Implementing health policies in Australian junior sports clubs: an RCT

Abstract 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...

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Main Authors: Tara Clinton-McHarg, Sharleen Gonzalez, Sharin Milner, Shauna Sherker, Melanie Kingsland, Christophe Lecathelinais, Alix Hall, Chris Doran, John Wiggers, Luke Wolfenden
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-6873-3
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author Tara Clinton-McHarg
Sharleen Gonzalez
Sharin Milner
Shauna Sherker
Melanie Kingsland
Christophe Lecathelinais
Alix Hall
Chris Doran
John Wiggers
Luke Wolfenden
author_facet Tara Clinton-McHarg
Sharleen Gonzalez
Sharin Milner
Shauna Sherker
Melanie Kingsland
Christophe Lecathelinais
Alix Hall
Chris Doran
John Wiggers
Luke Wolfenden
author_sort Tara Clinton-McHarg
collection DOAJ
description Abstract 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 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 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 Support strategies that better address barriers to the implementation of health promotion interventions in junior sports clubs are required. Trial registration Retrospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12617001044314).
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spelling doaj.art-506dea5eecfd4a8f9123cc59e19a86bc2022-12-22T01:53:03ZengBMCBMC Public Health1471-24582019-05-0119111210.1186/s12889-019-6873-3Implementing health policies in Australian junior sports clubs: an RCTTara Clinton-McHarg0Sharleen Gonzalez1Sharin Milner2Shauna Sherker3Melanie Kingsland4Christophe Lecathelinais5Alix Hall6Chris Doran7John Wiggers8Luke Wolfenden9Priority Research Centre for Health Behaviour (PRCHB), School of Medicine and Public Health, The University of NewcastlePriority Research Centre for Health Behaviour (PRCHB), School of Medicine and Public Health, The University of NewcastleAlcohol and Drug FoundationAlcohol and Drug FoundationPriority Research Centre for Health Behaviour (PRCHB), School of Medicine and Public Health, The University of NewcastleHunter New England Population HealthPriority Research Centre for Health Behaviour (PRCHB), School of Medicine and Public Health, The University of NewcastleCentre for Indigenous Health Equity Research, Central Queensland UniversityPriority Research Centre for Health Behaviour (PRCHB), School of Medicine and Public Health, The University of NewcastlePriority Research Centre for Health Behaviour (PRCHB), School of Medicine and Public Health, The University of NewcastleAbstract 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 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 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 Support strategies that better address barriers to the implementation of health promotion interventions in junior sports clubs are required. Trial registration Retrospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12617001044314).http://link.springer.com/article/10.1186/s12889-019-6873-3Sporting clubsRandomised controlled trialImplementationPreventionRisk factors
spellingShingle Tara Clinton-McHarg
Sharleen Gonzalez
Sharin Milner
Shauna Sherker
Melanie Kingsland
Christophe Lecathelinais
Alix Hall
Chris Doran
John Wiggers
Luke Wolfenden
Implementing health policies in Australian junior sports clubs: an RCT
BMC Public Health
Sporting clubs
Randomised controlled trial
Implementation
Prevention
Risk factors
title Implementing health policies in Australian junior sports clubs: an RCT
title_full Implementing health policies in Australian junior sports clubs: an RCT
title_fullStr Implementing health policies in Australian junior sports clubs: an RCT
title_full_unstemmed Implementing health policies in Australian junior sports clubs: an RCT
title_short Implementing health policies in Australian junior sports clubs: an RCT
title_sort implementing health policies in australian junior sports clubs an rct
topic Sporting clubs
Randomised controlled trial
Implementation
Prevention
Risk factors
url http://link.springer.com/article/10.1186/s12889-019-6873-3
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