SHE Research Group, Department of Sport and Health Sciences, Athlone Institute of Technology, N37HD68 Athlone, Ireland.
Centre for Health Behaviour Research, Department of Sport and Exercise Science, Waterford Institute of Technology, X91K0EK Waterford, Ireland.
Int J Environ Res Public Health. 2021 Apr 30;18(9):4786. doi: 10.3390/ijerph18094786.
Sport is a developing setting and a relevant system in health promotion but there are few examples of settings-based initiatives and systems thinking in sport. The Gaelic Athletic Association (GAA) Healthy Club Project (HCP) adopts a settings approach delivered through and by grassroots clubs who respond to local needs while working within a national support system. The aim of this evaluation was to assess and describe the health promotion impact and experience of the HCP. Healthy Clubs ( = 23) and Control Clubs ( = 10) completed a Healthy Club Questionnaire at the start and end of the 20-month HCP and Healthy Clubs took part in focus group discussions. Healthy Clubs, using the structures of the HCP, a commitment to health and community engagement, demonstrated a significant improvement in their overall orientation to health promotion, which was not apparent in Control Clubs. The health promotion message is pervading into many aspects of the GAA club apart from that which relates to the day to day business of coaching and providing physical activity for all. The HCP represents health promotion activity embedded within and across systems, with further development and evaluation recommended to measure delivery and impact at the individual level, organisational, and wider societal levels.
运动是健康促进的一个不断发展的环境和相关系统，但在运动中，基于环境的举措和系统思维的例子很少。盖尔运动协会（Gaelic Athletic Association，GAA）健康俱乐部项目（Healthy Club Project，HCP）采用了一种基于环境的方法，通过基层俱乐部来实施，这些俱乐部根据当地需求做出回应，同时在国家支持系统内运作。本评估的目的是评估和描述 HCP 的健康促进影响和经验。在 HCP 的 20 个月中，健康俱乐部（=23）和对照俱乐部（=10）在开始和结束时都完成了一份健康俱乐部问卷，并且健康俱乐部还参加了焦点小组讨论。健康俱乐部利用 HCP 的结构、对健康的承诺和社区参与，展示了其对健康促进的整体方向的显著改善，而对照俱乐部则没有明显改善。健康促进信息正在渗透到 GAA 俱乐部的许多方面，除了与日常教练和为所有人提供体育活动相关的方面。HCP 代表了嵌入在系统内和跨系统的健康促进活动，建议进一步发展和评估，以衡量个人、组织和更广泛的社会层面的交付和影响。
