Anti-doping Education Research Articles

Contributions of sports medicine to anti-doping education: engaging in dialogue with the social and human sciences

Contributions of sports medicine to anti-doping education: engaging in dialogue with the social and human sciences

Doping Practices, Knowledge of Anti-Doping Control and Roles of Physical Education Teachers in Anti-Doping Education

The role of coaches in promoting anti-doping education among athletes is well researched in the western world. The present study examined the role of Physical Education (P.E.) teachers in anti-doping education in Ghana under doping practices, knowledge of anti-doping control and the importance of doping education in training programmes among student-athletes. Semi-structured interviews involving eleven P.E. teachers aged 31-46 who coached all the sporting disciplines in Senior High Schools-football, handball, netball, hockey, volleyball, table tennis, badminton and athletics were conducted. Based on the preliminary results, additional information was requested from 10 student-athletes on the use of doping products and the harmful effects. The interviews were transcribed, and the data were analysed thematically. The findings revealed that although coaches and athletes are aware of the effects of doping, the effort to promote anti-doping education have been met with resistance as students claimed P.E. teachers are not health professionals. To be recognised as the best, P.E. teachers were also found culpable of aiding students to use banned performance-enhancing drugs during competitions. A worrying picture of the present study is the sale of drugs to people especially the youths without prescriptions. This has not led only to loss of lives, but to an increase in doping cases, as students can easily have access to drugs that can be used in doping. The present study proposes recommendations and suggestions to the political stakeholder, based on its findings.

The Susceptibles, Chancers, Pragmatists, and Fair Players: An Examination of the Sport Drug Control Model for Adolescent Athletes, Cluster Effects, and Norm Values Among Adolescent Athletes.

Although there are few high-profile cases of adolescent athletes being caught doping, up to a third of young athletes may dope. In order to generate a more accurate understanding of why adolescent athletes dope, it is important to validate models that help to explain this behavior. The aims of this study were 3-fold: firstly, to test the Sport Drug Control Model for Adolescent Athletes (SDCM-AA); secondly, to generate athlete profiles that would help quantify the proportion of athletes who are at risk of doping; and thirdly, to create norm values for the Adolescent Sport Doping Inventory (ASDI), which would allow national doping organizations, sporting organizations, and clubs to benchmark the scores of their athletes for key psycho-social variables linked to doping. A total of 2208 adolescent athletes from the United Kingdom, Australia, Hong Kong, and the United States completed the ASDI. The data presented an appropriate fit to the SDCM-AA model, in which 54% of the variance in susceptibility to doping was explained in the model, and 44.8% of attitudes toward doping was accounted for. Four distinct clusters of athletes emerged: the Susceptibles (i.e., identified with the benefits of doping, were willing to cheat, and viewed little threat), the Chancers (i.e., identified with the benefits of doping, scored high on willingness to cheat, and were highly influenced by their reference group, but had an average score for threat, self-esteem, and legitimacy), the Pragmatists (i.e., did not engage with any aspects of doping, but were more susceptible than the fair players), and Fair Players (i.e., high levels of sportspersonship, unwilling to cheat, and viewed doping as a threat). The revised SDCM-AA appears a valid model that helps explain the factors associated with doping attitudes and doping susceptibility. Adolescent athletes can be classified into one of four clusters, in relation to doping. Their cluster group could influence the content of the anti-doping education they receive.

Doping Prevention in Sport: Overview of Anti-Doping Education Programmes

Background. As doping can damage the sports industry, it is fundamental for athletes to engage in the anti-doping education programs and understand the anti-doping rules. The purpose of this article was to provide an overview of research focusing on anti-doping education.Methods. Scientific research analysis was done by focusing on doping prevention and education programs.Results. Anti-doping education should focus on young athletes, involve family members, friends and coaches. In relation with anti-doping programs which concentrated on health education and informative knowledge, moral and ethical behaviour based anti-doping education was believed to be more effective in actual doping behaviour of athletes. Since coaches could be potentially influencing athletes’ doping behaviour, there should be a collaboration of sports organizations and policy makers in order to help coaches operate within anti-doping rules by creating certain doping prevention programs.Conclusions. Research studies which examine athletes’ belief system and provoke critical thinking in athletes about using banned substances in sport might be more effective in preventing doping than programs focusing only on health education. Keywords: anti-doping, doping, education, prohibited substances.

The effects of the iPlayClean education programme on doping attitudes and susceptibility to use banned substances among high-level adolescent athletes from the UK: A cluster-randomised controlled trial

Background This study examined the effects of the iPlayClean anti-doping intervention on attitudes towards doping and susceptibility, and whether delivery mode affected the results.Methods A total of 1081 high-level UK athletes (14–18 years old, 904 males, 177 females) were cluster-randomised to the control (11 teams/organisations/schools, 314 athletes), face-to-face group presentation (8 teams/organisations/schools, 254 athletes), online (11 teams/organisations/schools, 251 athletes), or face-to-face presentation with online access (5 teams/organisations/schools, 262 athletes).Results Compared to the control group, all modes of the iPlayClean anti-doping education programme reduced favourable attitudes towards doping immediately after the intervention, which was sustained across all intervention groups 8 weeks later. All delivery modes impacted doping susceptibility immediately after the intervention, in comparison to the control group, but the effects were only sustained for the face-to-face presentation group.Conclusion Contrary to findings within previous anti-doping interventions, we have shown that doping attitudes can be changed and that the results can be sustained across all modes of delivery, 8 weeks later. Research is required to assess for how long these changes are sustained, and how often anti-doping education should be delivered to high-level athletes to reinforce clean play values.

An examination of football players’ beliefs about anti-doping education

The use of doping substances constitutes one of the most significant threats in sport. The present study aimed at examining the beliefs of football players about anti-doping education, as well as their behaviour related to nutritional supplement use and doping use. The sample consisted of 186 football players from sports clubs in Thessaloniki, a city in northern Greece. A self-reported questionnaire, which consisted of five parts, was administered to the football players. The findings revealed limited football players’ prior anti-doping education, which was not associated with their age and years of playing football in a club. However, footballers reported that they would be willing to learn about anti-doping. Online education was considered as the most effective way anti-doping education should be offered. Football players indicated behaviour related to nutritional supplement use that was reflective of a neutral stance, while their behaviour related to doping use was reflective of a negative stance. Their age did not differentiate their behaviour towards both nutritional supplement use and doping use. The worrying lack of knowledge about anti-doping among football players underlines the need for relevant education and prevention programmes. This research demonstrates that focusing on footballers’ beliefs and behaviours related to doping can provide some knowledge that will be useful in the fight against doping.

Relationship between perfectionism and attitudes toward doping in young athletes: the mediating role of autonomous and controlled motivation

BackgroundRecent studies suggest that autonomous and controlled motivation may mediate the relationship between perfectionism and attitudes toward doping. The purpose of this study was to investigate the association among perfectionistic strivings, perfectionistic concerns, autonomous motivation, controlled motivation, and attitudes toward doping in young athletes. The potential mediating role of autonomous and controlled motivation was examined.MethodsTwo hundred and forty-three Chinese athletes were surveyed using questionnaires. Structural equation modeling (SEM) was conducted to evaluate the potential mediating role of autonomous and controlled motivation between perfectionism and attitudes toward doping.ResultsThe results showed that perfectionistic strivings was negatively associated with attitudes toward doping, whereas perfectionistic concerns positively predicted attitudes toward doping. Autonomous motivation was negatively associated with attitudes toward doping, whereas controlled motivation positively predicted attitudes toward doping. The mediation analyses showed that the relationship between perfectionistic strivings and attitudes toward doping was partially mediated by autonomous motivation. The relationship between perfectionistic concerns and attitudes toward doping was partially mediated by controlled motivation.ConclusionsThe findings suggested that fostering perfectionistic strivings and autonomous motivation and reducing perfectionistic concerns and controlled motivation may be considered for inclusion in athletes’ anti-doping education.

Attitude of athletes towards doping: A dilemma in Pakistan.

Objectives:To evaluate the attitude and of athletes towards performance enhancement through doping and leading reason of their decision for the use of doping in a country.Methods:This Cross-Sectional descriptive study was conducted with non-probability convenience sampling over a period of six months from November 2018 to May 2019. This study included n=377 National and international athletes/players, of both genders aged 17-35 years, camping for preparation of 13th South Asian Games 2019 at Pakistan Sports Board, Jinnah Complex Islamabad, Pakistan. The athletes/ players with any disease, trauma or working as coaches or officials were excluded. Basic demographic sheet and Athletes Attitude to Doping Questionnaire were used for data collection which was analyzed using SPSS 21.Results:Study revealed significant difference in the Mean and Median scores of the six anti-doping factors with very low scores for “Long Term Health Implications” (Mean= 2.14, Md=2) and “Psychosocial Influences” (Mean=3, Md=3) compared to a high score for the remaining factors, indicating that the participants did not agree these two factors influenced their decision for not doping. Also, there was significant difference in the scores as revealed by Wilcoxon signed test, between Personal Ethical Standards and the remaining factors except Illegality of Substances (z=-1.705, p=0.088). Gender association was noted for anti-doping education and testing, with higher scores in males (p=0.031). Also Type of Main Sport had association with most factors except Long Term Health Implications while Level of Sport did not show any association except for Influence of Significant Others.Conclusion:Study concludes that Illegality of Substances and Personal ethical standards are the most significant factor for athletes’ decision for not doping.

An evaluation of prevention initiatives by 53 national anti-doping organizations: Achievements and limitations

BackgroundOne main purpose of the World Anti-Doping Agency was to harmonize anti-doping efforts, including the provision of anti-doping education. A multifaceted approach to doping prevention can play a key role in preventing intentional and unintentional doping. This article aimed to systematically record and evaluate doping prevention approaches in the form of information and education activities of national anti-doping organizations (NADOs) and assess the extent to which a multifaceted doping prevention approach has been realized. MethodsData on anti-doping information and education activities of 53 NADOs were collected via a survey and an online search of the NADOs’ websites. Prevention activities were classified into knowledge focused, affective focused, social skills, life skills, and ethic- and value- based. The implementation of the prevention activities was assessed by 4 independent raters using a modified visual analogue scale. ResultsIn total, 59% of the NADOs (n = 38) returned the survey and 70% (n = 45) had information available online. The data were combined for the visual analogue scale assessment. Overall, 58% of the NADOs (n = 37) reported offering activities including elements of all 5 approaches. Results of the raters’ assessments indicated that the knowledge-focused approach was best implemented; the implementation of the other 4 approaches was largely unsatisfactory. The most common barriers to implementing doping prevention programs reported by the NADOs were lack of resources (n = 26) and difficulties in collaborating with sports organizations (n = 8). ConclusionResults show a discrepancy between NADOs’ self-report data and the implementation assessment. Even though the NADOs indicated otherwise, most of their education-based approaches did not address aspects of the visual analogue scale (e.g., resisting peer pressure) and only a few programs were ongoing. Possible explanations might be found in the reported barriers (e.g., financial). Concrete guidelines defining multifaceted, values-based education, and best practice examples should be developed to indicate how to include all 5 approaches in prevention.

Perfectionism and attitudes towards doping in athletes: A continuously cumulating meta-analysis and test of the 2 × 2 model

Perfectionism may promote engagement in illegal and unacceptable behaviours such as doping. To examine this idea, in the present study, we had two aims. First, we re-examined the relationship between perfectionism and attitudes towards doping and, in doing so, conducted a continuously cumulating meta-analysis. Second, we extended our understanding of this relationship by providing the first test of the 2 × 2 model of perfectionism in context of doping. A sample of 181 university athletes (mean age 18.5 years) completed measures of perfectionism (evaluative concerns perfectionism [ECP] and personal standards perfectionism [PSP]) and attitudes toward doping. A continuously cumulating meta-analysis based on five studies (including the present study; N = 952) indicated that ECP showed a significant small-to-medium positive relationship with attitudes towards doping (r + = .21), whereas PSP showed a nonsignificant small positive relationship with attitudes towards doping (r + = .07). In addition, moderated regression analysis provided support for two hypotheses of the 2 × 2 model. Specifically, pure ECP (high ECP, low PSP) was associated with more favourable attitudes towards doping than mixed perfectionism (high ECP, high PSP) and non-perfectionism (low ECP, low PSP). The present findings suggest that ECP is a significant positive predictor of attitudes towards doping and that athletes who exhibit a combination of high ECP and low PSP are the most likely to be at risk of doping. Consequently, a focus on reducing ECP may be a valuable addition to anti-doping education programmes.

A qualitative investigation of coaches’ doping confrontation efficacy beliefs

ObjectivesTo investigate the nature of doping confrontation efficacy (DCE) beliefs – as well as their antecedents and outcomes – through a qualitative examination of Sullivan, Feltz, LaForge-MacKenzie, and Hwang’s (2015) DCE model with high-level technical and strength and conditioning (S&C) coaches from athletics and rugby union. DesignQualitative, descriptive. MethodsSemi-structured interviews were conducted with 21 coaches (nmale = 15, nfemale = 6; ntechnical = 11, nS&C = 10; nathletics = 5, nrugby = 13, nrugby & athletics = 3), working at a regional, national, or international level in athletics, rugby, or both sports. Study data were analyzed deductively using content analysis techniques. ResultsData analysis supported the relevance of all five dimensions of DCE (i.e., personal resources, initiation, legitimacy, intimacy, and expected outcomes) to coaching practice in athletics and rugby, identifying key potential antecedents (e.g., coach education) and outcomes (e.g., likelihood of confronting athletes on doping-related issues) of coach DCE beliefs relevant to one or more of the DCE sub-dimensions. Deficits in coaches’ anti-doping knowledge were also identified, supporting the need for improved anti-doping education for coaches. ConclusionBy conducting the first qualitative examination of DCE beliefs, we enriched understanding of the DCE model and identified a range of possible antecedents and outcomes of DCE beliefs in technical and S&C coaches. Based on the results of this study, recommendations are posed for revising and expanding the DCE model. Practical recommendations are also offered for coach education.

The role of the athletes’ entourage on attitudes to doping

ABSTRACT The present study investigated athletes’ and coaches’ beliefs about the role of athletes’ entourage in deterring or promoting doping. Competitive athletes and coaches in Greece and Australia took part in semi-structured interviews. Our analysis of the interviews produced five main themes: coach influence, peer influence, doping stance, doping stigma, and entourage’s culture. Overall, coaches and peers having a close and trusty relationship with the athletes were considered most influential with respect to doping-related decisions. The majority of the athletes held a strong anti-doping stance but could not articulate why they held this position. This inability could be ascribed to the stigmatization of doping which led to lack of knowledge and anti-doping education. Finally, an anti-doping culture in the athletes’ environment was considered central to an anti-doping stance. The study findings provide valuable information towards a comprehensive understanding of the role athletes’ entourage can play in shaping athletes’ attitudes and decision for doping.

Knowledge and perceptions of doping practices and anti-doping education among elite North American female triathletes

The main purpose of this study was to investigate knowledge of doping practices and anti-doping education among American and Canadian female professional triathletes. The second purpose of this study was to examine the potential motivating factors to engage in prohibited doping, as well as to better understand athletes’ reasons for and/or impediments to refrain from doping practices. Six Canadian and six American female professional triathletes (n = 12) participated in semi-structured interviews (Sparkes & Smith, 2014) that lasted between 35 min and 90 min. The interview guide (see Appendix A) consisted of questions related to athletes’ experiences of anti-doping education, knowledge of doping, and experiences with drug-testing procedures. The inductive thematic analysis of the transcript data yielded four major themes including, 1) changes in the sport over last 15 years; 2) perceptions of prevalence and availability of doping; 3) perceptions of anti-doping efforts and; 4) perceptions and experiences of anti-doping education approaches. The results may help to inform anti-doping education programs at the national and international levels and speak to the need for a more coherent and communicative approach to anti-doping. This study constituted the second phase of a World Anti-Doping Agency (WADA) supported Social Science initiative.

Examining Coaches’ Experiences and Opinions of Anti-Doping Education

Although global policy states that coaches are a key stakeholder group for anti-doping education, very little is known about how performance and participation coaches develop their understanding of anti-doping policy and practice. Therefore, 292 UK-based coaches completed an online survey exploring their experiences of anti-doping education (i.e., topics covered, how and by whom the programmes were delivered and how knowledgeable and well-equipped coaches felt to deal with doping-related matters). The results showed that almost a quarter of the surveyed coaches reported never learning about anti-doping. Only a third had engaged with a formal anti-doping education programme and coaches typically received information on detection-deterrence related topics (e.g., banned substances, testing procedures). Many coaches perceived themselves as only having ‘a little’ knowledge about anti-doping and declared themselves as ‘a little’ equipped to work with their sportspeople on doping-related matters. Nonetheless, 96% of coaches were inclined to learn more about anti-doping in the future. Given the World Anti-Doping Code states that anti-doping education for coaches should be compulsory, it is crucial that insights from coaches are made public to inform the development of evidence- informed anti-doping programmes that are tailored and targeted.

Peer Education strategies for promoting prevention of doping in different populations.

In the field of doping prevention, alongside the traditional functions of repression and control of the phenomenon, educational aspects are becoming increasingly important. Article 18 of the World Anti doping Code obliges the signatories to invest in anti-doping education with the aim of preserving the spirit of sport. The educational commitment should involve young people in health promotion interventions for the prevention of risk behaviors. Therefore, our attention has focused on finding the mechanisms that lead people to make certain behavioral choices. In the context of preventive programs, to counter the doping phenomenon through health promotion programs, the most recognized method is peer education, particularly with adolescents. It is an educational method according to which some members of a group are empowered and trained to carry out specific activities with their peers. It is constituted as an example of equal relationship and finds its basis in cooperation and solidarity with the aim of increasing empowerment and a healthy development of the identity and collective dimension in young people. Numerous experts - biologists / nutritionists, hygienists, sports coaches, psychologists, teachers of physical education in secondary schools and other stakeholders have actively participated in the co-construction of a training package aimed at activating cascade training processes on the knowledge and skills of peer education in contexts of youth aggregation, such as schools, gyms, sports associations, social gatherings of all kinds. The path allowed to define a peer education model capable of enabling the participants to activate health promotion interventions for the prevention of doping risk behaviors, each in their own setting. In conclusion, we can say that prevention programs are the more effective the more they are addressed to young people and adolescents and provide interactive and action-oriented interventions. Successful initiatives aim to emphasize the development of life skills and to influence numerous determinants of behavior, including individual attitudes, knowledge, motivations, interpersonal relationships and social norms. If the aim is to act on the change of behavior, the efforts will be more successful if the content of the intervention will give due consideration to the context in which it applies and the target population, involving it and addressing its specific needs and values.

Impact of anti-doping education and doping control experience on anti-doping knowledge in Japanese university athletes: a cross-sectional study

BackgroundThis study was conducted to elucidate the anti-doping (AD) education, doping control experience, and AD knowledge according to the World Anti-doping Code (Code) of Japanese university athletes.MethodsWe collected data from 514 male athletes (Mage = 19.53 years, SD = 1.13) and 629 female athletes (Mage = 20.99 years, SD = 1.07). We asked them about their experience undergoing doping control and the AD education they had received. Then, we assessed their AD knowledge using the World Anti-Doping Agency’s Athlete Learning Program about Health and AD (ALPHA) test.ResultsThe results showed that 2.54% of the participants had undergone doping control. Further, 30.10% received AD education at least once, and 20.82% received AD education more than once. When comparing the ALPHA scores of athletes with/without doping test experience, we observed no significant difference. However, the ALPHA scores of athletes with/without AD education were significantly different; specifically, athletes who received AD education more than once had significantly higher ALPHA scores than non-educated athletes.ConclusionThese results revealed that doping control experience was not related to AD knowledge and that AD education was associated with AD knowledge, suggesting that athletes who receive AD education more than once have more accurate AD knowledge than less educated athletes on this topic. The importance of AD education in promoting understanding of AD according to the Code in sports is highlighted in this study.

Coaches’ awareness of doping practices and knowledge about anti-doping control systems in elite sport

Coaches may have a significant role in an athlete’s decision to use, or not to use, performance enhancing substances. Research suggests that many coaches do not have the confidence or the knowledge to discuss anti-doping issues with their athletes. This study aimed to assess coaches’ awareness of doping practices, coaches’ knowledge of anti-doping control systems (random testing, out of competition testing, the biological passport and the athlete whereabouts system) and coaches’ involvement with anti-doping education for their athletes. Individual interviews were conducted with 19 elite or professional level coaches representing the sports of basketball, cricket, hockey, soccer, rowing, ski cross, taekwondo, swimming and triathlon. The findings suggest that although many coaches personally know doping athletes, few believe that athletes will ever be tested. Knowledge of anti-doping control systems, specifically the biological passport and the whereabouts system was very poor. Coaches rarely discuss doping themes with their athletes or other coaches. Taken together these findings paint a worrying picture of the state of coaches’ knowledge of doping and their commitment to anti-doping education and awareness. While anti-doping education must become a standard part of the coaching education process, this should be backed with strict compliance legislation that obliges coaches to take part in continuous education and provide proof that they provide preventive measures for their athletes. Additionally, a professional development plan to ensure that knowledge remains accurate and current may be required.

Children's First Experience of Taking Anabolic-Androgenic Steroids can Occur before Their 10th Birthday: A Systematic Review Identifying 9 Factors That Predicted Doping among Young People.

Taking performance-enhancing drugs (PEDs) can cause serious and irreversible health consequences, which can ultimately lead to premature death. Some young people may take PEDs without fully understanding the ramifications of their actions or based on the advice from others. The purpose of this systematic review was to identify the main factors that predicted doping among young people. The literature was systematically reviewed using search engines, manually searching specialist journals, and pearl growing. Fifty-two studies, which included 187,288 young people aged between 10 and 21 years of age, 883 parents of adolescent athletes, and 11 adult coaches, who were interviewed regarding young athletes, were included in this review. Nine factors predicted doping among young people: gender; age; sports participation; sport type; psychological variables; entourage; ethnicity; nutritional supplements; and health harming behaviors. In regards to psychological variables, 22 different constructs were associated with doping among young people. Some psychological constructs were negatively associated with doping (e.g., self-esteem, resisting social pressure, and perfectionist strivings), whereas other were positively associated with doping (e.g., suicide risk, anticipated regret, and aggression). Policy makers and National Anti-Doping Organizations could use these findings to help identify athletes who are more at risk of doping and then expose these individuals to anti-doping education. Based on the current findings, it also appears that education programs should commence at the onset of adolescence or even late childhood, due to the young age in which some individuals start doping.

"I Want It All, and I Want It Now": Lifetime Prevalence and Reasons for Using and Abstaining from Controlled Performance and Appearance Enhancing Substances (PAES) among Young Exercisers and Amateur Athletes in Five European Countries.

Doping use in recreational sports is an emerging issue that has received limited attention so far in the psychological literature. The present study assessed the lifetime prevalence of controlled performance and appearance enhancing substances (PAES), and used behavioral reasoning theory to identify the reasons for using and for avoiding using controlled PAES in young exercisers across five European countries, in the context of the “SAFE YOU” Project. Participants were 800 young amateur athletes and exercisers (M = 21.56; SD = 2.69) from Cyprus, Germany, Greece, Italy, and UK who completed an anonymous questionnaire that included measures of self-reported use of controlled PAES, as well as reasons for using and not using controlled PAES. The results of the descriptive analyses demonstrated that almost one out five exercisers in the sample had a previous experience with controlled PAES. Higher prevalence rates were found in Greece and Cyprus and lower in Italy. The most frequently reported reasons for using controlled PAES included achieving the desired results faster; pushing the self to the (physical) limits; and recovering faster after exercise/training. Furthermore, the most frequently reported reasons for not using controlled PAES involved worry about any possible adverse health effects; not feeling the need for using them; and wanting to see what can be achieved naturally without using any controlled PAES. The findings of the present study indicate that the use of controlled PAES is fast becoming a crisis in amateur sports and exercise settings and highlight the need for preventive action and concerted anti-doping education efforts.

Personality traits and performance enhancing drugs: The Dark Triad and doping attitudes among competitive athletes

The use of performance enhancing drugs, also known as doping, can represent a serious threat to an athlete's psychological and physical health and contravenes the spirit of sport. Scholars identified attitudes towards doping as a crucial factor that indirectly influences doping behaviors. Further, prominent theoretical frameworks that are designed to explain why athletes dope state that personality traits shape doping attitudes. To date, however, scholars are yet to examine the relationship between attitudes towards doping and personality traits such as the Dark Triad. The purpose of this study was to explore the relationship between the Dark Triad and doping attitudes among a sample of competitive athletes. Two hundred and eighty-five athletes completed a measure of the Dark Triad and attitudes towards doping. Machiavellianism, psychopathy, and narcissism all correlated positively with attitudes towards doping. Machiavellianism and psychopathy explained 29% of the variance in attitudes towards doping, whereas narcissism did not independently contribute to the variance in doping attitudes. These results reveal that athletes who score highly on the Dark Triad may be more likely to dope and therefore might need targeted anti-doping education and long-term monitoring to reduce their risk of taking banned substances.