Meghan Casey

Using a Socioecological Approach to Examine Participation in Sport and Physical Activity Among Rural Adolescent Girls

Adolescence is a critical time for developing lifelong healthy behaviors, including active lifestyles. Participation in sport and physical activity, however, declines during adolescence, and few studies have comprehensively identified why, particularly among rural girls. This article identifies a range of independent and interacting factors that influence sport and physical activity participation of rural adolescent girls. The socioecological model of health was used to guide four focus group discussions with Grade 7 girls (n = 34). The results showed that adolescent girls were positively influenced when sports or physical activities were fun, when they involved being with friends, and when they were supported by families and teachers through role modeling and positive feedback. A range of intrapersonal and organizational factors affected perceived self-competence, particularly the coeducational nature of school physical education classes and peer teasing, which supported social comparisons of skill level. In promoting sport and physical activity to rural adolescent girls, focus must be directed on developmentally appropriate activities that are fun, offering opportunities for single-sex classes, and generating cultural changes that encourage noncompetitive and self-referencing activities.

Transition in participation in sport and unstructured physical activity for rural living adolescent girls

Physical activity (PA) is important for lifelong health; however, participation is lower in rural compared with metropolitan areas and declines during adolescence, particularly for girls. It is likely that this decline is related to the number of life transitions that occur during adolescence. This qualitative study examined the views of active rural living girls regarding the factors affecting their sport and PA participation, using the socioecological model. Twenty-seven girls aged 16-17 from four schools participated in semi-structured focus group discussions. Content and thematic analysis was conducted from verbatim transcripts using NVivo. The girls enjoyed involvement in community club sport with friends and they reported living in communities where participation in sport was a major form of social interaction. However, the desire to succeed educationally was a critical factor affecting their participation in sport and PA and influenced their movement from structured club sport to more flexible, but socially isolated individual activities. It is recommended that future longitudinal research should track rural living adolescent females as they complete secondary school, in order to better understand the influence of educational priorities upon sport and PA participation and to identify practical strategies for both schools and community organizations to foster continuing participation throughout this crucial period of life transition.

Engaging community sport and recreation organisations in population health interventions: Factors affecting the formation, implementation, and institutionalisation of partnerships efforts

Abstract Sport and recreation organisations can play a key role in the development of physical activity strategies in health promotion. There is a paucity of research that has examined the engagement of a wide range of sport and recreation organisations in partnership approaches that promote active lifestyles. This research used a multiple‐case study protocol to explore partnership development between a range of professional (e.g., paid recreation staff) and volunteer organisations (e.g., club‐based sport). A total of 22 partnership members were interviewed from eight sport and recreation partnership programs funded by the Victorian Health Promotion Foundation (VicHealth) in Australia. Content analysis was used to analyse the interviews with reference to a public health partnership framework. In partnership formation, results showed that representatives from professional organisations shared interests in health promotion goals, while volunteer organisations focused on increases in club membership; professionals lacked organisational capacity in terms of leadership and skills while volunteers lacked human resource capacity. Engaging the sport and recreation sector in partnerships that aim to promote active lifestyles requires long‐term commitment from funding agencies and partnering organisations. The design of pragmatic programs that build on the core business of each participating organisation, irrespective of whether they share a common mission, is important.

Building the health promotion capacity of sport and recreation organisations: A case study of Regional Sports Assemblies

Sport and recreation organisations are increasingly recognised by the health sector as key players for promoting health, particularly in terms of increasing population-wide physical activity levels. Developing the capacity of these organisations to influence health, however, is not understood. This research examined the efficacy of a system-wide, capacity-building strategy implemented to enable sporting organisations to change from a narrow focus on sport to one encompassing health promotion. This involved evaluating a state-wide health promotion programme funded by the Victorian Health Promotion Foundation (VicHealth) and implemented within nine Regional Sports Assemblies (RSAs). The research method involved a web-based survey with all RSAs and in-depth interviews with four selected RSA Executive Officers. The results demonstrate that health promotion was successfully adopted within sport and recreation environments; however, they also highlight the need to understand the nature of existing organisational resource dependencies and interdependencies. The article discusses the design of organisational change interventions to support practitioners and policy-makers in health and sport management.

Socioecological factors potentially associated with participation in physical activity and sport: A longitudinal study of adolescent girls

OBJECTIVES Many adolescents are not physically active enough to receive associated health benefits. Furthermore, participation in physical activity generally declines during adolescence, and to a greater degree for females. Longitudinal research is required to better understand the determinants of change in physical activity by adolescent females to inform physical activity-related policy and practice. This study explored patterns of change in socioecological factors hypothesised to be associated with physical activity and sport, across the adolescent period for females. METHODS This longitudinal study employed three annual surveys of females from metropolitan and non-metropolitan areas recruited in Year 7 (n = 328) and Year 11 (n = 112). Self-report measures included questions regarding general barriers to participation, as well as factors relating to the socioecological domains. RESULTS The barriers where significant changes within or differences between cohorts were observed were mostly intrapersonal (lack of energy, lack of time due to other leisure activities). Lack of time was more prevalent in the Year 11 cohort than in the Year 7 cohort. Perceived importance of life priorities mainly related to education and study and more so for the Year 11 cohort. Perceived competence declined for the Year 7 cohort. Support from family and peers trended downwards in both cohorts, whereas access to facilities increased both within and between cohorts. CONCLUSIONS Significant patterns of change in the determinants of physical activity participation were observed across the adolescent period. It is important to consider flexible structure and scheduling of physical activity and strategies to develop competency in childhood and early adolescence.

Effectiveness of a school-community linked program on physical activity levels and health-related quality of life for adolescent girls

BackgroundThis study evaluated the effectiveness of a school-community program on Health-Related Quality of Life (HRQoL; the primary outcome), physical activity (PA), and potential mediators of PA among adolescent girls living in low-socioeconomic rural/regional settings.MethodThe study was a cluster-randomized controlled trial. Twelve communities with the requisite sports clubs and facilities were paired according to relevant criteria; one of each pair was randomly assigned to the intervention or control condition. Eight schools per condition were randomly selected from these communities and the intervention was conducted over one school year (2011). Female students in grades 7–9 in intervention schools participated in two 6-session PA units – a sport unit (football or tennis) and a recreational unit (leisure centre-based). These were incorporated into physical education (PE) curriculum and linked to PA opportunities for participation outside school. Students were surveyed at baseline and endpoint, self-reporting impact on primary and secondary outcome measures (HRQoL, PA) and PA mediators (e.g. self-efficacy). Linear mixed models for two-group (intervention, control) and three-group (completers, non-completers, control) analyses were conducted with baseline value, age and BMI as covariates, group as a fixed effect and school as random cluster effect.ResultsParticipants completing baseline and endpoint measures included: 358 intervention (baseline response rate 33.7%, retention rate 61.3%) and 256 control (14.1% and 84.0%). Adjustment for age and BMI made no substantive difference to outcomes, and there were no cluster effects. For HRQoL, after adjustment for baseline scores, the intervention group showed significantly higher scores on all three PedsQL scores (physical functioning: M ± SE = 83.9 ± 0.7, p = .005; psychosocial: 79.9 ± 0.8, p = .001; total score: 81.3 ± 0.7, p = .001) than the control group (80.9 ± 0.8; 76.1 ± 0.9 and 77.8 ± 0.8). The three-group analysis found intervention non-completers had significantly higher PedsQL scores (84.0 ± 0.8, p = .021; 80.4 ± 0.9, p = .003; 81.7 ± 0.8, p = .002;) than controls (80.9 ± 0.8, 76.1 ± 0.9 and 77.8 ± 0.8). There were no significant differences for any PA measure. Intervention completers had significantly higher scores than non-completers and controls for some mediator variables (e.g. self-efficacy, behavioural control).ConclusionPositive outcomes were achieved from a modest school-community linked intervention. The school component contributed to maintaining HRQoL; students who completed the community component derived a range of intra-personal and inter-personal benefits.Trial registrationACTRN12614000446662. April 30th 2014.

Partnership and capacity-building strategies in community sports and recreation programs

Partnerships between the health sector and various organizations in the community have been encouraged as a new strategy to develop sports and recreation programs, and achieve public health objectives related to obesity prevention. The purpose of this study was to investigate the partnership-related processes and capacity-building strategies associated with the successful implementation of sports and recreation programs. The research design was a multiple-case study with cross-case comparisons. Eight sports and recreation programs funded by the Victorian Health Promotion Foundation were investigated. Data collection included: semi-structured interviews with grant recipients and key partnership members (n=22); and document analysis. A capacity-building framework was used to guide data analysis. The findings showed that partnerships without the engagement of key stakeholders and a diversity of skills, resources, and approaches were limited to ‘come and try’ events rather than structured sports and recreation programs in the short term. Addressing the development of partnerships, by implementing a phased approach to program development and implementation may assist the sports and recreation sector build capacity to participate in partnership approaches to health promotion.

Sport safety policies and practices in two rural Victorian communities

Australian football and netball are the predominant sports played in rural Victoria, Australia. This exploratory study is the first to report the sport safety policies and practices adopted by junior Australian football and netball clubs in small rural communities. Eleven informants from four clubs completed a semi-structured interview and survey. Whilst the clubs performed a range of injury prevention activities, they did not have formal sports safety policies. Generally, netball informants reported fewer safety practices than football informants. Crucial factors influencing safety policies and practices were the reliance on volunteers and a lack of senior players. Barriers towards the adoption of safety policies and practices appeared to be related to rural population declines, a lack of qualified people and attitudes to injury in rural areas. Future research needs to identify how widespread this lack of sport safety policies and practices is across rural Australia and to identify strategies to overcome barriers to implementing them.

Where has class gone? The pervasiveness of class in girls' physical activity in a rural town.

This paper seeks to animate discussion around how social class operates with adolescent girls from low socio-economic status backgrounds to shape and inform their decisions about participation in physical activity (PA) inside and outside of school. Examining the instance of girls in a single secondary school in an Australian regional town, the paper questions the impact of class and how the girls experience the obstacles, impediments and interferences to participation in PA. These girls are portrayed as living multiple, complex and embodied subjectivities that shape and are informed by the relational geographies in which they are located, as they interact ‘with’, ‘to’ and ‘between’ the social, emotional and classed hierarchies that require them to access familial and other resources in making decisions about participation in PA.

Piecing the puzzle together: case studies of international research in health-promoting sports clubs

This paper seeks to review the current international health-promoting sports club (HPSC) research, drawing together findings based on case studies from various countries to illustrate the status of HPSCs. In addition, future challenges for HPSC research and implementation are considered. The review includes six case studies from five countries. In summary, there are two major research themes in this area, namely ‘research into HPSC activity’ and ‘research into HPSC networks’. The first theme investigates the extent to which sports clubs and/or national sports organisations invest in health promotion (HP) – both in policy and practice. The latter theme is driven by an intention to widen the scope of HPSCs to reach novel internal actors, like parents, siblings, etc., and/or external non-sporting bodies, like communities, schools, etc. The future challenges for HPSC research require a better understanding of the motives, barriers and capacities of sports clubs and coaches. Sports organisations, clubs and coaches generally support the intent of the HPSC concept, but even with the best evidence- or theory-based HP programmes/guidelines/standards, nothing will happen in practice if the nature and capacities of sports clubs are not better acknowledged. Therefore, a call for embracing implementation science is finally made to enhance implementation.