partnership working for community sports engagement in later life

EVERY SPORT HAS A SILVER LINING

PARTNERSHIP WORKING FOR COMMUNITY SPORT ENGAGEMENT IN LATER LIFEDr Louise Mansfield Professor Tess KayProfessor Julia Fox-RushbyDr Nana Anokye

Brunel University London 2

New Directions in Ageing & Community Sport

1.The Health and Sport Engagement Project (Mansfield et al., 2015)

2.Engaging older people from hard to reach groups in community sport

3. Issues of research-practice partnerships and co-production

Brunel University London

The Health & Sport Engagement (HASE) Project

What are we trying to do?The HASE project aims to improve the evidence base for the role sport plays in engaging inactive people, and to produce information of value to those commissioning public health programmes that could potentially include sport.


HASE: Towards an Understanding of the sport-health dynamic

Key Guiding Principle ‘Doing Sport Differently’1. (New) knowledge & understanding about inactivity &

subjectivities

2. Developing creative cultures of sport

3. Understanding public health advocacy

4. Understanding sport advocacy

5. Understanding complex local environments

6. Research informed practice and policy


A mixed method study

Mansfield, L. Anokye, N., Fox-Rushby, J, and Kay, T. A.

The Health and Sport Engagement (HASE) Intervention and Evaluation Project: Protocol for the design, process, outcome and economic evaluation of a complex community sport intervention to increase levels of physical activity

BMJ Open 2015:5e009276

Doi: 10.1136/bmjopen-2015-009276


HASE: A Research-Practice-Policy Partnerships: from design & delivery to monitoring & evaluation

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Community Sport and Older People Living in Hounslow Homes

a growing older population - the number of people aged over 85 years in Hounslow is set to nearly double in the next twenty years, from 3,673 in 2012 to 6,075 in 2031 (an increase of 65%) – JSNA, 2012/1328 sheltered housing facilities for people over 60 years oldSupported independent living (resident wardens and scheme managers)

Brunel University London Presentation Title 8

Partnerships The ‘go to’ mechanism for commissioning, service

delivery, evaluation and participation (health, education, transport, sport)

‘Partnership-itis’ (Gordon and Hanafin, 1998) Sport partnership, policy and politics (McDonald, 2005;

Green and Houlihan 2004; Mansfield and Killick, 2012)

Partnerships as progressive/democratic/inclusive

vs

Partnerships as constraining/autocratic/exclusive.


Partnerships, public engagement, user involvement

Political motivations Land-use planning 1960s Service users in social care (late C20th) Political rhetoric of `active citizen', and individual

rights and choice


User Involvement in Research and Evaluation: Liberation or Regulation? (Beresford, 2002)


Partnerships and co-production

Co-production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. Where activities are co-produced in this way, both services and neighbourhoods become far more effective agents of change (2009:11).

Boyle, D., and M. Harris. The Challenge of Co-Production. London: NESTA, 2009.


Beyond coproduction & service delivery

co-production co-researching

co-learning

• border crossings; working across artificial institutional barriers (Giroux 1992)

• public pedagogy is a recognition of learning spaces; enabling ethical and respectful social change; a language of critique and possibility (Giroux 2004; 495).


Co-production, HASE project design:

Understanding inactivity (co-learning with older people)


Unlocking insights about

inactivity

Sporting memories; sports biographies, verbal diaries, and daily sporting lives

Participatory Activity Tasks: doing sports activity (movement & games)

Mini Group Discussions; opinions/attitudes about sport (images, messages, environment, costs)

Stimulus Ideas: (sport ‘triggers’) e.g health, wellbeing, family, belonging, escape.

Understanding inactivity in local community contexts (focus groups)


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ATTITUDES TO SPORT EXPERIENCING PHYSICAL ACTIVITY

MEMORIES OF PHYSICAL ACTIVITY

SPORT HOOKS / TRIGGERS

Sport has to be competitive (60+ M)

I’ve had swimming lessons when I’m older but I don’t like it – [I’m afraid] (60+, F)

My dreadful memory is of school sports day where I always came last or fell over (60+, F)

Make sure there’s tea (60+, M and F)

What do you mean by sport? it’s only competitive isn’t it (60+ F)

Because I can’t swim…I’m scared of others jumping in or passing me (60 + F)

I was sporty when I was younger, football, cricket and played golf 4 x a wk. great but not now (60 + M)

Something where someone helps us (60 + , M)

I don’t like the pain (60+, F)

I worried about looking out of place, arthritis, confidence, body-conscious and age. My husband died ..I was depressed (60+ F)

I loved swimming. I loved being able to do it. The water supports you (60+ F)at school I did it ..but then I was active working and raising 3 children (60 + F)

I’d be keen to do more .. a range of different things … I’d be nervous (60+ F & M)

You aren’t going to get us doing football and netball are you? (60 + M and F)

this is fun …a good challenge and it’s good to try something out. (60+F)

breathing - it feels nice, the air going in (60+ F)

I did loads of sport in school …enjoyed it …but it’s the age thing maybe ….I am keen to get back to it (60 +F)

Find me a partner … (60 +M)


Co-production & co-learning: HASE project design

Education/training with sport coaches & public health

professional


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RSPH Level 2 Award in Understanding Health Improvement

Raising awareness of public health issues

It just gave me some space to think about health …and how what I do can link to public health issues (Sport Deliverer)

I hadn’t thought about health in this way before (Sport Deliverer)

Tailoring training to local needs

…..tailored locally (it can) help provide an understanding for the person who hasn’t had much involvement in health or the health sphere (Health & Wellbeing Commissioning Manager)

The Hounslow portion of that training was amazing, that was brilliant, I really liked it. I thought that it was crazy that people in Chiswick ward live on average, four years longer than people that live you know in like other parts of Hounslow for example. I’m now able to talk to kids about health in general (Sport Coach)


MAKESPORTFUN WorkshopsPlanning & design sport for health

The workshops gave us proper planning time and help (Project Lead)

One of the key things, was being in the mix with so many people from different sports, that everyone had different stories to talk about, different experiences to share (Project Volunteer)

Knowledge exchange

I just didn’t know all these people were doing this kind of thing that’s so relevant to what I do (Sport Deliverer)

Doing sport differently

I didn’t realise sport could be different (Public Health Professional)

Signposting / referring to community sport for health

We need to get a working referral approach in place (Public Health Professional)


The workshops were good - when you’re actually discussing the practicalities, logistics, (asking) in reality how can we do this? You never get a chance to have discussions and actually properly sit down and plan how would I do this, what methods can I use .. with others? Because that sort of camaraderie in a way leaves you feeling motivated, ready to go. You know there’s other people out there who are doing the same thing, trying to achieve the same goals. And I was able to go from one workshop, try something in the middle and then come back to the next one and talk about actually I did this and it worked or it didn’t work (Project Lead, Older People Project, Sheltered Accommodation)


From design to tailored delivery:Doing Sport Differently

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How did we co-research in the HASE Project?


Extensive Formative Involvement


HASE Outcome (effectiveness) Measures: Repeated Measures:

Before & After Intervention + 12 month follow upOutcome measuresLevels of Physical Activity

IPAQ short form (SIM screening)

Levels of Sport Single item sport measure (trial)

Health Status EQ5D

Wellbeing Annual Population Survey Questions

Demographic Monitoring and EvaluationGender, age, ethnicity, disability, socio-economic status

The Health and Sport Engagement Project Lifestyle Survey


HASE Process Evaluations:People, Places, Planning, Participation

Processes Evaluation methodUnderstanding inactivity Focus groups with target inactive groups

(32 x 1 hour focus groups, more than 250 potential participants)

Understanding health knowledge of sport sector

Observations of health training for sport delivery personnel (RSPH level 2 Understanding Health Improvement, MakeSportFun Workshops, on-line disability, UsGirls)

Understanding community sport knowledge of public health sector

Observations of community sport training for public health delivery personnel(MakeSportFun Workshops, Knowledge Exchange Activities)

Understanding what works and doesn’t in delivering community sport for health

Interviews (3 phase, 30 minutes telephone and one-one with deliverers and participants) and on-going observations


2 May 2023

Presentation Title 25

What can be co-learnt about community sport for older people, living in sheltered accommodation

from a partnership perspective?


Partnership group Co-learning for community sport

From what older people living in sheltered accommodation tell us

Views, memories, needs, experiences (accessible, challenging, supported, sociable, regular, quality, diverse, flexible)

From what our sport coaches tell us

Complex needs, targeting and continual support, adapted sport and multi-sport, tailored health training, spaces to think about sport for health

From what we (researchers) observe

Balance knowledge / understanding from potential participants and key experts (sport and public health), planning and knowledge exchange are key to successful delivery, patience, perseverance and flexibility

From what policy on older people and physical activity is saying

Rhetoric Reality

From what other research evidence is telling us

Physical activity for health and wellbeing in older age, significant barriers for older people and particularly the hard to reach


Has a partnership worked in the HASE project for ‘hard to reach’ older people?

Partner Success ?

Policy makers yes to increase participation numbers and produce best practice case studies, support the link between sport and public health

Researchers yes for funding and publications

Sport coaches yes for funding and knowledge / skill development

Public health professionals

questionable; raised awareness rather than improving provision / sign posting to community sport

People living in sheltered accommodation

For some, not all; questions of sustainability


Understanding Partnerships Partnerships are dynamic, contextual and deeply

contradictory are marked by structuring relations of power (McDonald, 2005)

Partnerships - framed by instrumentalism, bargaining and pragmatic compliance (Newman, 2001).

“…it is trust and cooperation that centrally articulate networks” (Frances et al., 1991: 15)


The 4 Rs: the socio-dynamics of research-practice-policy

partnerships in community sport

It’s not just about asking peoples’ opinions

Reciprocity – mutual respect & trust in the give and take of research relations Resilience – developing appropriate strategies in the face of adversity; knowing when things aren’t working and knowing when to stopResourcefulness – understanding peoples’ skills, access to and use of resourcesReflection – “the muddy swamp” of introspection and critique (Finlay, 2002)


Some final thoughtsChallenges of Community Sport Research-

Practice Partnerships for Public Health

by shifting between the subject as private person and public citizen, the interplay between culture and policy operates to produce loyal citizens who learn to govern themselves in the interest of dominant (capitalist) political systems (Howell and Ingham, 2001)

Reproduction of healthism and wellbeingism in older age;

the active ageing agenda?

partnership working for community sports engagement in later life

Health & Medicine