dr lorena lozano - presentation
TRANSCRIPT
‘Itbringstheladstogether’:Acriticalexplorationofoldermen’sexperiencesof aweightmanagementprogrammedelivered
throughaHealthyStadiaproject
LorenaLozano-Sufrategui,AndyPringle,DavidCarless,JimMcKennaLeedsBeckettUniversity
Email:[email protected]
Introduction
• Obeseoldermen(OM):≧50• Higherriskofdevelopingpoorlifestylebehaviours andnon-communicablediseases• Barrierstoattendlifestyleimprovementinterventions1: insecurity,fearoffalling,lackofenergy• OM:keyprioritygroupforPublicHealth2
1. NICE(2008)2. Rutherfordetal.(2014)
HealthyStadia• Astadiumthat‘promotesthehealthofvisitors,fans,players,employeesandthesurroundingcommunity.Itisaplacewherepeoplecangotohaveapositive,healthyexperienceplayingorwatchingsport’1
• DeliveryofPAinterventionsforHTRgroupsthroughsportsclubs2
• ‘Divisive socialpractices’?
1. Crabb andRatinckx (2005)2. Johnman,MackieandSim (2013)
Methods• Interventioncontext:• TackingthePounds:aWMPthatworksinpartnershipwiththeWiganBoroughHealthyStadiatodeliverhealthandwellbeingmessagesformen
• Researchcontext:• 14men,meanBMI=32.4kg/m2
• Thematicanalysis• HowdosportssettingsrelatetotheneedsofOM?
Ageing
Physical limitations
Irreversibility
Physical activity paradox
Imperishable body vs
Vulnerable body
Well for me I was just getting older and I could tell that I wasn’t a teenager anymore so it was just look after yourself […] as a young man you are indestructible you can do anything, eat anything (Adam)
Opportunity• Lossofopportunities• ‘Real’sport• Competitiveness(confrontationalandoppositionalactivity)vs.participation(‘havingakickaround’)
To be honest I’m not keen on football but at least I play it, which I am quite surprised at, you know. I never thought I would have played football, not at my age, but I did it (Ralph)
Inclusivecompetition
• Cooperationandcollaboration• ‘Everybodyisinvolved’– bond• Differentdegreesofinclusion• Enjoyment• Youngermen‘caring’forothersbybalancingforcefulcontacts,gameintensityandspeed
When we play football, I try to take it easy on the older guys. I don’t play as well as I would if I was against similar people. I don’t want the other guys to think: ‘Oh, I am not going there next week because there is this one guy, half our age, he takes it too seriously, runs round tackling, hurting people’
Caringinterpersonalrelationships
• Opportunityto‘do’thingstogether• Supportiveatmosphereenabledthementodemonstratecompetence• Participation insportsbecamemeaningful(regardlessofthesport!)
Theroleofstaffinpromotingengagement
• Originality,creativityandvariety• Adaptgames,e.g.‘walkingfootball’toreducediscordances• Humour promotesengagementandinclusion
Practicalimplications• Practitioners’abilitytonavigatemen’sneeds• ConsiderFITT• Buildmediatorsforchange1
• Competitionisa‘workofinclusion’• Deliverer’spersonality
1.Pringleetal.(2014)
Thankyouforlistening
Email:[email protected]
Twitter:@LorenaLozano86
ResearchGate:LorenaLozano-Sufrategui
• Crabb,Judy,andLindaRatinckx.2005.TheHealthyStadiaInitiative:AReportforNorthWestPublicHelath Team.London:DepartmentofHealth.
• Johnman,Cathy,PenelopeMackie,andFionaSim.2013."TheBeautifulGame."PublicHealth8(127):697-98.doi:10.1016/j.puhe.2013.07.008.
• NationalInstituteforHealthandCareExcellence.2008.OccupationalTherapyandPhysicalActivityInterventionstoPromotetheMentalWellbeingofOlderPeopleinPrimaryCareandResidentialCare.NICEguidelines[PH16].AccessedJuly232015.https://www.nice.org.uk/guidance/ph16.
• Pringle,Andy,StephenZwolinsky,JamesMcKenna,StevenRobertson,AndyDaly-Smith,andAlanWhite.2014."HealthImprovementforMenandHard-to-EngageMenDeliveredinEnglishPremierLeagueFootballClubs."HealthEducationResearch29(3):503-520.doi:10.1093/her/cyu009.
• Rutherford,Zoe,BrendanGough,SarahSeymour-Smith,ChristopherR.Matthews,JohnWilcox,DanParnell,andAndyPringle.2014."‘Motivate’:TheEffectofaFootballintheCommunityDeliveredWeightLossProgrammeonOver35-YearOldMenandWomen’sCardiovascularRiskFactors."Soccer&Society 15(6):951-969.doi:10.1080/14660970.2014.920628.
References