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The Realities of Promoting Men's Health:
 A Case Study from Everton FC's
 Community Football Programme




Dan Parnell, University of Derby
Kathryn Curran, Liverpool John Moores University
2008 Mission Statement
“To motivate, educate and inspire by harnessing the power
of football and sport to change lives within our community”




2013 Mission Statement:
“Through the positive promotion of sport, physical activity and the
brand of Everton Football Club, we are committed to provide high
quality, accessible participation and development opportunities that
positively change lives and bring enjoyment to our communities”
Stadium Business Awards, Best
   Community Scheme in Europe            High Sheriff’s Award, Kickz

MBNA Northern
Sports Award, Best
Grassroots Club
Programme                                          Golf Foundation – ‘The
                                                   Mackenzie Award’ for
                                                   ‘Road to Wentworth’

National Sports Industry Awards,            MBNA Northern Football
Community Programme of the Year –           Award, Community
Disability Programme                        Scheme of the Year

               North West Public Health Award,
               Imagine Your Goals Mental Health
               Programme
The Partnership 2006




Everton Active Family Centre (EAFC) 2008
Men’s Health Programmes

Premier League Health: Men 18-45 years




Fit Fans: Men 50+
Men’s Health in Liverpool
• More than half of Liverpool residents are residing within the 10% most
deprived areas in the country (Noble et al., 2008)

• Life expectancy approximately three years below the national average
(Liverpool Public Health Intelligence Team, 2009)

• Significantly higher rates for prevalence of cancer, coronary heart disease
and stroke

• High smoking prevalence

• One of worst areas in England for alcohol related health disorders
(Liverpool City Council, 2010)

• Liverpool residents have the lowest overall mental wellbeing score in the
North West of England (Deacon et al., 2010).
Methods
6 years (2006-2012) of applied immersed
research

- Ethnography (Hammersley and Atkinson, 2007)
- Reflective diaries & field notes (Krane and Baird, 2005)
- Observational research (Hammersley and Atkinson, 1983)
- Interviews (Fontana and Frey, 2005)
Health Promotion Men (18-45yrs)
(2008 onwards within EAFC)
“Hummmm... I want to learn
  about the challenges and
    the issues…and the
   implications and future
     recommendations.”
CASE STUDY 1
Why did I do it?
Sport and sports stadiums have a wider role in transmitting
health messages to men and even helping to deliver health
services




More evidence of the impact of Football in the Community
health engagement programmes and men’s health
engagement in a non traditional/community setting is needed
(Tacon, 2007; MHF, 2009)
What did I do?
Six health themed match day events (season
2009/10). All aimed to create awareness and
motivate men to adopt recommended health
behaviours;
• Cancer Awareness                Liverpool Primary Care Trust
• Local Hospital Promotion
• Mental Health                   Health Related Charities
• Physical Activity and Obesity   Local Hospital
• Sexual Health
• Smoking Cessation               Liverpool City Council
How did I do it?
• Pre-match exposure: news stories on websites, social media,
newspaper articles and e-mails to fans.

• Multimedia outputs: transmitted pre, post and during the match;
•Bluetooth message, Stadium Announcement, Big Screen Images.

Other outputs:
• Match day programme
• Pitch side activities
• Leaflets
• Car air fresheners
• Toilet stickers



• Health stand/vehicle in stadium grounds: experts were
available on site for male fans to engage with should they wish.
What were the challenges?
Men did not wish to engage in health related behaviour on
          match days with health professionals

                        Men gathered around
                        player car park




                        Smoking Cessation
                        service staff and
                        information stand were
                        ignored
What worked?
Subtle, humorous and non-invasive messages
       more welcomed and successful
Implications and Recommendations
            One size may not fit all…
But.....

There IS a case for engaging men in health issues and messages at
English Premier League Football Clubs!!!!

The use of subtle, non-invasive multimedia messages, tangible and
promotional materials and published health messages can have greater
acceptance with men

Explore the use of humour…
CASE STUDY 2
What did I do?
Recruited and engaged with homeless men and men recovering
               from drug and alcohol addiction
Developing an understanding
Developing relationships, trust and rapport- included putting my
 tracksuit on and just ‘being around’/being ‘part of the furniture’
What worked?
The Power of the Brand

  That was big [finding out the programme was delivered
  by Everton], that was big, that was a big, big, big thing
  that. That was just like winning the world cup, the
  champions league an everything all in one. It really
  was.” (Craig, 34).



“If it was ran through the NHS or
PCT or somethin’ you’d probably
look at it and not think anything
of it, but coz it’s run by Everton
you take more notice, you get
involved.” (Gary, 42)
The Power of the Brand
“Men come to the sessions regardless of colour allegiance, so we have
both Everton and Liverpool supporters. However, what comes up again
and again is that being able to say: ‘I train at Goodison Park’ is
something that they boast about with their mates.”
What were the challenges?
Regular engagement and adherence posed a
     real challenge for the participants



  Three dominant themes emerged which
explained irregular and/or non attendance....


 Economic      Environmental        Social
Implications and Recommendations

• Men’s Health practitioners should gain a greater
  understanding of the day-to-day existence of the target
  populations and recognise the challenges associated with
  the population whom they are engaging prior to programme
  implementation

• ‘Bottom up’ rather than ‘top down’ approach
Health Promotion Older Men (50+)
(2010-2011)
Health Promotion Older Men: Intervention
                             Delivery:
                                         1-2-1 support
                             personal
                                   realistic
                                         simple goal setting
                            To create:
                             behaviour & lifestyle change

From baseline ongoing 6 weekly measures :
• RHR, BP, BMI
• Lifestyle Changes
• PA & Food Diaries
• Abdominal circumference
Working with men: The role of the practitioner

What characteristics would a perfect practitioner need?
       psychology         behaviour change          rapport
  caring


                                                    informed

                                                    special
health                                              populations

multi-skilled practitioner          collects data
                      counselling skills
Characteristics & Skills of a Community
               Health Practitioner

Outgoing      Good communicator             Adaptable


 Forward thinker & planner     Punctual & Reliable


Organised          Proactive             Enthusiastic


 Initiative   Self motivated       Leader & Motivator


   Understanding      Empathetic       Patience
The role of the practitioner

 Well say youse are teachers like aren’t
 youse really. You know what I mean,
 tutors sort of thing, so like if they’re
 alright, if they are sound [nice], then that’s
 half the battle, coz if you get a little shit or
 someone who thinks they’re better than
 ya, that will put people off goin(g).”
                                    (Gary, 55)
Conclusion

 Key:

 -Football Clubs can be used to promote/communicate
 health related messages

 -The Brand is powerful BUT...

 -Practitioners must ‘go deep’ to really understand the
 issues facing (HTR) men

 -Practitioners require a broad skill base to work with
 health promotion in men

 -The challenge...
Search for us – The Community Football Hub
Connect with us on Facebook
Follow us on Twitter @ComFootballHub
Email us: TheCommunityFootballHub@gmail.com

Dan Parnell                Kathryn Curran
School of Science          Research Institute for Sport &
University of Derby        Exercise Sciences
e: d.parnell@derby.ac.uk   Liverpool John Moores University
w: www.derby.ac.uk         e: k.m.curran@2010.ljmu.ac.uk

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European Healthy Stadia Extract of Workshop Slides from Kathryn Curran and Dan Parnell

  • 1. The Realities of Promoting Men's Health: A Case Study from Everton FC's Community Football Programme Dan Parnell, University of Derby Kathryn Curran, Liverpool John Moores University
  • 2. 2008 Mission Statement “To motivate, educate and inspire by harnessing the power of football and sport to change lives within our community” 2013 Mission Statement: “Through the positive promotion of sport, physical activity and the brand of Everton Football Club, we are committed to provide high quality, accessible participation and development opportunities that positively change lives and bring enjoyment to our communities”
  • 3. Stadium Business Awards, Best Community Scheme in Europe High Sheriff’s Award, Kickz MBNA Northern Sports Award, Best Grassroots Club Programme Golf Foundation – ‘The Mackenzie Award’ for ‘Road to Wentworth’ National Sports Industry Awards, MBNA Northern Football Community Programme of the Year – Award, Community Disability Programme Scheme of the Year North West Public Health Award, Imagine Your Goals Mental Health Programme
  • 4. The Partnership 2006 Everton Active Family Centre (EAFC) 2008
  • 5. Men’s Health Programmes Premier League Health: Men 18-45 years Fit Fans: Men 50+
  • 6. Men’s Health in Liverpool • More than half of Liverpool residents are residing within the 10% most deprived areas in the country (Noble et al., 2008) • Life expectancy approximately three years below the national average (Liverpool Public Health Intelligence Team, 2009) • Significantly higher rates for prevalence of cancer, coronary heart disease and stroke • High smoking prevalence • One of worst areas in England for alcohol related health disorders (Liverpool City Council, 2010) • Liverpool residents have the lowest overall mental wellbeing score in the North West of England (Deacon et al., 2010).
  • 7. Methods 6 years (2006-2012) of applied immersed research - Ethnography (Hammersley and Atkinson, 2007) - Reflective diaries & field notes (Krane and Baird, 2005) - Observational research (Hammersley and Atkinson, 1983) - Interviews (Fontana and Frey, 2005)
  • 8. Health Promotion Men (18-45yrs) (2008 onwards within EAFC)
  • 9. “Hummmm... I want to learn about the challenges and the issues…and the implications and future recommendations.”
  • 11. Why did I do it? Sport and sports stadiums have a wider role in transmitting health messages to men and even helping to deliver health services More evidence of the impact of Football in the Community health engagement programmes and men’s health engagement in a non traditional/community setting is needed (Tacon, 2007; MHF, 2009)
  • 12. What did I do? Six health themed match day events (season 2009/10). All aimed to create awareness and motivate men to adopt recommended health behaviours; • Cancer Awareness Liverpool Primary Care Trust • Local Hospital Promotion • Mental Health Health Related Charities • Physical Activity and Obesity Local Hospital • Sexual Health • Smoking Cessation Liverpool City Council
  • 13. How did I do it? • Pre-match exposure: news stories on websites, social media, newspaper articles and e-mails to fans. • Multimedia outputs: transmitted pre, post and during the match; •Bluetooth message, Stadium Announcement, Big Screen Images. Other outputs: • Match day programme • Pitch side activities • Leaflets • Car air fresheners • Toilet stickers • Health stand/vehicle in stadium grounds: experts were available on site for male fans to engage with should they wish.
  • 14. What were the challenges? Men did not wish to engage in health related behaviour on match days with health professionals Men gathered around player car park Smoking Cessation service staff and information stand were ignored
  • 15. What worked? Subtle, humorous and non-invasive messages more welcomed and successful
  • 16.
  • 17. Implications and Recommendations One size may not fit all… But..... There IS a case for engaging men in health issues and messages at English Premier League Football Clubs!!!! The use of subtle, non-invasive multimedia messages, tangible and promotional materials and published health messages can have greater acceptance with men Explore the use of humour…
  • 19. What did I do? Recruited and engaged with homeless men and men recovering from drug and alcohol addiction
  • 20. Developing an understanding Developing relationships, trust and rapport- included putting my tracksuit on and just ‘being around’/being ‘part of the furniture’
  • 22. The Power of the Brand That was big [finding out the programme was delivered by Everton], that was big, that was a big, big, big thing that. That was just like winning the world cup, the champions league an everything all in one. It really was.” (Craig, 34). “If it was ran through the NHS or PCT or somethin’ you’d probably look at it and not think anything of it, but coz it’s run by Everton you take more notice, you get involved.” (Gary, 42)
  • 23. The Power of the Brand “Men come to the sessions regardless of colour allegiance, so we have both Everton and Liverpool supporters. However, what comes up again and again is that being able to say: ‘I train at Goodison Park’ is something that they boast about with their mates.”
  • 24. What were the challenges? Regular engagement and adherence posed a real challenge for the participants Three dominant themes emerged which explained irregular and/or non attendance.... Economic Environmental Social
  • 25. Implications and Recommendations • Men’s Health practitioners should gain a greater understanding of the day-to-day existence of the target populations and recognise the challenges associated with the population whom they are engaging prior to programme implementation • ‘Bottom up’ rather than ‘top down’ approach
  • 26. Health Promotion Older Men (50+) (2010-2011)
  • 27. Health Promotion Older Men: Intervention Delivery: 1-2-1 support personal realistic simple goal setting To create: behaviour & lifestyle change From baseline ongoing 6 weekly measures : • RHR, BP, BMI • Lifestyle Changes • PA & Food Diaries • Abdominal circumference
  • 28. Working with men: The role of the practitioner What characteristics would a perfect practitioner need? psychology behaviour change rapport caring informed special health populations multi-skilled practitioner collects data counselling skills
  • 29. Characteristics & Skills of a Community Health Practitioner Outgoing Good communicator Adaptable Forward thinker & planner Punctual & Reliable Organised Proactive Enthusiastic Initiative Self motivated Leader & Motivator Understanding Empathetic Patience
  • 30. The role of the practitioner Well say youse are teachers like aren’t youse really. You know what I mean, tutors sort of thing, so like if they’re alright, if they are sound [nice], then that’s half the battle, coz if you get a little shit or someone who thinks they’re better than ya, that will put people off goin(g).” (Gary, 55)
  • 31. Conclusion Key: -Football Clubs can be used to promote/communicate health related messages -The Brand is powerful BUT... -Practitioners must ‘go deep’ to really understand the issues facing (HTR) men -Practitioners require a broad skill base to work with health promotion in men -The challenge...
  • 32. Search for us – The Community Football Hub Connect with us on Facebook Follow us on Twitter @ComFootballHub Email us: TheCommunityFootballHub@gmail.com Dan Parnell Kathryn Curran School of Science Research Institute for Sport & University of Derby Exercise Sciences e: d.parnell@derby.ac.uk Liverpool John Moores University w: www.derby.ac.uk e: k.m.curran@2010.ljmu.ac.uk

Hinweis der Redaktion

  1. Title and Author Introduction
  2. We are here today to talk about EitC, a community programme celebrating its 25 th year in operation. You can track the change in mission statement and its new found approach. Everton have received national and international acclaim.
  3. We are here today to talk about EitC, a community programme celebrating its 25 th year in operation. You can track the change in mission statement and its new found approach. Everton have received national and international acclaim.
  4. In 2008, the joint venture between Everton in the Community and Liverpool John Moores University, School of Sport and Exercise Sciences, saw the development of the Everton Active Family Centre (EAFC) which is a unique fitness facility based within the grounds of Goodison Park.
  5. Over 6 years applied research and management Using a range of techniques Within a range of FitC health, behaviour and lifestyle change interventions with the following populations; primary school children, men aged 18-35 years, men aged 55+ years and families. - Ethnograhy, mean culture/people and writing...it is essentially learning about people. Learning whats important to them, what makes them tick, expressing an interest in whats important to them, let them teach you the world from their point of view.
  6. Over 6 years applied research and management Using a range of techniques Within a range of FitC health, behaviour and lifestyle change interventions with the following populations; primary school children, men aged 18-35 years, men aged 55+ years and families. - Ethnograhy, mean culture/people and writing...it is essentially learning about people. Learning whats important to them, what makes them tick, expressing an interest in whats important to them, let them teach you the world from their point of view.
  7. Growing body of evidence to suggest that men will respond to health outreach services that are offered in places where they already meet and feel comfortable such as sports venues.
  8. -FIT FANS: bespoke 1-2-1 support via a personal holistic lifestyle practitioner -Through the development of realistic, simple goal setting the project aimed to provide a range of lifestyle related behaviour changes, measured on a 6 week basis