Implementing health policies in Australian junior sports clubs: an RCT.
Implementation
Prevention
Randomised controlled trial
Risk factors
Sporting clubs
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
14 May 2019
14 May 2019
Historique:
received:
11
11
2018
accepted:
18
04
2019
entrez:
16
5
2019
pubmed:
16
5
2019
medline:
31
7
2019
Statut:
epublish
Résumé
This pilot study aimed to test the potential effectiveness and acceptability of an intervention to support the implementation of 16 recommended policies and practices to improve the health promotion environment of junior sporting clubs. Reported child exposure to health promoting practices at clubs was also assessed. A cluster randomised trial was conducted with eight football leagues. Fourty-one junior football clubs belonging to four leagues in the intervention group received support (e.g. physical resources, recognition and rewards, systems and prompts) to implement 16 policies and practices that targeted child exposure to alcohol, tobacco, healthy food and beverages, and participation in physical activity. Thirty-eight clubs belonging to the four control group leagues did not receive the implementation intervention. Study outcomes were assessed via telephone interviews with nominated club representatives and parents of junior players. Between group differences in the mean number of policies and practices implemented at the club level at follow-up were examined using a multiple linear regression model. While the intervention was found to be acceptable, there was no significant difference between the mean number of practices and policies reported to be implemented by intervention and control clubs at post-intervention (Estimate - 0.05; 95% CI -0.91, 0.80; p = 0.90). There was also no significant difference in the proportion of children reported to be exposed to: alcohol (OR 1.16; 95% CI 0.41, 3.28; p = 0.78); tobacco (OR 0.97; CI 0.45, 2.10; p = 0.94); healthy food purchases (OR 0.49; CI 0.11, 2.27; p = 0.35); healthy drink purchases (OR 1.48; CI 0.72, 3.05; p = 0.27); or participation in physical activity (OR 0.76; CI 0.14, 4.08; p = 0.74). Support strategies that better address barriers to the implementation of health promotion interventions in junior sports clubs are required. Retrospectively registered with the Australian New Zealand Clinical Trials Registry ( ACTRN12617001044314 ).
Sections du résumé
BACKGROUND
BACKGROUND
This pilot study aimed to test the potential effectiveness and acceptability of an intervention to support the implementation of 16 recommended policies and practices to improve the health promotion environment of junior sporting clubs. Reported child exposure to health promoting practices at clubs was also assessed.
METHODS
METHODS
A cluster randomised trial was conducted with eight football leagues. Fourty-one junior football clubs belonging to four leagues in the intervention group received support (e.g. physical resources, recognition and rewards, systems and prompts) to implement 16 policies and practices that targeted child exposure to alcohol, tobacco, healthy food and beverages, and participation in physical activity. Thirty-eight clubs belonging to the four control group leagues did not receive the implementation intervention. Study outcomes were assessed via telephone interviews with nominated club representatives and parents of junior players. Between group differences in the mean number of policies and practices implemented at the club level at follow-up were examined using a multiple linear regression model.
RESULTS
RESULTS
While the intervention was found to be acceptable, there was no significant difference between the mean number of practices and policies reported to be implemented by intervention and control clubs at post-intervention (Estimate - 0.05; 95% CI -0.91, 0.80; p = 0.90). There was also no significant difference in the proportion of children reported to be exposed to: alcohol (OR 1.16; 95% CI 0.41, 3.28; p = 0.78); tobacco (OR 0.97; CI 0.45, 2.10; p = 0.94); healthy food purchases (OR 0.49; CI 0.11, 2.27; p = 0.35); healthy drink purchases (OR 1.48; CI 0.72, 3.05; p = 0.27); or participation in physical activity (OR 0.76; CI 0.14, 4.08; p = 0.74).
CONCLUSIONS
CONCLUSIONS
Support strategies that better address barriers to the implementation of health promotion interventions in junior sports clubs are required.
TRIAL REGISTRATION
BACKGROUND
Retrospectively registered with the Australian New Zealand Clinical Trials Registry ( ACTRN12617001044314 ).
Identifiants
pubmed: 31088417
doi: 10.1186/s12889-019-6873-3
pii: 10.1186/s12889-019-6873-3
pmc: PMC6515613
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
556Subventions
Organisme : NIB Foundation
ID : Multi-Year Partnership Grant
Organisme : Cancer Council NSW
ID : PG 16-05
Organisme : NHMRC Career Development Fellowship
ID : APP1128348
Organisme : Heart Foundation Future Leadership Fellowship
ID : 101175
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