Interventions implemented through sporting organisations for promoting healthy behaviour or improving health outcomes

Flatz, Aline; Pfeifer, Nadine; Radtke, Thomas; Kriemler, Susi; Klerings, Irma; Wolfenden, Luke; Elm, Erik von

doi:10.1002/14651858.cd012170

Cited by 4 publications

(6 citation statements)

References 33 publications

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“…Systematic mapping reviews are carried out to map the existing literature and subsequently identify trends and gaps that may lead to future research (Grant & Booth, 2009). Because of the large variety of health outcomes from a settings-based approach (Dooris, 2006) and the ongoing literature review on measuring the effectiveness of HP interventions (Flatz et al, 2016), the present study focused on evidence-driven mechanisms of HP interventions to identify how the settings-based approach was applied to sports clubs. In other words, each article was considered as a case study, collecting empirical data on sport clubs’ practices (cf.…”

Section: Methodsmentioning

confidence: 99%

“…This review did not differentiate between cross-sectional studies and interventions, leading to a lack of identified facilitators and barriers to sports clubs becoming health-promoting settings. Finally, an update of the Cochrane review (Priest et al, 2008a(Priest et al, , 2008b has been proposed, with the aim of measuring effectiveness of interventions implemented through sporting organizations in particular to promote physical activity, healthy diet, reductions in alcohol consumption or tobacco use (Flatz et al, 2016). The present systematic mapping review of a number of empirical studies analyses sports clubs' HP interventions from a theoretical perspective using the settings-based approach developed by Kokko and colleagues (Kokko, 2014b).…”

Section: Introductionmentioning

confidence: 99%

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Health Promotion Interventions in Sports Clubs: Can We Talk About a Setting-Based Approach? A Systematic Mapping Review

et al. 2019

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Many researchers and authorities have recognized the important role that sports clubs can play in public health. In spite of attempts to create a theoretical framework in the early 2000's, a thorough understanding of sports clubs as a setting for health promotion (HP) is lacking. Despite calls for more effective, sustainable and theoretically grounded interventions, previous literature reviews have identified no controlled studies assessing HP interventions in sports clubs. This systematic mapping review details how the settings-based approach is applied through HP interventions in sports clubs, and highlights facilitators and barriers for sports clubs to become health-promoting settings. In addition, the mapped facilitators and barriers have been used to reformulate previous guidelines of HP in sports clubs. Seven databases were searched for empirical research published between 1986 and 2017. Fifty-eight studies were included, principally coming from Australia and Europe, describing 33 unique interventions, which targeted mostly male participants in team sports. The settingsbased approach was not yet applied in sports clubs, as more than half of the interventions implemented in sports club targeted only one level of the socio-ecological model, as well as focused only on study participants rather than the club overall. Based on empirical data, the analysis of facilitators and barriers helped to develop a revised guidelines for sports clubs to implement a settings-based approach to HP. This will be particularly useful when implementing HP initiatives to aid in the development of sports clubs working with a whole setting approach.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Promotion Interventions in Sports Clubs: Can We Talk About a Setting-Based Approach? A Systematic Mapping Review

et al. 2019

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“…In the absence of other clear evidence of substance use prevention in a sports club setting (Flatz et al, 2016) or other good quality evaluations such as randomised control trials or prevention approaches that have been proven effective in other settings (e.g. Das et al, 2016; Faggiano et al, 2014), the findings from the present study provide a guide for prevention efforts in this area by highlighting the importance of the programme implementation.…”

Section: Resultsmentioning

confidence: 92%

“…However, to date only three randomised controlled trials have been conducted in this specific setting, with only two of them reporting positive outcomes regarding alcohol use (Kingsland et al, 2016). Therefore, there is currently no major evidence of the effects of such prevention efforts on young people’s substance use (Flatz et al, 2016). The aim of the present study was to evaluate the outcomes of Cool and Clean, Switzerland’s largest substance use prevention programme (Solèr et al, 2015), which involves about 50,000 young participants between the ages of 10 and 20.…”

Section: Introductionmentioning

confidence: 99%

Outcome evaluation of ‘Cool and Clean’, a sports-based substance use prevention programme for young people in Switzerland

Wicki

Kuntsche

Stucki

et al. 2017

Health Education Journal

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Aims: The aim of this study was to evaluate the outcomes of Cool and Clean, Switzerland’s largest substance use prevention programme, targeted specifically at 10- to 20-year-olds who belong to a sports club and train as part of a team. Method: Based on a representative sample of young people who belong to a sports club and train as part of a team (both participants and non-participants in ‘cool and clean’), a post-test–only static group comparison was used to analyse data on 1,887 individuals from 179 teams (mean age: 13.8; 33.5% girls). Outcome variables included sports-related aspects (achievement motivation, fair play); attitudes towards tobacco, cannabis and alcohol use, and doping; and substance use (tobacco, cannabis and alcohol use). Results: Cool and Clean participants self-reported beneficial effects of the programme in all outcome areas. They also had a more critical attitude towards doping and substance use in general and had a lower reported frequency of cannabis use than non-participants. We found no significant group differences in terms of sports-related variables, tobacco and alcohol use. However, in each of these areas, better outcomes were found among Cool and Clean participants who trained with teams that implemented the programme more comprehensively. Conclusions: There is cross-sectional evidence for the effectiveness of the Cool and Clean programme. Moreover, the level of impact of the programme depends not only on participation per se but also, and more decisively, on how comprehensively the programme is implemented.

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“…GRADE Grading of Recommendations Assessment, Development and Evaluation, RCT randomized controlled trial, GRADE-ADOLOPMENT GRADE Evidence to Decision frameworks for adoption, adaptation, and de novo development of trustworthy recommendations documents applied the GRADE approach for grading the certainty of evidence for PEN-related outcomes (for instance, increase of physical activity, change of body-mass index (BMI), and sugar or salt intake) (see Table 3). The remaining 14 documents were either systematic review protocols (n = 8, [26,33,35,36,40,44,48,50]) where GRADE will be used for grading the certainty of evidence, one recommendation to guide policymaking which used GRADE-ADOLOPMENT (GRADE Evidence to Decision frameworks for adoption, adaptation, and de novo development of trustworthy recommendations) (n = 1, [47]), documents in which GRADE was used on another development stage of the document (i.e., recommendations where GRADE ratings of included systematic reviews were evaluated, n = 2, [52,53]), or documents in which the barriers against the use of GRADE were stated (n = 3, [30,32,42]) (see Table 4). Table 3 shows the ratings of the certainty of evidence for all PEN-related outcomes for each study (max.…”

Section: Facilitators Of Grade-adolopment Approachmentioning

confidence: 99%

Use of the GRADE approach in health policymaking and evaluation: a scoping review of nutrition and physical activity policies

Zähringer

Schwingshackl

Movsisyan³

et al. 2020

Implementation Sci

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Background: Nutrition and physical activity policies have the potential to influence lifestyle patterns and reduce the burden of non-communicable diseases. In the world of health-related guidelines, GRADE (Grading of Recommendations, Assessment, Development and Evaluation) is the most widely used approach for assessing the certainty of evidence and determining the strength of recommendations. Thus, it is relevant to explore its usefulness also in the process of nutrition and physical activity policymaking and evaluation. The purpose of this scoping review was (i) to generate an exemplary overview of documents using the GRADE approach in the process of nutrition and physical activity policymaking and evaluation, (ii) to find out how the GRADE approach has been applied, and (iii) to explore which facilitators of and barriers to the use of GRADE have been described on the basis of the identified documents. The overarching aim of this work is to work towards improving the process of evidence-informed policymaking in the areas of dietary behavior, physical activity, and sedentary behavior. Methods: A scoping review was conducted according to current reporting standards. MEDLINE via Ovid, the Cochrane Library, and Web of Science were systematically searched up until 4 July 2019. Documents describing a body of evidence which was assessed for the development or evaluation of a policy, including documents labeled as "guidelines," or systematic reviews used to inform policymaking were included.

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Interventions implemented through sporting organisations for promoting healthy behaviour or improving health outcomes

Cited by 4 publications

References 33 publications

Health Promotion Interventions in Sports Clubs: Can We Talk About a Setting-Based Approach? A Systematic Mapping Review

Health Promotion Interventions in Sports Clubs: Can We Talk About a Setting-Based Approach? A Systematic Mapping Review

Outcome evaluation of ‘Cool and Clean’, a sports-based substance use prevention programme for young people in Switzerland

Use of the GRADE approach in health policymaking and evaluation: a scoping review of nutrition and physical activity policies

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