- Title
- Implementing and sustaining alcohol management practices in the sports setting
- Creator
- McFadyen, Tameka-rae
- Relation
- University of Newcastle Research Higher Degree Thesis
- Resource Type
- thesis
- Date
- 2021
- Description
- Research Doctorate - Doctor of Philosophy (PhD)
- Description
- Background: People involved with organised sport have been found to consume alcohol at greater levels compared to the general population. Previous studies have found sports clubs to be a promising setting for the implementation of interventions to reduce such excessive consumption. Unfortunately, existing implementation and sustainability research suggests that once primary intervention support is withdrawn, implementation of such interventions attenuates, resulting in a loss of the intended benefit of such interventions. Aims: This thesis aimed: 1 To review the effectiveness of implementation strategies in sustaining improvements in public health program sustainability (Chapter 2). 2 To assess community sports clubs’ perceptions regarding the usefulness, ease of use and intentions to use a web-based program to support the sustainability of club implementation of alcohol management policies (Chapter 3). 3 To assess the validity of web-based self-report of alcohol-management practices in community football clubs (Chapter 4). 4 To assess the effectiveness of a web-based program in supporting community sports clubs to sustain the implementation of alcohol management practices (Chapter 5, 6). Methods: Aim 1 was addressed through a review of published and grey literature. Aims 2 and 3 were addressed through a series of studies undertaken with community football clubs in urban and regional areas of New South Wales, Australia. These studies involved: a cross-sectional survey of 73 community football club administrators (Aim 3); a cross-sectional survey and an observation audit of 78 community football clubs (Aim 4). Aim 4 was addressed through a randomised control trial undertaken with 188 community football clubs in Australia, in regional areas of the state of New South Wales (NSW) and throughout metropolitan and regional areas of the state of Victoria. Key Findings: • There was no evidence of effective strategies to support the sustainable implementation of interventions targeting health risk behaviours in community settings. • The use of the web to support sports clubs in implementing alcohol harm reduction policies and practices was found to be both feasible and acceptable. • Sports clubs would use a web-based program to support the implementation alcohol harm reduction policies and practices if one was provided. • The web was found to be a valid method of measuring self-reported implementation of some but not all alcohol management practices in community sporting clubs. • A web-based program was able to support community sports clubs to sustain their implementation of alcohol management practices, and at an equivalent level as face-to-face support. Conclusion: This thesis provides the first evidence of the effectiveness of strategies to support the sustained implementation of evidence-based alcohol harm reduction practices by community sports clubs. It further provides robust evidence of the ability of web-based strategies to support community sports clubs to sustain their implementation of such practices. In doing so, the thesis demonstrates a potential method for ensuring that the intended benefits of public health interventions more generally can be sustained over time. Further research is required to confirm and to test the generalisability of these findings, to determine the cost effectiveness of web-based sustainability support strategies, and to identify opportunities for further enhancing the sustainability of public health program implementation.
- Subject
- sustainability; implementation science; sports clubs; alcohol; thesis by publication
- Identifier
- http://hdl.handle.net/1959.13/1425191
- Identifier
- uon:38212
- Rights
- Copyright 2021 Tameka-rae McFadyen
- Language
- eng
- Full Text
- Hits: 1351
- Visitors: 1586
- Downloads: 315
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Thesis | 7 MB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Abstract | 310 KB | Adobe Acrobat PDF | View Details Download |