Roed Kickan, Bjerre Eik Dybboe, Midtgaard Julie
The University Centre for Health Research, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.
Mental Health Center, Glostrup, Copenhagen University Hospital - Mental Health Services CPH, Centre for Applied Research in Mental Health Care, Nordstjernevej 41, 2600, Copenhagen Ø, Denmark.
Sports Med Open. 2022 Mar 3;8(1):28. doi: 10.1186/s40798-022-00424-z.
Evidence suggests that community-based exercise programs and sports participation benefit long-term physical activity adherence and promote health in clinical populations. Recent research shows that community-based soccer can improve mental health and bone health and result in fewer hospital admissions in men with prostate cancer. However, little knowledge exists on what coaches experience, leading to a scarcity of knowledge on how to assist them in promoting and supporting the sustainability of programs. The purpose of this study was to explore the experiences of non-professional soccer coaches in providing community-based soccer training for men with prostate cancer.
We interviewed 13 out of 21 eligible non-professional soccer coaches in charge of delivering the Football Club Prostate Community program, which is community-based soccer training for men with prostate cancer at 12 local soccer clubs across Denmark. Qualitative content analysis, as described by Graneheim and Lundman, was applied to analyze the data using NVivo 12 software. We identified the five following overall categories with 10 subcategories on what the coaches experienced: (1) enabling training of a clinical population in a community setting, (2) dedication based on commitment, (3) coaching on the players' terms, (4) navigating the illness, and (5) ensuring sustainability. Collectively, the findings suggest that, while the coaches felt adequately prepared to coach, their coaching role developed and was refined only through interaction with the players, indicating that coaching clinical populations may be easier in practice than in theory and a potentially transformative learning experience.
Non-professional soccer coaches in charge of delivering soccer training for men with prostate cancer value being educated about specific illness-related issues. Initial concerns about how to coach a clinical population disappeared once the coaches engaged with the players and developed their own team norms and illness management strategies. They also gained a broader perspective on their own lives, which they valued and would not otherwise have achieved by coaching a healthy population. Our study indicates that sustainable implementation and the program's sustainability can be promoted and supported through additional formal, easily accessible communication with trained health professionals and by networking with peer coaches.
有证据表明，基于社区的锻炼计划和体育参与有益于长期坚持体育活动，并能促进临床人群的健康。最近的研究表明，基于社区的足球运动可以改善心理健康和骨骼健康，并减少前列腺癌男性患者的住院次数。然而，对于教练的经历了解甚少，这导致在如何帮助他们促进和支持项目可持续性方面缺乏相关知识。本研究的目的是探讨非专业足球教练为前列腺癌男性患者提供基于社区的足球训练的经验。
我们采访了负责实施“足球俱乐部前列腺社区计划”的21名合格非专业足球教练中的13名，该计划是为丹麦各地12个当地足球俱乐部的前列腺癌男性患者提供的基于社区的足球训练。采用格兰海姆和伦德曼描述的定性内容分析法，使用NVivo 12软件对数据进行分析。我们确定了以下五个总体类别以及10个子类别，内容涉及教练的经历：（1）在社区环境中对临床人群进行训练的可行性，（2）基于承诺的奉献精神，（3）根据球员情况进行指导，（4）应对疾病，（5）确保可持续性。总体而言，研究结果表明，虽然教练们觉得自己有足够的准备来进行指导，但他们的教练角色只有通过与球员的互动才能得到发展和完善，这表明指导临床人群在实践中可能比在理论上更容易，并且是一种潜在的变革性学习经历。
负责为前列腺癌男性患者提供足球训练的非专业足球教练重视接受有关特定疾病相关问题的教育。一旦教练与球员接触并制定了自己的团队规范和疾病管理策略，最初对如何指导临床人群的担忧就消失了。他们对自己的生活也有了更广阔的视角，他们珍视这一点，并且如果指导的是健康人群，他们原本无法获得这样的视角。我们的研究表明，通过与训练有素的健康专业人员进行额外的正式且易于获取的沟通，以及与同行教练建立网络，可以促进和支持项目的可持续实施及其可持续性。
