Doping in disabled elite sport: Perceptions,knowledge and opinions from the perspective of German and UK coaches

ObjectivesThe phenomenon of doping is rarely researched in Paralympic sport, especially from the coach perspective. This study responds directly to this gap in research by exploring coaches' doping-related perceptions, knowledge, and opinions of the current anti-doping system in order to inform future interventions specific to disabled elite sport contexts.MethodEleven coaches from Germany (n = 6) and the UK (n = 5) working across physiological (n = 7) and skill-based (n = 4) sport disciplines at an elite level (Paralympic, n = 10 and World Championship, n = 1) took part in semi-structured interviews. Data were analysed using abductive reflexive thematic analysis (Braun & Clarke, 2019a).FindingsFour themes were developed to capture the coaches’ perspectives. The first represents coaches’ perception that doping is an issue in Paralympic sport. The second theme shows that risk factors to dope are typically multiple and intertwined, stemming especially from financial incentives and pressure to win. Theme three captures coaches' opinion of differences in testing and education across countries due to budget, resource, or infrastructure issues. Finally, data showed that coaches prefer to refer responsibility for doping prevention to their national anti-doping organisation, rather than taking on personal responsibility for anti-doping efforts.ConclusionsAccording to the interviewed coaches, doping has the potential to be a big issue in disabled elite sport. The main risk factors of money and pressure to win (earn prize money or funding/sponsorship) are knitted together and can be additionally impacted (negatively) by a nation’s sporting system. These factors should be addressed by thinking both on an individual level (e.g., support dual careers) and a structural/policy level (e.g., aim to have minimum standards to level the global inconsistent anti-doping systems, including anti-doping education/testing). Furthermore, coaches should take their role and be proactively made aware of their responsibility in doping prevention to coach clean and protect their athletes properly.     

Athlete doping confrontation efficacy and confrontation likelihood

Evidence supports the role of coach doping confrontation efficacy (DCE; Sullivan et al., 2015) as a deterrent against athletes’ doping cognitions (Boardley et al., 2019; Sullivan & Razavi, 2017), but the role of the athlete has largely been ignored. Current anti-doping campaigns encourage athletes to report doping misconduct (i.e., whistleblowing), but some athletes would prefer to confront the athlete directly (Erickson et al., 2017). Thus, it is important to consider what may contribute to athletes’ likelihood to confront a doping teammate or opponent. The purpose of this study was to determine whether DCE could predict an athlete’s likelihood to confront a doping teammate or opponent. Additionally, doping moral disengagement (MD) was included as a possible moderator of this relationship. Surveys were completed by 155 college athletes (n_male = 145) to measure their perceived DCE, doping MD, likelihood to confront a teammate, and likelihood to confront an opponent. Separate linear regression analyses were run for the two targets of confrontation. In the teammate model, both DCE and doping MD were significant predictors of confrontation likelihood. DCE was the only significant predictor in the opponent model. Neither model presented with a significant interaction, suggesting no moderation effect. Results suggest perceived DCE is associated with a greater likelihood to confront a doping athlete, regardless of whether they are a teammate or opponent; however, moral disengagement plays a greater role if the athlete is a teammate. These findings imply that confrontation may be the first line of defense against doping before whistleblowing action is taken. Research should continue to explore antecedents and consequences of athlete doping confrontation, providing greater insight into the whistleblowing process.     

A psychological intervention reduces doping likelihood in British and Greek athletes: A cluster randomized controlled trial

BackgroundCurrent attempts to prevent doping through deterrence and education have had limited success and have been constrained to one country. Targeting psychological variables that have been empirically associated with doping likelihood, intention, or behaviour may help in developing interventions that are effective in preventing doping in sport.ObjectivesGuided by social cognitive theory and empirical research, the main purpose of this research was to develop an anti-doping intervention that targets three psychological variables (i.e., anticipated guilt, moral disengagement, and self-regulatory efficacy) and determine whether it is more effective than an educational intervention in reducing doping likelihood in British and Greek athletes.MethodEligible participants were identified via a screening survey administered to 934 athletes in the United Kingdom and Greece. A total of 19 sport clubs (208 athletes) across the two countries were randomly assigned to either the psychological or the educational intervention. Each intervention consisted of six 1-h sessions delivered to small groups of athletes over 6–8 weeks. Athletes completed measures of doping likelihood, anticipated guilt, moral disengagement, and self-regulatory efficacy pre and postintervention and at a 2-month follow-up.ResultsA multilevel piecewise growth model was used to examine changes in study outcomes. Analysis showed that the psychological intervention was more effective than the educational intervention in reducing doping likelihood from pre to post, but the effects of the two interventions were similar at follow-up. These effects were not affected by country. Both interventions reduced moral disengagement from pre to post, and these effects were maintained at follow-up. The psychological intervention was also more effective than the educational intervention in increasing anticipated guilt from pre to follow-up.ConclusionsTargeting psychological variables in anti-doping interventions should aid our efforts to prevent doping in sport.     

Philosophy on steroids: why the anti-doping position could use a little enhancement

There is currently much concern over the use of pharmaceuticals and other biomedical techniques to enhance athletic performance—a practice we might refer to as doping. Many justifications of anti-doping efforts claim that doping involves a serious moral transgression. In this article, I review a number of arguments in support of that claim, but show that they are not conclusive, suggesting that we do not have good reasons for thinking that doping is wrong.

An exploration of doping-related perceptions and knowledge of disabled elite athletes in the UK and Austria

IntroductionCompared 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.MethodSixteen 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).FindingsFour 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.ConclusionsFor 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.     

The moral disengagement in doping scale

Statement of problemThe use of banned substances to enhance performance occurs in sport. Therefore, developing valid and reliable instruments that can predict likelihood to use banned substances is important.MethodWe conducted three studies. In Study 1, football players (N = 506) and athletes from a variety of team sports (N = 398) completed the Moral Disengagement in Doping Scale (MDDS). In Study 2, team sport athletes (N = 232) completed the MDDS and questionnaires measuring moral disengagement in sport, doping attitudes, moral identity, antisocial sport behavior, situational doping temptation, and task and ego goal orientations. A week later, a subsample (n = 102) completed the MDDS and indicated their likelihood to use a banned substance in a hypothetical situation. In Study 3, athletes (N = 201) from a variety of individual sports completed the MDDS and indicated their likelihood to use a banned substance in a hypothetical situation.ResultsThe results of Study 1 showed that a one-factor model fitted the data well, and the scale had measurement invariance across males and females. In Study 2, we provided evidence for convergent, concurrent, discriminant, and predictive validity, as well as test-rest reliability, of the scale. In Study 3, doping moral disengagement was positively related with reported likelihood and temptation to use a banned substance. The scale exhibited very good internal consistency across the three studies.ConclusionsIn conclusion, the MDDS can be used to measure moral disengagement in doping in team and individual sports.     

Perfectionism and doping willingness in athletes: The mediating role of moral disengagement

Although trait perfectionism has been related to doping attitudes in athletes, research investigating variables that could account for relationships between perfectionism and doping outcomes has received scant attention. Consequently, the aim of the present study was to investigate whether perfectionism was related to doping willingness directly, and indirectly via moral disengagement. We recruited a sample of 204 student athletes (M age = 19.12 years, SD = 1.17, n = 81 females - 39.70%) who completed measures of perfectionistic strivings, perfectionistic concerns, doping moral disengagement, and doping willingness. Multiple regression analyses revealed a significant positive relationship between perfectionistic concerns and doping willingness (β = .13, p < .05) and a nonsignificant relationship between perfectionistic strivings and doping willingness (β = −.01, p > .05). Moreover, bias-corrected bootstrapped indirect effects revealed that doping moral disengagement mediated the relationship between perfectionistic concerns and doping willingness (ab = .12; 95% CI = 0.02 to 0.21). The findings suggest that the relationship between perfectionistic concerns and doping extends beyond attitudes – to doping willingness – and the propensity to morally disengage explains why this is the case.     

Philosophy on steroids: a reply

Brent Kious has recently attacked several arguments generally adduced to support anti-doping in sports, which are widely supported by the sports medicine fraternity, international sports federations, and international governments. We show that his attack does not succeed for a variety of reasons. First, it uses an overly inclusive definition of doping at odds with the WADA definition, which has global, if somewhat contentious, currency. Second, it seriously misconstrues the position it attacks, rendering the attack without force against a more balanced construal of an anti-doping position. Third, it makes unwarranted appeals to matters Kious considers morally ‘clear’, while simultaneously attacking a position many others take to be equally morally ‘clear’, namely that of anti-doping. Such an inconsistency, attacking and appealing to the moral status quo as befits one’s argument, is not acceptable without further qualification. Fourth, his position suffers from a general methodological flaw of over-reliance upon argumentation by analogy. Moreover, it is argued that the analogies, being poorly selected and developed, fail to justify his conclusion that the anti-doping lobby lacks philosophical and moral authority for its stance. These issues are symptomatic of a more fundamental problem: any attempt at providing a blanket solution to the question of whether doping is morally acceptable or not is bound to run up against problems when applied to highly specific contexts. Thus, rather than reaching any particular conclusion for or against doping products or processes in this article, we conclude that an increased context-sensitivity will result in a more evenhanded appraisal of arguments on the matter.     

Predictors of responses to organizational wrongdoing: a study of intentions of management accountants

It has been proposed that employees aware of organizational wrongdoing face two decisions: whether or not to blow the whistle and whether or not to leave their organizations. Of these only the decision to blow the whistle has received attention, leaving a gap in knowledge; thus, a survey of 330 management accountants was analyzed to examine potential predictors of intended responses to organizational wrongdoing. Analysis of ratings indicated that intent to leave increased with seriousness of wrongdoing and expected retaliation for whistleblowing and decreased with expected effectiveness of whistleblowing. Intent to stay and blow the whistle increased with expected effectiveness of whistleblowing and role responsibility for reporting and decreased with expected retaliation for whistleblowing; intent to leave and blow the whistle increased with expected effectiveness of whistleblowing and role responsibility for reporting.     

The whistleblower's dilemma and the fairness–loyalty tradeoff

Whistleblowing – reporting another person's unethical behavior to a third party – often constitutes a conflict between competing moral concerns. Whistleblowing promotes justice and fairness but can also appear disloyal. Five studies demonstrate that a fairness–loyalty tradeoff predicts people's willingness to blow the whistle. Study 1 demonstrates that individual differences in valuing fairness over loyalty predict willingness to report unethical behavior. Studies 2a and 2b demonstrate that experimentally manipulating endorsement of fairness versus loyalty increases willingness to report unethical behavior. Study 3 demonstrates that people recall their decisions to report unethical behavior as driven by valuation of fairness, whereas people recall decisions not to report unethical behavior as driven by valuation of loyalty. Study 4 demonstrates that experimentally manipulating the endorsement of fairness versus loyalty increases whistleblowing in an online marketplace. These findings reveal the psychological determinants of whistleblowing and shed light on factors that encourage or discourage this practice.     

体育运动中“兴奋剂使用”的伦理思考

兴奋剂使用已经成为现代体育运动 ,特别是高水平体育运动与竞赛中最大的问题。由于兴奋剂使用的历史时期长 ,使用背景复杂 ,使用药物和技术日益高科技化 ,国际反兴奋剂使用的斗争面临许多的困难。虽然“反”和“堵”是世界体坛的主旋律 ,但也不乏建议“堵”与“疏”并举的声音。然而 ,它们都面临着伦理学的追问和反思。从兴奋剂何以进入伦理学思考的源头开始 ,寻找现代及未来体育的价值根据和行为准则 ,正视体育运动的层次性和领域分化与拓展的事实 ,人类或许在不久的将来能够运用科技和伦理的双层智慧 ,超越或化解兴奋剂使用和反使用的矛盾。     

Coping by doping?A qualitative inquiry into permitted and prohibited substance use in competitive rugby

ObjectivesDespite a growing body of literature examining the social psychology of doping in sport, stressors and coping as potential doping risk and or protective factors have received scant attention. The aim of this study was to explore permitted and prohibited substances when coping with stressors among a sample of rugby players.DesignUnderpinned by our relativist ontology and our constructionist epistemological position, we conducted a qualitative study using semi-structured interviews.MethodsFollowing criterion-based sampling, we interviewed three women and eight men (M_age = 22.64, SD = 2.66 years) who were competing in rugby league (n = 7) or rugby union (n = 4) at national level one or above in the United Kingdom. We recursively used six phases of reflexive thematic analysis to analyze the data, and enhanced rigor by focusing on a worthy topic, coherence, rich rigor, credibility, and making a significant contribution.ResultsThe sampled players used permitted and prohibited substances to cope with stressors (e.g., injury, pressure to perform, selection) and perceived these substances to be helpful during injury rehabilitation; to facilitate sleep, performance, recovery, and selection; and to adjust bodyweight and composition. The health risks of permitted and prohibited substances, anti-doping rules, parents, and the athlete’s persona had both protective and vulnerability roles.ConclusionsThe findings highlight the rugby players’ diminished capacities to anticipate, cope with, resist, and recover from the surroundings, opportunities, and conditions that promote potentially harmful permitted and prohibited substance use in rugby. Collective and coordinated action should be taken to reduce player vulnerability.     

Understanding and building clean(er) sport together: Community-based participatory research with elite athletes and anti-doping organisations from five European countries

BackgroundIn sport the narrative is changing from anti-doping to pro-clean sport. Yet, our understanding of what ‘clean sport’ means to athletes is notably absent from the literature.ObjectivesWorking together with elite athletes and National Anti-Doping Organisations (NADOs), this study explored the meaning and importance of ‘clean sport’ and ‘clean athlete identity’.DesignCommunity-based participatory research design was employed to explore (a) how elite athletes define clean sport and being a clean athlete; (b) the hopes and challenges associated with clean sport and being a clean athlete; and (c) what can be done in anti-doping to elicit clean sport.MethodsFive elite athletes in five European countries (Germany, Ireland, Netherlands, Slovenia and United Kingdom) were recruited as co-researchers by their respective NADOs, trained for their role as co-researchers and individually interviewed. Seventy-seven elite athletes were then purposefully recruited for 12 athlete-led national focus groups. Finally, the five athlete co-researchers and five athlete participants took part in one 2.5-h long international focus group.ResultsReflexive thematic analysis resulted in generating four overarching themes: ‘clean is being true to the self’, ‘clean performance enhancement has multiple meanings’, ‘clean is not a solo act’ and ‘the problems and solutions are systemic’. Collectively, the themes showed that the clean athlete identity is generally rooted in upbringing, early experiences and love of sport; and characterised by continued, intrinsically motivated commitment to fundamental values and morals acquired in childhood. In contrast, the concept of clean performance-enhancement is highly idiosyncratic and flexible. Elite athletes value anti-doping efforts but their experiences of disparity and unfairness in doping control undermine their trust in anti-doping.ConclusionClean athlete identity is a social endeavour and artefact, which needs to be reflected in and developed through evidence-informed anti-doping interventions. Raising athletes' voices via collaboration and participatory research can be an enriching experience for athletes and researchers alike, and a worthwhile endeavour for sport organisations with responsibility for anti-doping. To make anti-doping education personally relevant, the richness of individual interpretation of ‘clean’ for the self (i.e., clean athlete identity) and performance-enhancement must be acknowledged, respected and cultivated.     

Effects of a physical education intervention programme for ninth-graders on physical activity-related health competence: Findings from the GEKOS cluster randomised controlled trial

The main purpose of this cluster randomised controlled trial was to investigate the effects of a physical education (PE) intervention programme combining theoretical and practical components on students' knowledge, skills, abilities and motivation related to competence for a healthy active lifestyle. The intervention used learning tasks to combine theory on health and physical fitness with either running/jumping activities or small-sided ball games and was compared to regular PE classes. Forty-eight PE classes were randomly assigned to intervention (IG-run, IG-game play; 27 classes) and control (CG-run, CG-game play; 21 classes) groups. Overall, 841 ninth-graders (51.1% girls, M_age = 14.20, SD = 0.51) were tested before and after the six-week intervention and in an eight-to-twelve-week follow-up. Students completed a health-related fitness knowledge test, questionnaires on control competence for physical training, health- and fitness-related interest and attitudes, and physical fitness tests. Regressions in structural equation models revealed positive treatment effects of the game play intervention on students' knowledge (β_StdY = 0.33, 99.6% CI [0.12, 0.55]) and control competence for physical training (β_StdY = 0.26, 99.6% CI [0.02, 0.50]) at the post-test. No significant effects were found at the follow-up test. Treatment effects were independent of gender. The results indicate the short-term effectiveness of learning tasks combining theory with ball games in order to develop knowledge and control competence for physical training in PE. Further studies have to clarify how to sustain effects over time and address students' physical fitness and health- and fitness-related interest and attitudes in interventions combining theory and practice.Trial registrationThis study was retrospectively registered with the German Clinical Trials Register (DRKS), DRKS-ID: DRKS00016349.