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Inside the locker Room: A qualitative study of coaches’ anti-doping knowledge, beliefs and attitudes.

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Abstract

It is widely assumed that coaches have an effect on athletes’ doping behaviours; however, the means by which this influence can be manifested are only superficially understood. The present study seeks to understand how coaches see their role in directly and indirectly influencing the doping attitudes and behaviours of athletes. Fourteen elite-level coaches participated in focus group discussions. Coaches displayed a low level of knowledge of banned methods and practices. While it was acknowledged that doping was prevalent in sport, coaches believed that doping was not a problem in their own sport, since doping does not aid in the development or implementation of sporting ‘skills’. While the findings suggest that coaches support the revised WADA Code, with increased sanctions for coaches, the findings also highlight how coaches may indirectly and inadvertently condone doping. This may be through inaction or the apparent endorsement of pro-doping expectancies.
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Sport in Society
Cultures, Commerce, Media, Politics
ISSN: 1743-0437 (Print) 1743-0445 (Online) Journal homepage: http://www.tandfonline.com/loi/fcss20
Inside the locker room: a qualitative study of
coaches’ anti-doping knowledge, beliefs and
attitudes
Terry Engelberg & Stephen Moston
To cite this article: Terry Engelberg & Stephen Moston (2015): Inside the locker room: a
qualitative study of coaches’ anti-doping knowledge, beliefs and attitudes, Sport in Society
To link to this article: http://dx.doi.org/10.1080/17430437.2015.1096244
Published online: 22 Oct 2015.
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SPORT IN SOCIETY, 2015
http://dx.doi.org/10.1080/17430437.2015.1096244
© 2015 Taylor & Francis
Inside the locker room: a qualitative study of coaches’
anti-doping knowledge, beliefs and attitudes
Terry Engelberga,b and Stephen Mostonb
aDepartment of Tourism, Sport and Hotel Management, Griffith Business School, Griffith University, Gold
Coast, Australia; bDepartment of Psychology, College of Healthcare Sciences, James Cook University, Cairns,
Australia
Introduction
Until recently, anti-doping legislation had rmly placed the responsibility for doping
on the individual athlete (WADA 2009). e decision to dope was seen as being largely
inuenced by individual characteristics of the athlete (Morente-Sánchez and Zabala 2013;
Ntoumanis et al. 2014), particularly their level of morality (e.g. Anderson 2013; Barkoukis
et al. 2013; Kirkwood 2012; Overbye, Knudsen, and Pster 2013; Shields and Bredemeier
2007). However, there has been a growing recognition that the decision to use performance-
enhancing drugs might be aected by those people surrounding the athlete (Australian
Crime Commission 2013). Legislation has changed accordingly to include increasingly
severe punishments for athlete support personnel (WADA 2015). For example, under Rule
21.2.6 the explanatory comments states: ‘Coaches and other Athlete Support Personnel are
oen role models for Athletes. ey should not be engaging in personal conduct which
conicts with their responsibility to encourage their Athletes not to dope’ (WADA 2015).
ABSTRACT
It is widely assumed that coaches have an eect on athletes’ doping
behaviours; however, the means by which this inuence can be
manifested are only supercially understood. The present study seeks
to understand how coaches see their role in directly and indirectly
inuencing the doping attitudes and behaviours of athletes. Fourteen
elite-level coaches participated in focus group discussions. Coaches
displayed a low level of knowledge of banned methods and practices.
While it was acknowledged that doping was prevalent in sport,
coaches believed that doping was not a problem in their own sport,
since doping does not aid in the development or implementation of
sporting ‘skills’. While the ndings suggest that coaches support the
revised WADA Code, with increased sanctions for coaches, the ndings
also highlight how coaches may indirectly and inadvertently condone
doping. This may be through inaction or the apparent endorsement
of pro-doping expectancies.
CONTACT Terry Engelberg terry.engelbergmoston@jcu.edu.au
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2 T. ENGELBERG AND S. MOSTON
e new Code Rule 23.2.3 also suggests that ‘a National or International Federation could
refuse to renew the license of a coach when multiple Athletes have committed anti-doping
rule violations while under that coach’s supervision’ (WADA 2015).
e term athlete support personnel is typically used to describe all those ‘working with,
treating or assisting an Athlete participating in or preparing for sports Competition’ (WADA
2015). While support personnel can include professionals such as doctors, physiotherapists,
masseurs, sports scientists and dieticians, the coach is widely assumed to have a particularly
salient role in aecting the decision to dope (e.g. Erdman et al. 2007; Fung and Yuan 2006;
Golshanraz, Same-Siahkalroodi, and Poor-Kazem 2013; Judge et al. 2010; Pitsch, Emrich,
and Klein 2007). In large part, this is because coaches have the greatest degree of direct
contact with athletes. is aords coaches the opportunity to inuence the decision-making
of athletes either directly (e.g. instructing an athlete to use a banned performance-enhancing
substance) (Pitsch, Emrich, and Klein 2007), or indirectly (e.g. by setting unrealistic goals).
Research shows that nearly all coaches explicitly recognize that they have an important role
to play in deterring doping (Laure, ouvenin, and Lecerf 2001).
Coaches as a population of study
It is surprising to discover how little anti-doping research has been conducted to directly
examine the impact of coaches on the decision to dope. For example, a recent review of
the literature on coaches and doping (Backhouse and McKenna 2012) identied only four
studies to have featured samples of coaches. ree of the studies (Fjeldheim 1992; Laure,
ouvenin, and Lecerf 2001; Scarpino et al. 1990) were conducted prior to the rst inter-
national anti-doping code (WADA 2003). e other study (Fung and Yuan 2006) featured
only community-level coaches. While there have been several studies published aer the
review, and several that were not included in the review, the combined body of work is
largely eclectic, with varying samples and methodologies that make integrating the ndings
problematic. ese concerns apply to most of the literature on doping, which remains an
inconsistent and disparate eld of social science inquiry (for reviews see Engelberg and
Moston 2015; Morente-Sánchez and Zabala 2013).
A literature review suggested that while coaches are regularly confronted with doping
issues, the majority display a lack of doping knowledge, and have limited condence in
anti-doping control systems (Backhouse and McKenna 2012). is conclusion has been
borne out in subsequent work featuring elite coaches. For example, in a study of coaches
in the USA (Judge et al. 2010), those coaches who were ‘certied’ stated that they felt more
knowledgeable about performance-enhancing drug use relative to uncertied coaches.
Certied coaches also reported a stronger perception that they played a key role in deterring
doping. In a related study of high school coaches (Sullivan et al. 2015), a key premise was
that while coaches recognize their importance in the prevention of doping, they generally
lacked condence (self-ecacy) in dealing with situations in which an athlete might be
suspected of doping.
A recent quantitative study, featuring a sample of both coaches (n = 92) and elite athletes
(n = 488) from a diverse range of sports in Australia (Moston, Engelberg, and Skinner 2014),
found that coaches were far more sceptical than athletes about the likelihood of a doping
athlete being detected by anti-doping agencies. Coaches also saw the current legal and
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SPORT IN SOCIETY 3
nancial deterrents to doping as less of a deterrent than did the athletes. Overall, relative
to athletes, the coaches were more in favour of punishments to athletes and other support
sta who had facilitated doping.
Coaches as the object of study
While coaches are rarely included as a population in anti-doping research, their potential
impact on athletes’ attitudes to doping and doping behaviours has been examined in stud-
ies of elite athletes. In such studies, athletes might be asked about how they perceive the
doping attitudes of their coaches. For example, a mixed-methods study (Dimeo et al. 2012)
suggested that in some individual-based sports ‘Coaches have an awful lot of inuence on
their athletes … to inuence one way or another’ (19). e same study also suggested that
coaches were dismissive of anti-doping education: ‘It seemed as though the coaches thought
it was a waste of time … they weren’t really bothered if it went in or not, you know, they just
wanted it ticked o that you’d done it’ (25). Similar ndings were reported from a series of
qualitative interviews with athletes who had used banned performance-enhancing drugs.
Engelberg, Moston, and Skinner (2015) found that in professional sports such as rugby
league, support sta (including coaches) were perceived as crucial to the initial decision
to dope and in maintaining such behaviours. In other sports, the impact of support sta
was more subtle, with one athlete describing how the team doctor refused to provide any
banned substances, but an assistant doctor was able to help instead. is arrangement was
conducted with the knowledge of the coach who ‘did not say a word’ (Engelberg, Moston,
and Skinner 2015).
Another mixed-methods research study (Moran et al. 2008) which also featured athletes,
found that coaches were perceived to have ‘mixed levels of inuence’ (23). Athletes who
said their coaches frequently criticized them, punished them for mistakes, encouraged
rivalries and gave unequal recognition to teammates, had the most favourable attitudes
towards doping. However, the same study also found that both personal characteristics
and the attitudes of teammates might also be signicant predictors of pro-doping attitudes.
Methodological concerns about research on doping
e possibility that responses may have been aected by a social desirability bias (Gucciardi,
Jalleh, and Donovan 2010) was specically acknowledged by both Judge et al. (2010) and
Moston, Engelberg, and Skinner (2014). Such a distortion occurs when stated opinions
conform to a socially accepted norm: coaches might state that they are opposed to doping,
‘because such an attitude is expected of them, rather than because they are really opposed
to doping’ (Moston, Engelberg, and Skinner 2014). is concern is an ongoing problem
in anti-doping research, where the truthfulness of stated attitudes and behaviours is oen
challenged. is has prompted researchers to develop increasingly sophisticated forms of
indirect quantitative assessment methods (e.g. Pitsch and Emrich 2011), or to use alternative
forms of data collection such as qualitative interviews or focus groups (e.g. Probert and
Leberman 2009; Smith et al. 2010), or ethnographic methods (e.g. Hauw and McNamee
2014; Pedersen 2010).
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4 T. ENGELBERG AND S. MOSTON
The present study
Coaches are widely assumed to have a signicant role in shaping the anti-doping attitudes
and behaviours of elite athletes (Kim et al. 2011; Peters et al. 2009). Understanding the
views of coaches towards doping and anti-doping policy is thus a necessary step in ensur-
ing that those most aected by anti-doping legislation both understand and comply with
that legislation (Mendoza 2002). To date, only a handful of studies have included coaches.
Furthermore, the samples were oen small and the unique contributions of coaches was
not always clear (e.g. Ohl et al. 2013).
Given this dearth of literature and research into the role of coaches in understand-
ing doping by athletes, the present study seeks to explore coaches’ knowledge, beliefs and
attitudes about their role in anti-doping. is study employs a qualitative methodology
consisting of focus group discussions with elite-level coaches from a variety of sports. Each
focus group was described to the participants as an informal ‘locker room’-style discussion,
where previous experiences could be openly shared.
Method
Sample and recruitment
A theoretical sampling method was used for the purposes of this study. is method was
chosen because the aim of this research was to develop theory and concepts grounded in or
emergent from real-life events and circumstances (Cohen and Crabtree 2006). Specically,
the views of coaches who were actively involved in coaching elite athletes were sought.
Coaches were recruited from state-level sporting clubs, organisations and academies of
sporting excellence in the state of Queensland (Australia).
Eorts were made to recruit both male and female coaches from a wide spectrum of
sports, including team and individual sports, skill and strength sports, as well as Olympic
and commercial sports. e nal sample consisted of 14 coaches (nine males and ve
females) representing the following sports: American football (1 coach), Australian Rules
Football (AFL: 1), basketball (2), cycling (1), football (soccer: 2), gymnastics (1), kayaking
(1), netball (1), rugby union (1), surf-lifesaving (1), taekwondo (1) and triathlon (1). e
mean age was 37.29years (SD = 10.29). All of the coaches were currently working with elite
athletes: 12 of the coaches were working at a state level, and 2 were working with national-/
international-level athletes. Ethical approval for the conduct of the research was granted by
the educational institution of the rst author.
Data collection
e method of data collection was through focus group discussions, characterized here as
locker room-style discussions. Focus groups were selected as the method for data collection
because they are an eective way of gathering information which includes a mix of com-
plex attitudes, behaviours and past experiences (Morgan and Krueger 1993). Furthermore,
Bringer, Brackenridge, and Johnston (2002) suggest that it is a myth that focus groups are
not suitable for sensitive topics. ese authors used focus groups to investigate coaches’
perceptions of the appropriateness of sexual encounters between athletes and coaches.
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SPORT IN SOCIETY 5
As the purpose of this study was largely exploratory, a topic guide was created to aid
these discussions. e guide did not have set questions; instead, it used loose topics/themes
to ensure consistency in the data collection process (Arthur and Nazroo 2003). Items or
probes were used to actively elicit additional information. Group discussions facilitated this
process as participants oen responded to other participants’ comments or elaborated on
specic points. is active process also aids the researchers’ responsiveness to the actual
wording or language used by the coaches. e main topics of discussion were:
(1) Knowledge of banned performance-enhancing drugs (including having personal
knowledge of users; knowledge of testing procedures and testing protocols; aware-
ness of what substances are banned and knowledge of where or from whom to
obtain information about drugs and other substances).
(2) Beliefs (the perceived extent of banned performance-enhancing drug use, the per-
ceived role of coaches in educating athletes, and shaping and inuencing athletes
attitudes and behaviour).
(3) Attitudes (whether drugs in sport should be banned, type and extent of suggested
sanctions). Attitudes towards the Australian Anti-doping Authority (ASADA) and
the World Anti-Doping Agency (WADA).
In a similar fashion to a study of athletes’ views on doping conducted by Stewart and
Smith (2010), digressions from the main probes were permitted in so far as these served
to identify or illustrate further a previous point of interest or a possible further avenue of
research not initially covered by the guide.
Procedure
Four focus group discussions were organized at two locations in the state of Queensland,
Australia. All participants were contacted a few days prior to their scheduled focus group
interviews and given an introductory brieng. Upon arrival at the venue, participants were
given an informed consent form describing the aims of the research, the nature of the data
collection procedures, data handling and storage. e researchers also verbally explained the
purpose of the study and provided participants with the opportunity to ask questions prior
to commencement of the sessions. Participants did not know each other prior to the study.
Permission to take digital audio recordings of interviews was requested. Once con-
sent was obtained from all participants, the sessions began. Discussions lasted between
43min and 50min. Aer each focus group concluded, participants were thanked for their
cooperation.
Data treatment and analysis
Digital recordings for the focus group discussions were downloaded into digital audio les.
e recordings were transcribed within two or three days of each focus group discussion.
e analyses were conducted manually following the Analysis Method Framework (Ritchie,
Spencer, and O’Connor 2003), a process which has been used in qualitative research in
community sport (Engelberg, Skinner, and Zakus 2014). e process of analysis requires
managing the data and making sense of the evidence through participants’ accounts. e
analysis has three stages: data management, descriptive accounts and explanatory accounts.
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6 T. ENGELBERG AND S. MOSTON
In this research, the data management stage served to identify the initial themes. Following
from this step, an index with subthemes under the three overarching headings (knowledge,
beliefs and attitudes) was created. e index was applied to the data by each member of
the research team independently, and then rened until agreement was reached and a nal
index was created. Data were then sorted through thematic charting; this process reduced
the volume of data and simplied analysis, whilst it also retained the original wording and
language of the participants.
Findings
Knowledge
Very few coaches admitted to having any actual knowledge about banned substances and
associated potential side eects. Additionally, very few had ever actively looked for current
and accurate information in detail. As one coach explained:
I guess most of what us coaches know about is what steroids do, don’t we all? To be honest
I do not look for that information myself. I refer my athletes to the team doctor … and the
WADA prohibited list.
Another coach said: ‘All I know is about the ones that speed up recovery, and then again,
not much. I’m not sure which are currently banned’.
Most coaches stated that they frequently received queries from athletes about drugs
and other substances. One coach said: ‘For the most part, when an athlete wants to know
whether they can take something, they come to us, some go to the team doctor, or they
just look it up somewhere.
None of the coaches admitted to coaching an athlete who used performance-enhancing
drugs. However, a handful of coaches admitted to having some direct personal knowledge
of other athletes who were using banned substances. Generally, the ‘oending’ athlete was
in the same sport as the coach, but the coach did not know the athlete personally. As one
coach said: ‘I don’t personally know or ever knew of anyone that I’ve coached ever using
performance-enhancing drugs but at the elite level there obviously would be a few’. Most
coaches admitted to knowing athletes who used illicit drugs. One coach said: ‘No, I don’t
know of anyone using performance enhancing drugs. But I do know of athletes using other
drugs, party drugs, it’s more of a social or a team thing’. Two coaches said they knew other
coaches who would endorse the use of banned substances if it increased the chances of
winning. As one of these coaches pointed out, ‘ere’s no doubt a few of these coaches do
make recommendations to the boys that they need to improve by whatever means possible.
I know one or two of those.
Generally coaches were well-informed about testing protocols and anti-doping policy.
All of them were familiar with random testing and out-of competition testing procedures.
Few coaches, however, had had rst-hand experience with testing, that is, many of these
coaches’ athletes had never been tested. One coach of an under 17 team (youth squad) said:
‘My players have never been tested I don’t know if it means our sport is not taken seriously,
so who would dope, or that our players are not seen to be elite enough to be tested’. Coaches
were less familiar with schemes such as the ‘whereabouts scheme’ or ‘the biological passport’.
Two coaches declared that they were not familiar at all with either policy.
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SPORT IN SOCIETY 7
Most coaches stated that they obtained information about drugs from written documents
(such as publications from sport governing bodies) and from online sources, such as http://
www.wada-ama.org and http://www.asada.gov.au. As one coach explained:
From ASADA [Australian Sports Anti-Doping Authority] …. theres a hotline. But the big thing
in our sport and I think it’s the same in all the sports is to make the athletes fully responsible
so you do not make the coach give them the information and you tell them where they look
it up. From the time they start to become an elite athlete they have to know that it’s not the
coachs responsibility or anybody else’s. It is totally theirs.
Another coach agreed that the athletes had to take responsibility for their choices:
Same here. Going through all the courses we always get directed towards the ASADA website.
We can always access information and they’ll send anything out. We can distribute that to the
athletes and we always talk about those things whenever we are doing any training, especially
if someone is talking about how their performance is low.
About half of the coaches stated that they would refer their athletes to the team doctor or
a pharmacist if they asked them if a drug or substance was permitted.
Beliefs
Use of banned performance-enhancing drugs was perceived very negatively by all coaches.
Twelve of the fourteen coaches considered such use as ‘cheating’ and 11 considered drug
use ‘harmful’ and dangerous to physical and/or mental and psychological health. Overall,
coaches agreed that performance-enhancing drug use was a threat to the integrity of sport.
is noted that most coaches estimated the incidence of drug use by elite athletes in all
sports as quite low with most estimates being around 1–5% of all athletes. e only excep-
tions were the sports of athletics, cycling, swimming and power-based sports (weightliing,
powerliing) and bodybuilding where the perceived incidence of drug use was, depending
on the sport, between 20 and 80% of all athletes competing in those sports. One participant
noted: I think the higher the prole of the player the more chance there is of them using
the drugs because again the higher the prole the more chance there is of it being needed
…. To win. Another one said: ‘Cycling, obviously, athletics, weightliing, powersports,
bodybuilding, and, despite its squeaky clean image, swimming. At least 20% of all athletes
in those sports, closer to 80% in cycling I’d say’. Other coaches noted that they believed
that performance-enhancing drugs were more prevalent in individual sports, particularly
endurance sports. Conversely, in sports perceived as skill-based, the perception of incidence
of use in such sports was lower. As a basketball coach remarked:
Well, you know that cycling and endurance sports such as marathons are physically demand-
ing and anaerobic and aerobic systems have to be really strong and I think some athletes will
certainly use drugs to get the better performance. is is very dierent from, say, basketball,
you can take as many steroids as you like but its not going to make you shoot any better.
With the exception of the cycling coach, all coaches believed that the incidence of perfor-
mance-enhancing drug use in their own sport was lower than in all sports in general. In
the words of one coach:
In my sport I would have to say it would be low. Probably 0%, maybe just 1%. Based on my
cynicism, however, I would have to say that in other sports, like athletics, cycling, etc., it is
probably like 40–60% of all athletes.
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8 T. ENGELBERG AND S. MOSTON
Many participants noted that their perceptions were shaped by the media (such as TV,
internet, magazines and newspapers) rather than personal experience. e majority of
coaches admitted that the media coverage of specic sports and specic scandals in par-
ticular, shaped their views and perceptions. As one coach put it:
You get the information from TV and media. ey are the sports we see on TV. You see the
Chinese swimmers … everyone knows that, then we are getting bombarded with Armstrong,
and all the other cyclists. ese stories take a life of their own.
e perceived sporting culture was cited as a powerful force in shaping coaches’ beliefs.
Knowledge of sporting culture was either derived from personal experience or from per-
sonal contact with other coaches. All participants believed that coaches had a key role to
play in the prevention of doping, with many believing they had signicant inuence over
their athletes: ‘We will stress how important it is not to take drugs and the by-products of
taking drugs and stu but some athletes still at school just laugh it o so they don’t take it
that seriously.’
Other coaches stressed that their inuence depended on issues such as the athlete’s
respect for their coach:
It would depend on how much you respected your coach … I guess it depends on the relation-
ship you have with them. If the coach goes ‘don’t take it. Its illegal …. and you shouldn’t be
taking it,’ and you don’t really respect the coach enough then you kind of think you’re going
to do it anyway. Whereas if you really respect where the coach is coming from and the history
that they’ve had in the sport and how much knowledge and they’ve helped you and stu then
you might be a little bit more inclined to do as they say.
Opinions on coaches’ accountability for use of banned substances were divided. Some
coaches believed that using banned substances was the athlete’s decision, a decision that
oentimes the coaches were unaware of.
I know theres questions where should the coach be held accountable. I don’t believe the coach
can be because no matter how many times the coach says no … the players are still going to
do it. But the coach and the management, they are sort of responsible for the atmosphere in
the club and the education in the club and I think that’s the area they can take responsibility
for. But to penalise the coach because the player is taking something? Really the coach doesn’t
have that control.
However, other coaches were of the view that coaches had a duty of care and that they were
accountable for their actions, whether implicitly or explicitly encouraging drug use. About
one third of the coaches considered themselves ill-equipped to deal with doping issues.
Few admitted to having an extensive knowledge of what substances were banned and how
to satisfactorily advise athletes.
Attitudes
All coaches were aware of the main forms of sanctions and other forms of punishment
for doping. Participants concurred that bans were the most suitable sanction for perfor-
mance-enhancing drug use and that a ne was more appropriate for illicit (recreational)
drug use. e majority of coaches were satised with existing sanctions, however, a handful
endorsed harsher penalties for athletes at highest levels of competition.
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SPORT IN SOCIETY 9
e issue of coaches supplying banned substances to athletes was also addressed. e
majority of coaches believed that coaches who supply performance-enhancing drugs should
be banned for life. As one coach noted:
I was going to say the other dierence in the penalty is, if you are taking performance enhancing
drugs it’s one thing. If you are supplying performance enhancing drugs that to me is a much
more severe penalty. Much more severe.
Another coach said: ‘ey should be banned forever. Coaches have power over athletes, so
their punishment should be much harsher’. One coach added:
I think the other thing is that a coach, like an athlete, does it to cheat but as a coach you’re
ruining the person and all the other side eects so I think it’s a much greater crime to be
encouraging someone to take drugs. If someone [an athlete] puts their hand up and says ‘I
want to take drugs to get an advantage’ they should be banned for a couple of years. If someone
[a coach] is saying ‘I would like you to take drugs’ it should be for life.
With regard to general responsibilities, one coach noted: ‘Under the duty of care as a coach
we all sign a Code of Conduct and in there is the athlete wellness and athlete wellbeing and
all those types of things’.
e overall feeling concerning sport governing bodies and other sport organisations was
one of disillusionment. More than half of the coaches believed that many of these organi-
zations did not care, particularly in professional sports or clubs. One coach said: ‘I’ve heard
rumours from [name of sport] that people take drugs but if their governing body nds out
about it, they don’t care because they’re getting money and big contracts and that’s all that
matters. is feeling was shared by another coach:
Same with [name of sport]. I’ve heard that under the carpet, yeah, they don’t care because they
are getting money from it. It’s their athletes, so yeah, they don’t let it out unless it goes public.
I think it needs to get public, so that it can’t be swept under the carpet.
Discussion
e purpose of this research was to gather information from coaches about their knowledge,
beliefs and attitudes towards doping (and anti-doping) in sport. Fourteen elite-level coaches
participated in focus group discussions, with the ndings both supporting and extending
those from earlier studies.
Knowledge
Previous research had suggested that coaches lack knowledge and condence (Sullivan
et al. 2015) on a range of anti-doping issues. Similar knowledge gaps have also been reported
in other members of support sta, including medical practitioners (Peters et al. 2007). In
large part, any such gaps in knowledge are unsurprising. e legislation is highly complex
and has been a fruitful area of academic study, with analysts oen highlighting sources
of confusion or contradiction in the rules (e.g. Robinson 2007; Rushall and Jones 2007).
In the present study the coaches were generally well informed about anti-doping control
testing procedures, but they knew very little about specic doping products (e.g. the names
of drugs on banned lists) and more advanced anti-doping procedures such as the ath-
letes’ whereabouts scheme. Coaches said that they typically referred doping related queries
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10 T. ENGELBERG AND S. MOSTON
to medical practitioners, and that their anti-doping role as coaches was largely reactive
(responding to athlete initiated requests) rather than proactive. Generally, coaches did
not see anti-doping education as part of their role. is abrogation of responsibility, while
understandable, may represent an important potential direction for anti-doping initiatives.
If coaches are an important source of inuence on the doping behaviour of athletes, for
good or ill, then it appears that coaches may be evading the topic, passing responsibility onto
other professional groups. To coaches, anti-doping testing is a practical requirement of their
work, and educating athletes about such matters is restricted to the mechanics of testing,
rather than addressing the underlying rationale for such testing. In short, the opportunity
for coaches to deliver any anti-doping message is currently missing.
e coaches endorsed WADA policy (WADA 2009) that the athlete is the person respon-
sible for the use of legal or illegal drugs, and that coaches only had a limited part to play
in monitoring such conduct. As with the study by Sullivan et al. (2015), there was some
evidence for a lack of condence in dealing with doping, although the majority expressed
condence in their ability to deal with doping issues. is may be because the coaches in
the present study were all elite, and would thus most probably have completed specic
anti-doping training sessions, factors which have been shown to enhance condence in
dealing with anti-doping (Judge et al. 2010).
Beliefs
A recent study of the perceived incidence of drug use in sport showed that both athletes and
coaches see the use of both performance-enhancing and other illicit (recreational) drugs as
relatively common (Moston, Engelberg, and Skinner 2015a). On average, coaches estimated
the use of performance-enhancing drugs at almost 19% of all athletes, but that perceived
performance-enhancing drug use in their own sport was estimated at about 10%. A similar
pattern of results was observed in the current study where the coaches saw doping in sport
in general as common, but that their own sport was an exception to this trend. Surprisingly,
this apparent discrepancy in views was not raised in any of the focus groups and this may
be an issue that requires a more structured interviewing format.
is pattern of results has been interpreted as a potential cause for concern about the
likely impact of anti-doping campaigns (Moston, Engelberg, and Skinner 2015a). If coaches
(or athletes) perceive that banned drug use is common, it may encourage non-users to start
using, in part, to level the playing eld. A self-fullling prophecy is thus created, and drug
use becomes highly prevalent (Moston, Engelberg, and Skinner 2015b). However, given that
some coaches in this study expressed the view that banned drug use was not common, the
expectancy may be quite dierent. If the expectancy is that drug use will not enhance perfor-
mance, at least not for some sports, then athletes in those sports may be deterred from using
any such substances. While this is an intriguing possibility, and a possible new approach to
anti-doping education (i.e. doping does not work!), this is probably an unrealistic scenario.
e belief that doping does not assist in skill-based sport was a common theme in the
focus group discussions. is belief appears to be a common (e.g. Blatter 2006) and poten-
tially damaging misconception (Malcolm and Waddington 2008). While doping may not
directly assist in the acquisition or performance of a skill (Waddington et al. 2005), nearly
all athletes would benet from the use of performance-enhancing drugs to enable them to
train longer (increased endurance), throw or kick further/faster (increased power) or simply
Downloaded by [JAMES COOK UNIVERSITY] at 19:53 23 October 2015
SPORT IN SOCIETY 11
to speed up recovery from injury. Statements by coaches denying the potential existence of
doping in their sport may suggest to athletes that doping is of no benet, thereby deterring
doping. However, it is also possible that such statements might suggest that anti-doping
testing is unlikely to occur, thereby possibly encouraging doping.
Attitudes
As with previous research (e.g. Judge et al. 2010) the coaches in this study were consistently
opposed to doping in sport and they expressed strong, highly punitive attitudes towards
other coaches who might be supplying such substances to their athletes. However, unlike
the coaches in Moston, Engelberg, and Skinner (2014), the current coaches did not endorse
the view that coaches of athletes who are doping should also be sanctioned, unless they had
pressurized the athlete into doping, in which case the suggested sanctions were extremely
severe. While it was recognized that coaches can play an important part in shaping the
culture of a club or team, and thus have a role to play in anti-doping, there are inevitable
restrictions on the scope of this inuence and this impacted on judgements of sanctions.
Limitations
An ongoing limitation of anti-doping research is that the responses given by coaches, ath-
letes, and other members of support teams, might reect a social desirability bias whereby
stated opinions conform to a socially accepted norm. In the current study, it is possible that
the coaches might have stated a strong opposition to doping because such an attitude is
expected of them, rather than because they were really opposed to doping. Research with
athletes (e.g. Gucciardi, Jalleh, and Donovan 2010) has shown that social desirability biases
can impact on attitudes towards doping. While it is impossible to accurately determine
whether any social desirability bias had an inuence in the current study, the participating
coaches were from dierent sports and previously unknown to each other, thereby mini-
mizing social desirability. A focus group methodology can provoke and stimulate a greater
range of responses than individual interviews, but the possibility that a social desirability
bias was present cannot be entirely discounted. Consequently, it would be advisable to
compare the ndings of this study to ndings of research that employs individual interviews.
Implications and conclusions
is study shows that coaches believe they have an important inuence over the behaviour
of their athletes and are capable of imparting anti-doping knowledge and attitudes. ese
ndings have implications for both theory and policy in anti-doping.
Models of why some athletes use performance-enhancing drugs, and why some athletes
do not, have largely reected the assumption that doping is aected by the personality and,
to a lesser extent, the situational characteristics of an athlete (Donahue et al. 2006; Donovan
et al. 2002). e potential impact of external inuences, such as coaches and other sup-
port personnel, has been neglected. In part, this is because of the policy emphasis on the
responsibility of the individual athlete. If the athlete is solely responsible then the words and
deeds of those surrounding the athlete are deemed of limited importance. is assumption
perpetuates a popular narrative that doping is practised by awed individuals (a ‘bad apple’),
Downloaded by [JAMES COOK UNIVERSITY] at 19:53 23 October 2015
12 T. ENGELBERG AND S. MOSTON
and diverts attention away from the possibility that there may be systemic issues within
either a club/team, or within an entire sport (a ‘rotten barrel’). For example, no matter how
many cyclists are found to be doping, there has been only limited, and some might say
half-hearted, consideration of the possibility that the entire sport is awed (Brissonneau
and Ohl 2010). For example, if long races are only possible with the assistance of drugs,
should such races still take place? Such questions threaten the ongoing commercial viability
of some sports and as such are generally avoided. Social science research has a key role to
play in raising such questions. Research on the motives for doping should thus shi from
an individual-centric approach, to one where doping is part of a broader social and cultural
context (Smith et al. 2010). From a practical perspective, such a shi should be welcome: it
is essentially impossible (or at least extremely dicult) to alter the characteristics of athletes
(such as their personality or level of morality), but it is relatively easy (theoretically at least)
to change the behaviours of coaches.
From a policy perspective, the ndings support and validate the new guidelines and
sanctions for athlete support personnel contained in the new WADA (2015) Code. e
views expressed in this study suggest that the need for such rules will be acknowledged
and endorsed by coaches. Given the increasingly intense academic criticism of the WADA
Code, anti-doping organisations and even anti-doping as a goal (for two recent reviews see
Engelberg et al. 2014; Stewart and Smith 2014), this support from coaches implies that the
current anti-doping system is unlikely to be challenged by internal forces. While it is pos-
sible that the coaches in the current study were giving responses that conformed to a social
desirability bias (i.e. anti-doping views) the informal, locker room atmosphere generated
in the focus groups appears to have mitigated against any such bias. e open and detailed
discussions were in all probability reective of genuine underlying beliefs.
While coaches were opposed to doping, and might thus be a strong potential voice in
anti-doping campaigns, a cautionary note is necessary. Coaches cannot have a strong role
if they are not well informed about the rationale for anti-doping. Furthermore, if they can
easily pass specic questions about anti-doping onto other professionals then they can
largely circumvent their anti-doping role.
Ensuring that coaches are well trained in understanding and explaining the rationale
for anti-doping, as well as implementing such beliefs into their training, may represent a
signicant opportunity for anti-doping campaigns. While it is unrealistic to expect coaches
to know details such as which substances are or are not on banned lists, imparting the under-
lying rationale for anti-doping, including the spirit of sport (Henne, Koh, and McDermott
2013) could be made a part of a coachs job, from junior development through to elite
(professional) levels. In short, coaches do have a potential role to play, but knowledge of
drug use in sport should not be restricted to the mechanics of testing processes. Instead, it
could focus on the underlying philosophy that underpins anti-doping (the spirit of sport)
and focusing on the health and well-being of their athletes.
Educating coaches serves two distinct purposes. First, coaches need to understand the
current anti-doping regulations and their obligations under those rules. Second, coaches
should be an important component in a holistic anti-doping campaign. Anti-doping edu-
cation is inherently complicated by the poorly articulated rationale against doping in the
WADA Code and coaches may be one way through which athletes can easily discuss these
ambiguities and receive guidance.
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SPORT IN SOCIETY 13
Disclosure statement
No potential conict of interest was reported by the authors.
Funding
is paper is based on the research project ‘Athletes’ and Coaches’ Attitudes about Drugs in Sport’
which was supported by the Australian Government through the Anti-Doping Research Program
of the Department of Health and Ageing.
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... Coaches in the present study reported such feelings, as have coaches in previous studies. For example, coaches have described how they are against doping, considering it cheating, unfair, and disadvantageous toward others (e.g., Engelberg & Moston, 2016;Mazanov, Hemphill, Connor, Quirk, & Backhouse, 2015;. ...
... Thus, it seems limitations in one personal resource (i.e., time) may be contributing to deficits in another (i.e., information). This finding adds to a burgeoning literature base that suggests coaches lack the time to develop their knowledge on doping prevention (Engelberg & Moston, 2016;Mazanov et al., 2015;. Our findings here correspond with research showing that whilst coaches acknowledge the potential importance of being knowledgeable regarding anti-doping, they do not see it as a high priority (e.g., Engelberg & Moston, 2016;Mazanov, Backhouse, Connor, Hemphill, & Quirk, 2014;, do not see it to be of personal relevance (Patterson, Duffy, & Backhouse, 2014), and may even view anti-doping education as a 'box-ticking exercise' that is largely a waste of time (Dimeo et al., 2012). ...
... This finding adds to a burgeoning literature base that suggests coaches lack the time to develop their knowledge on doping prevention (Engelberg & Moston, 2016;Mazanov et al., 2015;. Our findings here correspond with research showing that whilst coaches acknowledge the potential importance of being knowledgeable regarding anti-doping, they do not see it as a high priority (e.g., Engelberg & Moston, 2016;Mazanov, Backhouse, Connor, Hemphill, & Quirk, 2014;, do not see it to be of personal relevance (Patterson, Duffy, & Backhouse, 2014), and may even view anti-doping education as a 'box-ticking exercise' that is largely a waste of time (Dimeo et al., 2012). Further, research considering aspects of coaches' knowledge on anti-doping have identified deficits in knowledge relevant to prohibited substances/methods and their effect on performance (Blank, Leichtfried, Fürhapter, Müller, & Schobersberger, 2014;Engelberg & Moston, 2016;, as well as on key anti-doping control systems such as the biological blood passport and the whereabouts system (Engelberg et al., 2019). ...
Article
Objectives To 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. Design Qualitative, descriptive. Methods Semi-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. Results Data 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. Conclusion By 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.
... An analysis of coaches' beliefs, knowledge and attitude on doping revealed that coaches have favourable attitudes towards anti-doping and can encourage athletes to understand and comply with anti-doping rules by promoting a positive performance environment [12] . Engelberg and Moston [13] examined fourteen elite coaches' anti-doping knowledge, beliefs and attitudes in Australia and maintained that coaches have low level of knowledge of banned substances and practices. When prompted on doping prevalent in sports, they believed that doping was not an issue since it cannot facilitate in the development of a particular sporting skills. ...
... Probes and prompts were included as expected and deviations from the main probes were allowed as this assisted the participants to explained particular points in detail and share their experiences. This method has been used extensively in qualitative research about doping issues [13,15,22,23] . A semi-structured interview was considered ideal as it assisted to avoid unnecessary ramblings [24] . ...
Article
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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 importance of athletes improving their self-monitoring behaviours in order to avoid inadvertent doping has therefore been highlighted [77]. Other studies have noted the challenge of understanding the ingredients lists printed on supplement packaging [78,79], as well as athletes' and ASPs unfamiliarity with WADA regulations (e.g., Prohibited List) [2,52,69,74,[80][81][82][83][84][85][86][87][88][89][90][91]. This gap in knowledge renders athletes vulnerable to inadvertent doping. ...
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For many reasons, athletes’ use of supplements is highly prevalent across sports and competitive levels, despite the risk of these products containing a substance on the World Anti-Doping Agency Prohibited List. Contravening anti-doping rules through supplement use could have serious consequences for competitive athletes (e.g., ineligibility from major competitions, loss of medals and funding) due to the principle of strict liability. Indiscriminate supplement use also poses a risk to athlete health. To reduce the possibility of ingesting a supplement containing prohibited substances, independent quality assurance and certification programs have been established (e.g., Informed Sport). However, these programs do not completely eliminate risk, leading to some anti-doping organisations promoting a ‘just say no’ to supplements stance. Yet, this approach can be problematic as a small number of supplements may be necessary for athletes to consume, in certain situations. Recognising that athletes will continue to use these heavily marketed products, this narrative review describes a theoretically underpinned and systematic approach to preventing inadvertent doping by considering the barriers to and enablers of athlete adherence to risk minimisation supplement use guidelines (RMSUG). By outlining a conceptual shift towards a behaviourally informed approach, this review serves to stimulate the development of multifaceted interventions to prevent inadvertent doping through supplement use. Recognising that risk-minimised supplement use involves a myriad of behaviours, the problem of inadvertent doping through supplement use is framed, and research appraised, through the lens of the Behaviour Change Wheel.
... In addition to a shift in prioritization and emphasis in high performance sport, there needs to be a focus on addressing the perceived irrelevance of doping, that is hindering ASP in contributing to anti-doping efforts. Deflection of the possibility of doping away from one's own environment towards other contexts is a consistent finding in both athlete (e.g., [12,32]) and ASP research (e.g., [2,4,33]). This is likely because ASP are defining doping in very limited ways. ...
... For instance, Blank et al. (2015) found that athletes' doping susceptibility was higher when they performed sports like body building, swimming or athletics, and in the current study, strength and endurance sports (e.g., cycling, weightlifting) were highlighted as more vulnerable to doping. Building on this, athletes in the current study suggested risk of doping was lowest in skilled sports, like judo or table tennis, which aligns with Engelberg and Moston's (2016) finding that doping is less prevalent in skill-based sport than endurance sport in non-disabled elite contexts. Therefore, it could be hypothesized that there are some similarities in the nature of doping in disabled elite sport compared to non-disabled elite sport and therefore disabled sport organisationsor national anti-doping organisations working in disabled elite contextscould adopt a similar approach to targeting their efforts (including testing and education), focussing greater attention on sport disciplines most 'at risk'. ...
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Introduction Compared to anti-doping research in Olympic sport, the issue of doping is under-researched and poorly understood in Paralympic sport. However, with the growth of the Paralympic Games and the increased number of disabled elite athletes, the number of doping controls and doping cases has also increased. Therefore, there is a need to address the dearth of evidence in disabled sport contexts and develop an understanding of disabled elite athletes' perceptions, reasons and knowledge related to doping to ensure appropriate policy and programmes are implemented. Method Sixteen disabled elite athletes from Austria (n = 9) and the UK (n = 7) participated in semi-structured interviews. Data were analysed using inductive reflexive thematic analysis (Braun & Clarke, 2019a). Findings Four themes were generated during the analysis. The first showed that athletes perceive doping to be a well-known and wide-spread issue in Paralympic sport. The second theme illustrated that disabled elite athletes are exposed to extreme pressure (e.g., to earn money), which they state poses a risk for using prohibited methods and/or substances. Thirdly, athletes suggested that there are several ways to cheat if someone would like to find ‘loopholes’ (e.g., misuse of Therapeutic Use Exemptions) in the current anti-doping system, which they reported only works partially. Lastly, although it is not officially named as an anti-doping rule violation, athletes proposed cheating on classification as a form of doping – and the greatest threat to the integrity of disabled sport. Conclusions For the first time, the current study shows that doping in the context of disabled elite sport likely stems from only a few main factors; a perception of pressure and faults in the anti-doping system. To address these risks, prize money could be distributed more broadly, the TUE process and classification system should be more closely scrutinised, and targeted anti-doping education that addresses the main risk factors in disabled elite sport should be provided for all athletes and their support team worldwide.
... Two of them are the attitude towards the potential legalisation of doping in sport and the reasons that would lead an athlete to take performance-enhancing drugs. Studies on attitudes towards a potential legalisation of doping have focused on ascertaining the opinions of different groups, such as the general population (Stamm et al., 2008), athletes (Stamm et al., 2008;Wanjek et al., 2007), coaches (Engelberg & Moston, 2015;Fung, 2006;Mandic et al., 2013) and university students (Awaisu et al., 2015;Saito et al., 2013;Vangrunderbeek & Tolleneer, 2010). The results concur, albeit in different proportions, in showing that the majority disagree with the legalisation of doping in sport. ...
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Doping is a concern not only in sport but also in society, given that it is a pressing issue that must be dealt with in the education of future physical activity and sport professionals. The objective of this study was to ascertain the attitudes towards doping of students in the Bachelor’s in Physical Activity and Sport Sciences at the University of Valencia. A questionnaire designed specifically for this study whose content was based on similar questionnaires was administered to 347 students of both sexes. The main results include that 94.25% of students are against the possible legalisation of doping, while 5.75% are in favour. When asked in what cases would they take performance-enhancing drugs as athletes, the three main reasons were: 1) to earn large amounts of money; b) to increase their athletic performance and win an Olympic gold medal; and c) to be one of the most successful athletes in history and become world-famous. Each of them was chosen by around one fifth of the sample. Differences were also found in the sex variable. In the majority of situations posited, twice as many men would take performance-enhancing drugs as women. Therefore, and although most of the students are against the legalisation of doping, some of them would take performance-enhancing drugs if they were high-performance athletes.
... Research on AD knowledge has been reported from various viewpoints: competitive characteristics [1,11], athletes who have violated AD rules in the past [12], cross-sectional and longitudinal investigations [13,14], and competitors' age [15,16]. There have also been surveys addressing AD knowledge among ASP, such as healthcare professionals and coaches [17][18][19][20]. Most research has reported on the knowledge needed to undergo doping control, the banned substances and their adverse effects, as well as the penalties for AD rules violations. ...
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Background This 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. Methods We 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. Results The 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. Conclusion These 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.
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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.
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CONTEXT: Recent international developments have served to solidify the international approach to doping in sport. The development of the World Anti-Doping Agency (WADA) has resulted in new, coordinated efforts to address this important sport issue. An array of new efforts and initiatives has been initiated by the new agency. The Sydney and Salt Lake City Olympics were characterized by intensive efforts to minimize doping. The antidoping environment is evolving rapidly, and several profoundly important developments will take place in the immediate future. OBJECTIVES: To outline the challenges, opportunities, and changing circumstances of the current antidoping environment so that sport medicine practitioners might understand the context in which a variety of new initiatives and approaches will develop. At the same time, to ensure that practitioners understand the importance of appropriately developed and delivered antidoping policies, programs, and procedures, and the need for their harmonization. To ensure that sport medicine practitioners appreciate the need for a comprehensive approach to doping control, i.e., programs that include much more than drug testing. DATA SOURCE: A review of relevant policy documents derived from a variety of sport and antidoping organizations; selected references drawn from MEDLINE; and materials prepared by colleagues drawn from the international antidoping community. CONCLUSIONS: The increased global effort to address doping is welcome. It will require that several critical issues be addressed that will test the resolve of all involved.
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The need to establish an organisation focused on the anti-doping agenda was brought on by a series of high-profile doping issues in the late 1990s (Houlihan, 2004). Issues included the alleged cover-ups in the 1996 Atlanta Olympics and the high profile doping cases of the 1998 Tour de France (Waddington, 2000), both were seen to be a catalyst for the anti-doping conference convened by the IOC in 1999 (D. V. Hanstad, Smith, & Waddington, 2008; Verroken, 2005).
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Because of the incidence of new doping affairs as well as the great public interest sports physicians can hardly elude from the discussion on the doping problem and the exigency of doping prevention. To improve the use of available sources of information in the context of doping prevention 2667 sports physicians were interviewed about the athletes they coach and on their state of knowledge. There is a high acceptance of sports physicians as contact persons for this sensible topic. In their daily work they are frequently addressed by athletes on the issue of doping, mostly in search of information and education. It seems to be a requirement of information in particular about nutritional supplements and the conformance of drugs with the official list of prohibited substances and methods. A high amount of sports physicians, who answered the questionnaire, also observed pathological changes possibly due to doping and made it to a subject of discussion with those athletes. More than half of the sports physicians knew about a real abuse ob doping substances of those athletes. From the sports physicians' point of view the education about biomedical side effects and health risks seems to be most effective in terms of doping prevention. In their apprenticeship only the fewest sports physicians obtained information about doping. Thus most of the sports physicians wish more information for their own further education as well as to refer it to the athletes. Although sports physicians are confronted with the issue of doping quite frequently and thus could and should assume an active role in doping prevention, a great part of them does not feel informed enough to cope with this task.
Article
In the fight against doping, not only primary repressive but also primary preventive measures are necessary to establish and fortify attitudes towards doping at an early stage. Because measures should focus on athletes and their sporting environment 1757 competitive athletes (45.5% return) and 620 coaches (40.7% return) were interviewed, in the present study about their doping related knowledge, their attitudes towards doping and their opinion of actual prevention measures. 89.9% of all coaches had already given some thoughts to doping. Conversations with their athletes referring to doping are part of everyday training (52%). Many coaches feel only "rather well" (27.8%) or "rather badly" (33.9%) informed, especially in lower educational coaching levels. 66.4% want more detailed information. In the coaches' opinion, doping-related information of athletes should start at an age of 10 to 15 years (40.2%). 21 of the responding coaches had been tempted to dope during their own sporting career. 25% of the athletes confirmed the coach to be their first contact person for doping-sensitive issues. 88.8% were already informed about doping but rated their respective knowledge as poor. Information material, especially developed for athletes, is little-known. Only 24.6% of the athletes actively try to get information, especially in the world wide web (42.1%). Athletes consider need for action regarding increased enlightenment measures for themselves, but also for coaches and physicians. 1.9% of the responding athletes confessed abuse of doping substances. The results revealed an urgent need for action in the fight against doping. Development of information material does not seem to be enough. Therefore, an active doping-related discussion during courses as well as informative internet platforms would be very welcome for athletes and coaches.
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For copy of article in SMR visit JCU Research Repository For full copy of the funded research, please contact first author ------------------------------------------------------------------------------------------------------------------------------------ Although the use of banned drugs in sport is not a new phenomenon, little is known about the experiences and perceptions of athletes who have committed anti-doping rule violations. This study qualitatively explored the experiences of 18 athletes (from the sports of bodybuilding, powerlifting, cricket, sprint kayak, rugby league, and swimming) who had committed anti-doping violations. Themes explored included motivations for initiating and maintaining doping, the psychology of doping, deterrents to doping, and views on current anti-doping policy. In most cases doping had started early in their careers. The perceived culture of the sport was considered central to the 'normalization' of doping, particularly in bodybuilding. When explaining their decision to dope, athletes engaged in processes or moral disengagement (including advantageous comparison, minimizing consequences and diffusion of responsibility). Ironically, moral arguments were perceived as the most effective deterrents to doping. Findings are discussed in relation to the difficulties in establishing credible deterrents and suggestions for the future development of anti-doping policy.
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Contact first author for copy. Stephen.Moston@monash.edu Objectives: Surveys of the perceived incidence of doping in sport suggest that such behaviour is relatively common. Perceptions may potentially be of greater significance than actual incidence: athletes who believe that other athletes are doping may be more likely to engage in such practices, potentially creating a damaging self-fulfilling prophecy.