventions. Supplementary Information The online version contains supplementary material available at 10.1186/s12961-022-00906-2.
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Affiliation(s)
- Tracy Nau
- Prevention Research Collaboration, Charles Perkins Centre, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. .,The Australian Prevention Partnership Centre, Sydney, NSW, Australia.
| | - Adrian Bauman
- Prevention Research Collaboration, Charles Perkins Centre, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.,The Australian Prevention Partnership Centre, Sydney, NSW, Australia
| | - Ben J Smith
- Prevention Research Collaboration, Charles Perkins Centre, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.,The Australian Prevention Partnership Centre, Sydney, NSW, Australia
| | - William Bellew
- Prevention Research Collaboration, Charles Perkins Centre, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.,The Australian Prevention Partnership Centre, Sydney, NSW, Australia
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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 [...].
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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;
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