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实施基于社区体育的心理健康促进举措的障碍与促进因素:一项定性研究。

Barriers and Enablers to Implementing Community Sports-Based Mental Health Promotion Initiatives: A Qualitative Study.

作者信息

Morris Darcy, Gordon Rob, Vella Stewart, Reilly Nicole

机构信息

Faculty of Business and Law, University of Wollongong, Wollongong, Australia.

Faculty of Business and law, University of Wollongong, Wollongong, Australia.

出版信息

Health Promot J Austr. 2025 Jul;36(3):e70060. doi: 10.1002/hpja.70060.

Abstract

ISSUE ADDRESSED

Effective mental health promotion strategies that engage a variety of health and non-health sectors are an important component of the mental health intervention spectrum. Community sport is one such avenue for promoting mental health and potentially reducing stigma around help seeking. This study aimed to identify priority actions of community sports-based mental health promotion initiatives and report on factors facilitating and inhibiting successful implementation of these initiatives.

METHODS

Thirty-one project managers from 24 sports clubs and organisations funded to deliver mental health promotion initiatives across New South Wales, Australia, participated in the independent evaluation. Data were collected using a brief survey and a semi-structured interview, and were analysed using descriptive and thematic analysis.

RESULTS

Building wellness and resilience was the most common priority action area of the funded initiatives. Key enablers of implementation identified by project managers included the contribution of key personnel, partnerships, buy-in from the organisation, sport clubs as a mental health promotion setting, and grant funding. The most frequently reported barrier to implementation was the limited timeframe available. Other inhibiting factors included lack of human resources (particularly volunteers) and stigma surrounding mental health issues.

CONCLUSIONS

Sports clubs and organisations faced several barriers to the implementation of their mental health promotion initiatives. However, a range of factors enabled successful implementation. Findings of this study can inform the development of resources, programmes and policies to promote mental health in this setting. SO WHAT?: When planning and implementing sports-based mental health promotion initiatives, it is essential to ensure the presence of enabling factors such as recruitment of the right key personnel, establishment of strong partnerships, and securing organisational buy-in. Concurrently, strategies should be employed to mitigate barriers including timing and timeframes, limited human resources, and existing stigma, to maximise the likelihood of success and achievement of positive outcomes.

摘要

解决的问题

有效的心理健康促进策略涉及多个健康和非健康部门,是心理健康干预体系的重要组成部分。社区体育就是促进心理健康并可能减少寻求帮助的污名化的一个途径。本研究旨在确定基于社区体育的心理健康促进举措的优先行动,并报告促进和阻碍这些举措成功实施的因素。

方法

来自澳大利亚新南威尔士州24个体育俱乐部和组织的31名项目经理参与了此次独立评估,这些俱乐部和组织获得资金用于开展心理健康促进举措。通过简短调查和半结构化访谈收集数据,并采用描述性和主题分析方法进行分析。

结果

增强健康和恢复力是获得资助举措中最常见的优先行动领域。项目经理确定的实施关键推动因素包括关键人员的贡献、伙伴关系、组织的支持、作为心理健康促进场所的体育俱乐部以及赠款资金。最常报告的实施障碍是可用时间有限。其他阻碍因素包括人力资源(尤其是志愿者)短缺以及围绕心理健康问题的污名化。

结论

体育俱乐部和组织在实施心理健康促进举措时面临若干障碍。然而,一系列因素促成了成功实施。本研究结果可为在此背景下促进心理健康的资源、项目和政策的制定提供参考。那么该怎么做呢?:在规划和实施基于体育的心理健康促进举措时,必须确保存在促进因素,如招募合适的关键人员、建立强大的伙伴关系以及获得组织支持。同时,应采取策略减轻障碍,包括时间安排和时间框架、人力资源有限以及现有的污名化,以最大限度地提高成功的可能性并取得积极成果。

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