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通过社区体育俱乐部改善负责任酒精管理措施的实施:一项随机对照试验。

Improving the implementation of responsible alcohol management practices by community sporting clubs: A randomised controlled trial.

作者信息

Kingsland Melanie, Wolfenden Luke, Tindall Jennifer, Rowland Bosco, Sidey Maree, McElduff Patrick, Wiggers John H

机构信息

School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia.

Hunter New England Population Health, Wallsend, Australia.

出版信息

Drug Alcohol Rev. 2015 Jul;34(4):447-57. doi: 10.1111/dar.12252. Epub 2015 Mar 4.

Abstract

INTRODUCTION AND AIMS

Despite an increased prevalence of risky alcohol consumption and alcohol-related harm among members of sporting groups and at sporting venues, sporting clubs frequently fail to implement alcohol management practices consistent with liquor legislation and best practice guidelines. The aim of this study was to assess the impact of a multi-strategy intervention in improving the implementation of responsible alcohol management practices by sports clubs.

DESIGN AND METHODS

A randomised controlled trial was conducted with 87 football clubs, with half randomised to receive a multi-strategy intervention to support clubs to implement responsible alcohol management practices. The 2-year intervention, which was based on implementation and capacity building theory and frameworks, included project officer support, funding, accreditation rewards, printed resources, observational audit feedback, newsletters, training and support from state sporting organisations. Interviews were undertaken with club presidents at baseline and post-intervention to assess alcohol management practice implementation.

RESULTS

Post-intervention, 88% of intervention clubs reported implementing '13 or more' of 16 responsible alcohol management practices, which was significantly greater than the proportion of control groups reporting this level of implementation (65%) [odds ratio: 3.7 (95% confidence interval: 1.1-13.2); P = 0.04]. All intervention components were considered highly useful and three-quarters or more of clubs rated the amount of implementation support to be sufficient.

DISCUSSION AND CONCLUSIONS

The multi-strategy intervention was successful in improving alcohol management practices in community sports clubs. Further research is required to better understand implementation barriers and to assess the long-term sustainability of the change in club alcohol management practices.

摘要

引言与目的

尽管体育团体成员和体育场馆中危险饮酒行为及与酒精相关危害的患病率有所上升,但体育俱乐部常常未能实施与酒类法规和最佳实践指南相一致的酒精管理措施。本研究的目的是评估一项多策略干预措施对改善体育俱乐部负责任酒精管理措施实施情况的影响。

设计与方法

对87家足球俱乐部进行了一项随机对照试验,其中一半被随机分配接受多策略干预,以支持俱乐部实施负责任的酒精管理措施。这项为期两年的干预措施基于实施和能力建设理论及框架,包括项目官员支持、资金、认证奖励、印刷资料、观察性审计反馈、时事通讯、培训以及来自州体育组织的支持。在基线期和干预后对俱乐部主席进行访谈,以评估酒精管理措施的实施情况。

结果

干预后,88%的干预组俱乐部报告实施了16项负责任酒精管理措施中的“13项或更多”,这显著高于报告达到此实施水平的对照组比例(65%)[优势比:3.7(95%置信区间:1.1 - 13.2);P = 0.04]。所有干预组成部分都被认为非常有用,四分之三或更多的俱乐部认为实施支持力度足够。

讨论与结论

多策略干预成功改善了社区体育俱乐部的酒精管理措施。需要进一步研究以更好地理解实施障碍,并评估俱乐部酒精管理措施变化的长期可持续性。

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