Abstract
ObjectivesThis 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 designMulti-methods design: Data were collected through (i) a review of trust websites (n = 72), (ii) an online survey (n = 34/47.2%) and (iii) semi-structured interviews (n = 11/32.3%) with a sub-sample of trust managers. ResultsThe review of websites confirms all trusts provided physical activity-led interventions. The online survey showed most managers were male (n = 23/67.7%) and white British (n = 30/88.2%). Two thirds held management roles, (n = 23/67.6%) and represented Championship (n = 12/35.2%), League 1 (n = 13/38.2%) and League 2 clubs (n = 9/26.5%). Trusts provided physical activity and most provided diet (n = 31/91.2%) as well as smoking (n = 20/58.8%) and alcohol (n = 19/55.9%) interventions. Weight management, (n = 25/73.5%), mental health interventions (n = 28/82.4%) were offered. Trusts provided male-specific (n = 20/58.8%), with fewer providing female-specific interventions (n = 15/44.1%). Most trusts (n = 30/88.2%) evaluated interventions. 80.8% (n = 21/26) used public health guidance for programme design, 69.2% (n = 18/26) delivery, 57.7% (n = 15/26) needs assessment and 50% (n = 13/26) 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’. ConclusionFootball Community Trusts deliver interventions, but challenges were encountered when implementing these programmes.
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