ABSTRACT
Objectives: This study audits health improvement provision delivered in/by English professional Football Club Community Trusts and reports the strengths and challenges around the implementation of interventions. Study design: Multi-methods design: Data were collected through (i) a review of trust websites (n â= â72), (ii) an online survey (n â= â34/47.2%) and (iii) semi-structured interviews (n â= â11/32.3%) with a sub-sample of trust managers. Results: The review of websites confirms all trusts provided physical activity-led interventions. The online survey showed most managers were male (n â= â23/67.7%) and white British (n â= â30/88.2%). Two thirds held management roles, (n â= â23/67.6%) and represented Championship (n â= â12/35.2%), League 1 (n â= â13/38.2%) and League 2 clubs (n â= â9/26.5%). Trusts provided physical activity and most provided diet (n â= â31/91.2%) as well as smoking (n â= â20/58.8%) and alcohol (n â= â19/55.9%) interventions. Weight management, (n â= â25/73.5%), mental health interventions (n â= â28/82.4%) were offered. Trusts provided male-specific (n â= â20/58.8%), with fewer providing female-specific interventions (n â= â15/44.1%). Most trusts (n â= â30/88.2%) evaluated interventions. 80.8% (n â= â21/26) used public health guidance for programme design, 69.2% (n â= â18/26) delivery, 57.7% (n â= â15/26) needs assessment and 50% (n â= â13/26) evaluation. Interviews and qualitative reports identified strengths including, using football, the 'club brand', 'meeting health needs' and 'working as a strategic collaboration with partners'. Challenges included 'short-term funding staffing, mainstreaming, and evaluating interventions'. Conclusion: Football Community Trusts deliver interventions, but challenges were encountered when implementing these programmes.
ABSTRACT
AIM: This study aims to understand the behaviour changes men who attended a weight loss programme engage in during weight maintenance. Understanding the needs of men in the context of weight loss maintenance is important, as they are underrepresented in this body of literature. METHOD: Given its focus on personal experience, this study adopted a qualitative design. Semi-structured interviews supported by participant-generated photo-elicitation techniques to explore the behavioural changes 12 men engaged in 6 months after attending a men-only weight loss programme. Data analysis was undertaken through thematic analysis and Gleeson's polytextual thematic analysis. RESULTS: This study suggests that the key behaviours men engaged in to maintain weight loss can be classified into four categories: (1) 'Small' changes, (2) Informed decisions, (3) Monitoring of behaviours, and (4) Dealing with ambivalence. CONCLUSION: This study makes an original contribution to knowledge and can have important implications for practice in the area of men's health, particularly with regard to the long-term impact of weight loss interventions.