Intervention Review

Policy interventions implemented through sporting organisations for promoting healthy behaviour change

  1. Naomi Priest*,
  2. Rebecca Armstrong,
  3. Jodie Doyle,
  4. Elizabeth Waters

Editorial Group: Cochrane Consumers and Communication Group

Published Online: 16 JUL 2008

Assessed as up-to-date: 27 MAY 2007

DOI: 10.1002/14651858.CD004809.pub3


How to Cite

Priest N, Armstrong R, Doyle J, Waters E. Policy interventions implemented through sporting organisations for promoting healthy behaviour change. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD004809. DOI: 10.1002/14651858.CD004809.pub3.

Author Information

  1. University of Melbourne, The McCaughey Centre, Melbourne School of Population Health, Parkville, VIC, Australia

*Naomi Priest, The McCaughey Centre, Melbourne School of Population Health, University of Melbourne, 5/207 Bouverie St, Parkville, VIC, 3052, Australia. npriest@unimelb.edu.au.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 16 JUL 2008

SEARCH

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Sporting organisations provide an important setting for health promotion strategies that involve policies, communication of healthy messages and creation of health promoting environments. The introduction of policy interventions within sporting organisations is one strategy to target high risk behaviours such as smoking, alcohol consumption, excess sun exposure, unhealthy eating and discrimination.

Objectives

To update a review of all controlled studies evaluating policy interventions organised through sporting settings to increase healthy behaviour (related to smoking, alcohol, healthy eating, sun protection, discrimination, safety and access).

Search methods

We updated the original (2004) searches in May 2007. We searched: the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 2 2007); MEDLINE and MEDLINE In-Process and Other Non-Indexed Citations (2004 to Week 3 April 2007); EMBASE (2004 to Week 17 2007); PsyclNFO (2004 to April Week 1 2007); CINAHL (2004 to Week 1 May 2007); SPORTDiscus (2004 to April 2007); Sociological Abstracts (2004 to 2007); Dissertation Abstracts (2004 to May 2007), ERIC (2000 to 2007), freely available online health promotion and sports-related databases hosted by leading agencies, and the internet using sport and policy-related key words.

Selection criteria

Controlled studies evaluating any policy intervention implemented through sporting organisations to instigate and/or sustain healthy behaviour change, intention to change behaviour, or changes in attitudes, knowledge or awareness of healthy behaviour, in people of all ages. Policies must address any of the following: smoking, alcohol, healthy eating, sun protection, access for disadvantaged groups, physical safety (not including injuries), and social and emotional health (e.g. anti-vilification, anti-discrimination).

Uncontrolled studies which met the other inclusion criteria were to be reported in an annex to the review.

Data collection and analysis

We assessed whether identified citations met the inclusion criteria. Abstracts were inspected independently by two review authors and full papers were obtained where necessary. As we located no controlled evaluation studies, we did not undertake data collection or analysis. We found no uncontrolled studies meeting other inclusion criteria, and therefore present no annex to the review.

Main results

We found no rigorous studies evaluating the effectiveness of policy interventions organised through sporting organisations to increase healthy behaviours, attitudes, knowledge or the inclusion of health-oriented policies within the organisations.

Authors' conclusions

We found no controlled studies to guide the use of policy interventions used in sporting settings. The original (2004) searches identified a number of case studies with anecdotal reporting of outcomes. We strongly recommend that rigorous evaluation techniques are employed more commonly in this field to illuminate the impact of health promoting policy on outcomes, and the contexts and processes which are likely to be effective in reducing harmful behaviours.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Policy interventions implemented through sporting organisations to promote healthy behaviour change

Sporting organisations provide an important setting for health promoting policies to create health promoting environments and to support health-oriented behaviour change. The introduction of policy interventions within sporting organisations is one strategy to target high risk behaviours such as smoking, alcohol consumption, excess sun exposure, unhealthy eating and discrimination, as those who access sport settings have been shown to have elevated risk behaviours. We found no controlled studies evaluating the effectiveness of policy interventions implemented in sporting settings to promote healthy behaviour. The study designs employed in evaluations of these policies typically have been case studies, thereby limiting our understanding of the effectiveness of such health promoting strategies.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

透過運動組織促進健康行為改變的政策介入

運動組織提供健康促進策略(包含政策、健康訊息溝通及健康促進環境創造)一個重要的背景。場域組織內將政策介入的引入運動組織,即是一種專注於高危險行為(如吸菸、喝酒、過度陽光曝露、不健康飲食及歧視(差別待遇))的策略。

目標

為更新回顧所有探討透過運動組織促進健康行為 (與於抽菸、喝酒、健康飲食、防曬、歧視、安全及可近性相關) 介入政策之對照研究。

搜尋策略

我們於2007年五月更新了原始在2004所做的搜尋,搜尋了the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 2 2007); MEDLINE and MEDLINE InProcess and Other NonIndexed Citations (2004 to Week 3 April 2007); EMBASE (2004 to Week 17 2007); PsyclNFO (2004 to April Week 1 2007); CINAHL (2004 to Week 1 May 2007); SPORTDiscus (2004 to April 2007); Sociological Abstracts (2004 to 2007); Dissertation Abstracts (2004 to May 2007), ERIC (2000 to 2007) ,主要代理機構所提供的健康促進及運動相關之免費線上資料庫,並使用運動及政策相關為關鍵字的網路搜尋。

選擇標準

評估透過運動組織去執行,在所有年齡層,促使及/或維持健康行為改變、行為改變意圖或健康行為之態度、知識或認知改變的任何政策介入之對照研究。政策必須滿足下列任何條件,包含吸菸、喝酒、健康飲食、防曬、弱勢團體的可近性、身體安全 (不包含傷害) 及社會和情緒健康 (如反誹謗、反歧視) ,符合其他納入條件的非對照研究也會附加於本回顧報告。

資料收集與分析

我們評估搜尋到之文獻是否符合納入條件,摘要由兩個評論作者獨立審查,若有需要則取得完整論文。因為找不到對照評估的研究,我們沒有進行資料的蒐集及分析。我們也沒有發現符合其他納入條件的非對照研究,所以並沒有於此回顧附加呈現。

主要結論

我們並未發現有嚴謹的研究用以評估透過運動組織的政策介入來促進健康行為、態度、知識,或組織內納入健康導向政策。

作者結論

我們並未發現有關引導在運動組織內進行政策介入的對照研究,原本在2004搜尋找出一些有趣聞報告結果的個案研究,我們強烈建議在這個領域更廣泛的使用嚴謹的評估策略,以闡明健康促進政策在介入後結果的影響,及可能有效地減少有害行為整個來龍去脈及過程。

翻譯人

本摘要由成功大學附設醫院賴麗容翻譯。

此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。

總結

運動組織提供一個健康促進政策的重要場域,來創造健康促進環境及支持健康導向行為改變。由於運動機構之使用者可能會有偏高的危險行為,運動組織內政策介入的導入是專注於高危險行為 (例如吸菸、喝酒、防曬、不健康飲食及歧視) 的策略。我們並未發現有對照性研究用以評估運動機構之政策介入對於促進健康行為的效果。過去這些評估政策成效的研究設計都是案例研究,因此限制了我們對於這些健康促進策略效果的了解。