Preprint / Version 1

Investigating anti-doping roles of athlete support personnel working with international disabled athletes in six European nations using the COM-B Model and Theoretical Domains Framework

##article.authors##

  • Laurie Patterson Leeds Beckett University
  • Meghan Bentley
  • Toni Williams
  • Ian Boardley
  • Andrea Petroczi
  • Susan Backhouse

DOI:

https://doi.org/10.51224/SRXIV.264

Keywords:

athlete support personnel, anti-doping, clean sport

Abstract

Objectives: Athlete support personnel (ASP) can play a significant role in protecting the integrity of sport and welfare of athletes. Yet, their perspective on how they proactively contribute to clean sport is rarely considered in anti-doping research. Studies with ASP working in elite disabled sport are rarer still. This study amplifies the voice of ASP working with international level disabled athletes to answer the following research questions: 1) What actions do ASP take in anti-doping? 2) What are the factors influencing ASPs’ actions? Methods: Individual semi-structured interviews were conducted with 41 ASP (Men n=17, Women n=23, n=1 did not report) in six European countries working as Psychologists (n=7), Mangers/Performance Directors (n=6), Physiotherapists (n=6), Doctors (n= 5), Nutritionists (n=5), Strength and Conditioning coaches (n=4), Agents (n=2), Technical coaches (n=2) and a dual role as a Coach/Manager (n=3) or Coach/Physiotherapist (n=1). Abductive reflexive thematic analysis was conducted, beginning with inductive coding and development of themes, followed by deductive identification of constructs from the COM-B Model and Theoretical Domains Framework. Results: Most ASP shared a narrow repertoire of behaviors that targeted helping athletes avoid ‘accidental’ doping through medicine and supplement use. However, psychologists’ actions addressed a broader range of doping vulnerability factors, such as self-esteem and emotion regulation. Regardless of the exact nature of ASPs’ anti-doping roles, behavior appeared to be influenced by ASPs’ professional role and identity, as well as ASP operating in performance pressured environments and/or ASP perceiving that doping would never occur among their athletes. Conclusions: ASP are primarily concerned with preventing inadvertent doping. This concern aligns with the content of anti-doping education programmes. To reduce the risk of intentional doping alongside inadvertent doping, a more behaviorally informed approach to anti-doping is required where ASP are deliberative agents in the pursuit of clean sport. 

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References

T. L. Williams, L. B. Patterson, H. Staff, A. Petróczi, I. B. Boardley and S. H. Backhouse. “Barriers and enablers in doping, anti-doping and clean sport: A qualitative meta-synthesis informed by the Theoretical Domains Framework and COM-B Model”. In preparation for Psychology of Sport & Exercise.

L. B. Patterson and S. H. Backhouse. “An important cog in the wheel’, but not the driver: Coaches’ perceptions of their role in doping prevention”. Psychology of Sport and Exercise 37 (2018), pp. 117–127. doi: 10.1016/j.psychsport.2018.05.004.

L. B. Patterson, S. H. Backhouse and B. Jones. “The role of athlete support personnel in preventing doping: a qualitative study of a rugby union academy”. Qualitative Research in Sport, Exercise and Health (2022), pp. 1-19. doi: 10.1080/2159676X.2022.2086166.

J. Allen, R. Morris, P. Dimeo and L. Robinson, L. “Precipitating or prohibiting factor: coaches’ perceptions of their role and actions in anti-doping”. International Journal of Sports Science & Coaching 12 (2017), pp. 577–587. doi: 10.1177/ 1747954117727653.

L. T. Barnes, L. B. Patterson and S. H. Backhouse. “A systematic review of research into coach perspectives and behaviours regarding doping and anti-doping”. Psychology of Sport and Exercise 59 (2020). doi: 10.1016/j.psychsport.2020.101780.

J. Mazanov, D. Hemphill, J. Connor, F. Quirk and S. H. Backhouse, S.H. “Australian athlete support personnel lived experience of anti-doping”. Sport Management Review 18 (2015), pp. 218–230. doi:10.1016/j.smr.2014.05.007.

J. N. Shelley, S. Thrower and A. Petróczi. “Whose job is it anyway? A qualitative investigation into the influence of agents, race organisers, and sponsors on the risk of doping in elite distance running”. International Journal of Sport Policy and Politics (2023). doi: 10.1080/19406940.2022.2161598.

Y. Bhambhani, J. Mactavish, S. Warren, W. R. Thompson, A. Webborn, E. Bressan, E., ... and Y. Vanlandewijck. “Boosting in athletes with high-level spinal cord injury: knowledge, incidence and attitudes of athletes in paralympic sport”. Disability and Rehabilitation 32 (2010), pp. 2172-2190. doi: 10.3109/09638288.2010.505678.

A. C. Sparkes and J. Brighton. “Autonomic dysreflexia and boosting in disability sport: exploring the subjective meanings, management strategies, moral justifications, and perceptions of risk among male, spinal cord injured, wheelchair athletes”. Qualitative Research in Sport, Exercise and Health 12 (2020), pp. 414-430. doi: 10.1080/2159676X.2019.1623298.

P. M. Allen, R. Dolan, H. Croxall, R. H. Ravensbergen, A. Brooks, F. Zenk and D. L. Mann. “Evidence-based classification in track athletics for athletes with a vision impairment: A Delphi study”. Optometry and Vision Science 97 (2020), pp. 984-994. doi: 10.1097/OPX.0000000000001600.

R. L. Deuble, M. J. Connick, E. M. Beckman, B. Abernethy and S. M. Tweedy. “Using Fitts' Law to detect intentional misrepresentation”. Journal of Motor Behavior 48 (2016), pp. 164-171. doi: 10.1080/00222895.2015.1058744.

K. Weber, L. B. Patterson and C. Blank. “An exploration of doping-related perceptions and knowledge of disabled elite athletes in the UK and Austria”. Psychology of Sport and Exercise 58 (2022). doi: 10.1016/j.psychsport.2021.102061.

K. Weber, L. B. Patterson and C. Blank. “Doping in disabled elite sport: Perceptions, knowledge and opinions from the perspective of German and UK coaches”. Psychology of Sport and Exercise 62 (2022). doi: 10.1016/j.psychsport.2022.102233.

S. M. Michie, M. Van Stralen and R. West. “The Behaviour Change Wheel: A new method for characterising and designing behaviour change interventions”. Implementation Science 6 (2011), pp. 1–12. doi:10.1186/1748-5908-6-42.

S. H. Backhouse, L. Whitaker, L. B. Patterson, K. Erickson and J. McKenna. “Social psychology of doping in sport: A mixed-studies narrative synthesis”. Montreal, Canada: World Anti-Doping Agency. (2016) Accessed 26th January 2023 via https:// www.wada-ama.org/sites/default/files/resources/files/literature_review_update_-_final_2016.pdf

R. West and A. Gould. “Improving health and well-being: A guide to using behavioural science in policy and practice". Wales, UK: Public Health Wales NHS Trust. (2022). Accessed 26th January 2023 via https://phwwhocc.co.uk/wp-content/uploads/2022/11/A-Guide-to-Using-Behavioural-Science_ENGLISH.pdf

J. Cane, D. O’Connor and S. Michie. “Validation of the theoretical domains framework for use in behaviour change and implementation research”. Implementation Science 7 (2012) pp. 1-17.

N. Howlett, A. Jones, L. Bain and A. Chater. “How effective is community physical activity promotion in areas of deprivation for inactive adults with cardiovascular disease risk and/or mental health concerns? Study protocol for a pragmatic observational evaluation of the ’Active Herts' physical activity programme”. BMJ open 7 (2017). doi: 10.1136/bmjopen-2017-017783.

A. M. Chater, J. Schulz, A. Jones, A. Burke, S. Carr, D Kukucska, N. A. Troop, D. Trivedi and N. Howlett. “Outcome evaluation of Active Herts: A community-based physical activity programme for inactive adults at risk of cardiovascular disease and/or low mental wellbeing”. Frontiers in Public Health 10 (2022). doi: 10.3389/fpubh.2022.903109.

L. B. Patterson and H. Staff, H. “Understanding and influencing global coach anti-doping education through the development of an International Framework”. Montreal, Canada: World Anti-Doping Agency. (2020). Accessed 22nd February via https://www.wada-ama.org/sites/default/files/2022-10/july2022_pattersonstaff_lbu-wada_coaches_final_report_0.pdf

M. R. N. Bentley, N. Mitchell, L. Sutton and S. H. Backhouse. “Sports nutritionists’ perspectives on enablers and barriers to nutritional adherence in high performance sport: A qualitative analysis informed by the COM-B model and theoretical domains framework”. Journal of Sports Sciences 37 (2019), 2075-2085. doi: 10.1080/02640414.2019.1620989.

M. R. N. Bentley, L. Patterson, N. Mitchell and S. H. Backhouse. “Athlete perspectives on the enablers and barriers to nutritional adherence in high-performance sport”. Psychology of Sport and Exercise 52 (2021). doi: 10.1016/j.psychsport.2020.101831.

H. Allen, S. H. Backhouse, J. H. Hull and O. J. Price. “Anti-Doping policy, therapeutic use exemption and medication use in athletes with asthma: a narrative review and critical appraisal of current regulations”. Sports Medicine 49 (2019), pp. 659-668. doi: 10.1007/s40279-019-01075-z.

M. Patton, M. “Qualitative research and evaluation methods”. London: SAGE Publications Inc. (2002).

V. Braun and V. Clarke. “Thematic Analysis: A Practical Guide”. London: SAGE Publications Ltd. (2021).

B. Smith and K. McGannon. “Developing rigor in qualitative research: Problems and opportunities within sport and exercise psychology”. International Review of Sport and Exercise Psychology 11 (2017), pp. 101–121. doi:10.1080/1750984X.2017.1317357.

S. Michie, L. Atkins and R. West, R. “The behaviour change wheel. A guide to designing interventions”. (1st ed.) Great Britain: Silverback Publishing. (2014).

C. Bishop. The Long Win: The search for a better way to succeed. Practical Inspiration Publishing. (2020).

J. Baker, P. Safai and J. Fraser-Thomas. “Health and elite sport: Is high performance sport a healthy pursuit?” London: Routledge. (2016).

S. M. Rice, R. Purcell, S. De Silva, D. Mawren, P. D. McGorry and A. G. Parker. “The mental health of elite athletes: A narrative systematic review”. Sports Medicine 46 (2016), pp. 1333-1353. doi: 10.1007/s40279-016-0492-2.

N. B. Feddersen, R. Morris, M. A. Littlewood and D. J. Richardson. “The emergence and perpetuation of a destructive culture in an elite sport in the United Kingdom”. Sport in Society 23 (2020), pp. 1004-1022. doi: 10.1080/17430437.2019.1680639.

A. Efverström, N. Ahmadi, D. Hoff and A. Bäckström. “Anti-doping and legitimacy: an international survey of elite athletes’ perceptions”. International Journal of Sport Policy and Politics 8 (2016), pp. 491-514. doi: 10.1080/19406940.2016.1170716.

T. Engelberg and S. Moston. “Inside the locker room: A qualitative study of coaches’ anti-doping knowledge, beliefs and attitudes”. Sport in Society 19 (2016), pp. 942-956.

L. B. Patterson, P. J. Duffy and S. H. Backhouse. “Are coaches anti-doping? Exploring issues of engagement with education and research”. Substance Use & Misuse 49 (2014), pp. 1182-1185. doi: 10.3109/10826084.2014.912469.

L. B. Patterson, S. H. Backhouse and S. Lara-Bercial. “Examining coaches’ experiences and opinions of anti-doping education”. International Sport Coaching Journal 6 (2019), pp. 145-159. doi: 10.1123/iscj.2018-0008.

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2023-02-25