Identifying the Unique Needs for Clean-Sport Education for Para-Athletes and Athlete-Support Personnel
An International Delphi Study
DOI:
https://doi.org/10.51224/SRXIV.265Keywords:
education, prevention, doping behavior, athlete, clean sport, policy, anti-dopingAbstract
Background: To date, clean-sport education has not been purposefully designed to address the needs of para-athletes and athlete-support personnel (ASP). To maximize the effectiveness of clean-sport education for these important groups, this study co-created the first set of recommendations for clean-sport education identifying their specific needs.
Methods: The Delphi method was used to develop the education recommendations. 134 stakeholders representing anti-doping, para-sport, and ASP with relevant expertise were invited to be panel members. In Round 1, the expert panel (n = 66) suggested potential items for clean-sport education delivered to para-athletes and ASP. The findings from Round 1 were then integrated with items from a review of relevant literature, interviews with 41 ASP, and nine focus groups with para-athletes across six countries to form a survey assessing the importance of 28 potential items for inclusion in the recommendations. In Round 2, an expert panel (n = 44; 67.7% response rate) completed this questionnaire. In Round 3, panel members (n = 38; 57.6% response rate) ranked for relative importance the topic areas rated highest in Round 1. Based on these rankings, a draft set of recommendations was created. In Round 4, panel members (n = 29; 43.9% response rate) rated the degree to which they accepted these recommendations and the feasibility of their delivery, as well as identifying possible barriers and facilitators to their implementation.
Results: The results of Round 2 and Round 3 were used to create a set of educational recommendations consisting of 18 items for para-athletes and nine items for ASP. In Round 4, the para-athlete recommendations were either fully (n = 18), mostly (n = 8) or partly accepted (n = 1) by the panel, whereas those for ASP were either fully (n = 19), mostly (n = 4) or partly accepted (n = 3). One panel member did not accept the ASP recommendations at all.
Conclusions: Para-athletes and ASP have been underserved in the design and delivery of anti-doping and clean sport education. Directly addressing their specific educational needs in relevant policy (e.g., WADA ISE) would help ensure their needs are effectively and consistently addressed in future education delivery.
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References
Allen, J., Morris, R., Dimeo, P., & Robinson, L. (2017). Precipitating or prohibiting factor: Coaches’ perceptions of their role and actions in anti-doping. International Journal of Sports Science & Coaching, 12(5), 577-587. doi:10.1177/1747954117727653
Backhouse, S. H., Patterson, L., & McKenna, J. (2012). Achieving the Olympic ideal: Preventing doping in sport. Performance Enhancement & Health, 1(2), 83–85. doi:10.1016/j.peh.2012.08.001
Blauwet, C., & Willick, S. E. (2012). The Paralympic Movement: using sports to promote health, disability rights, and social integration for athletes with disabilities. Pm&r, 4(11), 851-856. Doi:10.1016/j.pmrj.2012.08.015
Boardley, I. D., Grix, J., Ntoumanis, N., & Smith, A. L. (2019a). A qualitative investigation of coaches’ doping confrontation efficacy beliefs. Psychology of Sport and Exercise, 45, 101576. doi:10.1016/j.psychsport.2019.101576
Dalkey, N. C. (1969). The Delphi Method: An Experimental Study of Group Opinion (RM-5888-PR). Santa Monica, CA, USA: The RAND Corporation.
Dodge, A., & Robertson, B. (2004). Justifications for unethical behaviour in sport: The role of the coach. Canadian Journal for Women in Coaching, 4(4), 1-17.
Engelberg, T., & Moston, S. (2016). Inside the locker room: A qualitative study of coaches’ anti-doping knowledge, beliefs, and attitudes. Sport in Society, 19(7), 942-956. doi:10.1080/17430437.2015.1096244
Engelberg, T., Moston, S., & Blank, C. (2019). Coaches’ awareness of doping practices and knowledge about anti-doping control systems in elite sport. Drugs: Education, Prevention and Policy, 26(1), 97-103. doi:10.1080/09687637.2017.1337724
Faiss, R., Saugy, J., Zollinger, A., Robinson, N., Schuetz, F., Saugy, M., & Garnier, P. Y. (2020). Prevalence estimates of blood doping in elite track and field athletes during two major international events. Frontiers in Physiology, 11, 160. doi:10.3389/fphys.2020.00160
Gargon, E., Crew, R., Burnside, G., & Williamson, P. R. (2019). Higher number of items associated with significantly lower response rates in COS Delphi surveys. Journal of Clinical Epidemiology, 108, 110-120. https://doi.org/10.1016/j.jclinepi.2018.12.010
Gatterer, K., Gumpenberger, M., Overbye, M., Streicher, B., Schobersberger, W., & Blank, C. (2020). An evaluation of prevention initiatives by 53 national anti-doping organizations: achievements and limitations. Journal of Sport and Health Science, 9(3), 228-239. doi:10.1016/j.jshs.2019.12.002
Gatterer, K., Streicher, B., Petróczi, A., Overbye, M., Schobersberger, W., Gumpenberger, M., ... & Blank, C. (2021). The status quo before the International Standard for Education: Elite adolescent athletes’ perceptions of anti-doping education. Performance Enhancement & Health, 9(3-4), 100200. http://dx.doi.org/10.1016/j.peh.2021.100200
Gleaves, J., Petróczi, A., Folkerts, D., De Hon, O., Macedo, E., Saugy, M., & Cruyff, M. (2021). Doping prevalence in competitive sport: evidence synthesis with “best practice” recommendations and reporting guidelines from the WADA Working Group on Doping Prevalence. Sports Medicine, 51(9), 1909-1934. http://dx.doi.org/10.1007/s40279-021-01477-y
International Paralympic Committee (2021). Doping Control Guide for Testing Athletes in Para Sport. Retrieved from: ihttps://www.paralympic.org/sites/default/files/2021-07/202107%20Doping%20Control%20Guide%20for%20Testing%20Athletes%20in%20Para%20Sport%20%28FINAL%20PUBLISHED%20V2%29.pdf
Wan, D., & Krassioukov, A. V. (2014). Life-threatening outcomes associated with autonomic dysreflexia: a clinical review. The Journal of Spinal Cord Medicine, 37(1), 2-10. http://dx.doi.org/10.1179/2045772313Y.0000000098
Legg, D., & Mason, D. S. (1997). Autonomic dysreflexia in wheelchair sport: a new game in the legal arena. Marquette Sports Law Journal, 8, 225.
Mazanov, J., Backhouse, S., Connor, J., Hemphill, D., & Quirk, F. (2014). Athlete support personnel and anti‐doping: Knowledge, attitudes, and ethical stance. Scandinavian Journal of Medicine & Science in Sports, 24(5), 846-856. http://dx.doi.org/10.1111/sms.12084
Mazzeo, F., Santamaria, S., & Iavarone, A. (2015). “Boosting” in Paralympic athletes with spinal cord injury: doping without drugs. Functional Neurology, 30(2), 91.
McNamee, M., & Phillips, N. (2011). Confidentiality, disclosure and doping in sports medicine. British Journal of Sports Medicine, 45(3), 174-177.
Ntoumanis, N., Quested, E., Patterson, L., Kaffe, S., Backhouse, S. H., Pavlidis, G., ... & Gucciardi, D. F. (2021). An intervention to optimise coach-created motivational climates and reduce athlete willingness to dope (CoachMADE): A three-country cluster randomised controlled trial. British Journal of Sports Medicine, 55(4), 213-219. http://dx.doi.org/10.1136/bjsports-2019-101963
Ntoumanis, N., Ng, J. Y., Barkoukis, V., & Backhouse, S. (2014). Personal and psychosocial predictors of doping use in physical activity settings: A meta-analysis. Sports Medicine, 44(11), 1603-1624.
doi:10.1007/s40279-014-0240-4
Overbye, M. (2016). Doping control in sport: An investigation of how elite athletes perceive and trust the functioning of the doping testing system in their sport. Sport Management Review, 19(1), 6-22. http://dx.doi.org/10.1016/j.smr.2015.10.002
Patterson, L. B., & Backhouse, S. H. (2018). “An important cog in the wheel”, but not the driver: Coaches’ perceptions of their role in doping prevention. Psychology of Sport and Exercise, 37, 117-127. doi:10.1016/j.psychsport.2018.05.004
Patterson, L. B., Backhouse, S. H., & Duffy, P. J. (2016). Anti-doping education for coaches: Qualitative insights from national and international sporting and anti-doping organisations. Sport Management Review, 19(1), 35-47. http://dx.doi.org/10.1016/j.smr.2015.12.002
Patterson, L. B., Duffy, P. J., & Backhouse, S. H. (2014). Are coaches anti-doping? Exploring issues of engagement with education and research. Substance Use & Misuse, 49(9), 1182-1185. http://dx.doi.org/10.3109/10826084.2014.912469
Patterson, L. B., Bentley, M. R., N., , Williams, T. L., Boardley, I. D., Petróczi, A., Backhouse, S. H., (2023). 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. SportRχiv.
Van de Vliet, P. (2012). Antidoping in paralympic sport. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 22, 21–25. http://dx.doi.org/10.1097/JSM.0b013e31824206af
Webborn, N., & Van de Vliet, P. (2012). Paralympic medicine. The Lancet, 380(9836), 65-71. http://dx.doi.org/10.1016/S0140-6736(12)60831-9
Weber, K., Patterson, L. B., & Blank, C. (2022a). An exploration of doping-related perceptions and knowledge of disabled elite athletes in the UK and Austria. Psychology of Sport and Exercise, 58, 102061. http://dx.doi.org/10.1016/j.psychsport.2021.102061
Weber, K., Patterson, L. B., & Blank, C. (2022b). Doping in disabled elite sport: Perceptions, knowledge, and opinions from the perspective of German and UK coaches. Psychology of Sport and Exercise, 62, 102233. http://dx.doi.org/10.1016/j.psychsport.2022.102233
World Anti-Doping Agency (2020a). The World Anti-Doping Code. Montreal, Canada: WADA.
World Anti-Doping Agency (2020b). WADA International Standard for Education. Retrieved from https://www.wada-ama.org/sites/default/files/resources/files/international_standard_ise_-_redline_-_november_2019_v_may_2020.pdf.
World Anti-Doping Agency (2021a). 2020-2024 Social Science Research Strategy. Retrieved from https://www.wada-ama.org/en/resources/education-and-prevention/social-science-research-strategy-2020-2024.
World Anti-Doping Agency (2021b). WADA Social Science Research Program. Retrieved from https://www.wada-ama.org/en/social-science-research.
World Anti-Doping Agency (2022). Guidelines for the International Standard for Education. Retrieved from https://www.wada-ama.org/en/resources/education-and-prevention/guidelines-for-the-international-standard-for-education-ise.
World Health Organisation (2022). Factsheet on global disability. Retrieved from https://www.who.int/news-room/fact-sheets/detail/disability-and-health.
Yap, M. B., Pilkington, P. D., Ryan, S. M., Kelly, C. M., & Jorm, A. F. (2014). Parenting strategies for reducing the risk of adolescent depression and anxiety disorders: A Delphi consensus study. Journal of Affective Disorders, 156, 67-75. doi:10.1016/j.jad.2013.11.0
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