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The "11 for Health in Denmark" in-school educational football program has shown to have numerous positive physiological and psychological effects in 10- to 12-year-old schoolchildren. A key part of the successful application of the program, however, has not yet been examined, namely the motivational processes underlying participation and behavioral changes. This study examined such motivational processes (i.e., autonomous motivation, beliefs, and intentions) using the trans-contextual model (TCM) and investigated if the 11 for Health in Denmark program increased intentions to participate in physical activity (PA) outside of school in 10- to 12-year-old schoolchildren. Using a web-based questionnaire, Danish-speaking schoolchildren (N = 276 [boys, 50.4%]; M age  = 10.44, SD = 0.35) from three schools and seven classes completed TCM-based questionnaires at three time-points (weeks 0, 1, and 5) while participating in the 11 for Health in Denmark program. Single-indicator structural equation modeling was performed to examine goodness-of-fit and parameter estimates. A path analysis using maximum likelihood estimation was used to test the direct and indirect effects of the TCM model. The results partly supported a mediation sequence, as we found significant direct effects in eight of 13 motivational variables (β = -0.25-0.83, p < 0.05), indirect effects in one of nine variables (β = 0.15, p < 0.01), but no effects with regard to PA behavior. Findings provide evidence for a motivational link between Danish-speaking schoolchildren's autonomous and controlled motivation from in school to out of school, and may inform future interventions promoting motivation and participation in out of school PA., (© 2022 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)

Elite football can make players feel nervous, and personality characteristics, as well as experience, affect how well pressure is handled before important games. Studying the psychological characteristics of female football players can provide information on how well psychological pressure is handled and generate knowledge on how to support players in order to improve performance. Based on a sample of 128 female elite football players from 8 top-level teams, the present study investigates whether psychological characteristics and football experience/player stus in elite female football players can predict state anxiety before important matches. Our results outline that high age and national team experience negatively predicted most of the trait anxiety subscales. In line with previous research, no psychological differences were found between goalkeepers, defenders, midfielders, and strikers while starting players revealed to have significantly lower trait anxiety. When measuring before important matches, we found that somatic state anxiety was negatively associated with senior national team experience and positively associated with worry trait anxiety and fear of failure. Cognitive state anxiety was negatively associated with hope for success and positively associated with somatic and worry trait anxiety. Self-confidence was positively associated with youth national team experience and negatively associated with worry trait anxiety. It can be concluded that psychological characteristics and national team experience are both important for optimal state anxiety before important matches in elite-level women's football. Implications for practice and future research are discussed., (This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.© 2020 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)

The "11 for Health in Denmark" concept aims to enhance 10-12-year-old schoolchildren's physical activity levels and health knowledge through an 11-week football intervention and has been shown to induce positive effects in numerous areas. However, little is known about the implementation facilitation of this concept in schools. This case study therefore aims to gain a deeper understanding of the implementation facilitation of "11 for Health" in a Danish 5 th grade class comprising 22 schoolchildren (12 boys and 10 girls, M age 11.86±) and one teacher. Data were derived from multiple school situations using photographs and videos, observations, and informal interviews. Five themes were identified: (1) environmental and organizational factors impacting on the implementation; (2) familiarization with the concept for the teacher and schoolchildren; (3) previous clique formation; (4) the central role of the teacher; and (5) the importance of how praise partners are allocated. We found high adherence to the "11 for Health" concept, in which the teacher played a key role by applying an autonomy-supportive style of teaching and using the praise partner concept in a suitable manner. A clique of football-playing boys was a resource, as their praising of classmates encouraged adherence. However, familiarization with the "11 for Health" concept was a challenge and the clique's competitive nature occasionally built barriers to other schoolchildren without football experience, potentially leading to a more controlled form of motivation. Based on the results, we encourage teachers to apply autonomy-supportive teaching when applying the "11 for Health" concept., (© 2021 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)

Background: In Denmark, the first COVID-19 pandemic lockdown resulted in a compact season finisher for elite footballers, potentially impacting their mental health. Purpose: This study aimed to investigate the protective role of resilience and the impeding role of trait anxiety on elite footballers' level and variability of well-being and emotional stability. Material and Methods: One hundred and twenty-five male elite-level players ( M age  = 25.04 ± 4.82) completed baseline measures on trait anxiety and resilience. Additionally, well-being and positive and negative affect were assessed before games (n = 24) over 62 days. Separate two-level regression analysis using Bayesian statistics was conducted to test potential relationships. Results: Results show a credible positive relationship between the average level of well-being and within-person variability over time as well as the average level in positive affect. This indicates that resilience might be a protector for mental health. In addition, higher levels of trait anxiety (i.e., subscale concentration disruption ) were associated with higher levels of negative affect and higher variability over time. This indicates that trait anxiety might facilitate negative affect. No other credible relationships were found. Conclusion: High resilience and low trait anxiety are identified as relevant factors for mental health within elite footballers during COVID-19. Implications for practice are discussed.

ObjectivesOur large-scale cluster randomised controlled trial aimed to investigate the effects on health knowledge and enjoyment of an 11 week 'health education through football' programme for children aged 10-12 years old. Methods 3127 Danish school children (49% girls) aged 10-12 years from a total of 154 schools located in 63% of the Danish municipalities (69 of 98) took part in the analysis. A 5:1 cluster randomisation was performed at school level for the intervention group (IG) or the control group (CG). The twice-weekly 45 min intervention was the '11 for Health in Denmark' programme, which includes health education, football drills and small-sided games. The health education element focused on hygiene, nutrition, physical activity and well-being. Outcomes: The participants completed a 34-item multiple-choice computer-based health knowledge questionnaire preintervention and postintervention. IG also evaluated whether the programme was enjoyable. Results Between-group differences (p<0.05) were observed in overall health knowledge in favour of IG (+7.2% points, 95% CI 6.1% to 8.4%, effect size, ES:0.59), with similar effects for girls (+7.4% points, 95% CI 5.9% to 9.0%, ES:0.57) and for boys (+7.0% points, 95% CI 5.3% to 8.7%, p<0.05, ES:0.51). Marked between-group differences were observed in favour of IG, for health knowledge related to hygiene (IG vs CG:+13.9% points, 95% CI 11.1% to 16.7%, ES:0.53), nutrition (+10.3% points, 95% CI 8.5% to 12.1%, ES:0.53), physical activity (+5.9% points, 95% CI 4.1% to 7.7%, ES:0.36) and well-being (+4.4% points, 95% CI 2.7% to 6.1%, ES:0.28). Both girls and boys gave the programme moderate to high scores for enjoyment (3.6±1.0 and 3.7±1.1, respectively). Conclusion Health education through sport, using the '11 for Health' model, was enjoyable for girls and boys aged 10-12 years old, and improved health knowledge related to hygiene, nutrition, physical activity and well-being., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.)

Objectives: This study investigated the effects of the health promotion intervention "11 for Health in Denmark" program on 10‐ to 12‐year‐old ethnic minority schoolchildren's enjoyment, health knowledge, well‐being, and fitness. Methods: 1122 Danish 5th grade schoolchildren with ethnic minority background from 154 schools were randomized (5:1) to an intervention group (IG, n = 944) or a control group (CG, n = 178). The IG and CG were also divided into subgroups of children active in a sports club (IGPA: n = 644; CGPA: n = 122) and not active in a sports club (IGPI: n = 300, CGPI: n = 56). IG participated in the "11 for Health in Denmark" 11‐week program, consisting of 2 × 45 min per week of football drills, small‐sided games, and health education, whereas CG continued their regular activities. Pre‐post physical testing and questionnaires were applied (short version of the multidimensional well‐being questionnaire KIDSCREEN‐27, and a 34‐item health knowledge questionnaire). Results: The "11 for Health in Denmark" program was rated moderate‐to‐high on a 1–5 scale for enjoyment by girls (3.57) and boys (3.65). The intervention had positive between‐group effect on health knowledge in relation to hygiene (IG vs GC: 10.6% points (CI95%: 6.9:14.3), p < 0.05), nutrition (9.6% point (CI95%: 7.4:11.8), p < 0.01) and physical activity 4.4% points (CI95%: 2.2:6.6) as well as overall health knowledge (5.7% points, (CI95%: 4.3;7.1), p < 0.05), with similar effects for girls and boys. The IGPI subgroup showed a positive effect on well‐being (p = 0.04, school and learning) and also fitness effects on performance and VO2 max (p = 0.02: p = 0.01). The IGPA subgroup showed a positive effect on fitness scores (p = 0.02, BMI). Conclusion: The intervention program was enjoyable and had a positive impact on health knowledge of ethnic minority background schoolchildren. In addition, the intervention program had the strongest positive effects on well‐being and fitness scores for the non‐sports club‐active children. [ABSTRACT FROM AUTHOR]

Aim: To modify the 'FIFA 11 for Health' programme to the European situation, and to assess its effects on health knowledge and well-being in Danish school children.Method: A two-cohort study with seven intervention and two control schools. Of the 546 Danish children (boys 269; girls 277) of mean age 11.1 (±0.4) years from five city and four country-side schools, 402 undertook the 'FIFA 11 for Health' programme and 144 acted as controls. As part of each school's PE curriculum, seven intervention schools received a 45 min Play Football period (football skills and 3 vs 3 games) and a 45 min Play Fair period (health issues and football drills) on a weekly-basis for 11 weeks. Control participants continued with their regular school PE activities. Participants completed preintervention and postintervention health knowledge and well-being questionnaires.Results: Overall, health knowledge increase was significantly (p<0.05) greater for the intervention group (11.9%) than the control group (2.6%). Significant (p<0.05) between-group differences were obtained for 8 of 10 health topics (6.1-20.2%) related to physical activity, nutrition, hygiene and well-being. The social dimension of the well-being questionnaire was significantly (p<0.05) improved in the intervention group compared to the control group, but there were no significant between-group effects for the physical, emotional and school dimensions. Positive reporting about the programme was given by 72.4% of the children and only 4.8% reported negatively.Conclusions: The 'FIFA 11 for Health' programme modified for Europe demonstrated positive effects on children's health knowledge and social dimension of well-being, thereby providing evidence that the football-based health education programme can be used effectively within a European school's curriculum to increase physical activity, well-being and health knowledge. [ABSTRACT FROM AUTHOR]

Our aim was to investigate the link between youth soccer players' perceptions of the coach-initiated motivational goal climate within their team and their perceptions of inclusion as a function of societal status. Societal status refers to one's national background which numerically forms the majority or a minority in a particular society. Survey data was collected among 245 male youth soccer players (M = 12.9 years, SD = 1.60), who all played in culturally diverse teams in the Netherlands. The societal status of 94 players (38.4%) was majority , and 151 players (61.6%) were classified as minority. To test our main hypothesis, perceived inclusion as the dependent variable was hierarchically regressed on coach-initiated mastery goal climate perceptions, performance goal climate perceptions, societal status, and their interactions. Overall, mastery goal perceptions and performance goal perceptions of intra-team competition were positively and negatively related, respectively, to perceived team inclusion. As hypothesized, only among players with a societal minority status, perceptions of inclusion were higher when mastery goal climate perceptions were higher and performance goal climate perceptions were lower. Our findings suggest that a coach-initiated mastery-oriented team climate may enhance an inclusive soccer environment in culturally and nationally diverse teams. For societal minority players, intra-team competition should be de-emphasized by the coach in order to strengthen the experience of inclusion. • Perceived team inclusion is a function of perceived motivational goal climate and societal status. • Perceived team inclusion is related to perceived mastery (positively) and performance (negatively) goal climate. • Perceived team inclusion of minority status players is higher when mastery goals are strong and performance goals are weak. • A mastery-oriented team climate may enhance an inclusive soccer environment in culturally diverse teams. • Among players with a minority status, downplaying intra-team competition may strengthen their experience of team inclusion. [ABSTRACT FROM AUTHOR]

In our study, we had two objectives. Our first objective was to test a social-cognitive model of doping in sport. In this model, we examined moral variables (i.e., moral disengagement, moral identity, anticipated guilt) and performance motivational climate as predictors of doping likelihood and whether performance motivational climate moderates the relationship between moral disengagement and doping likelihood. The second objective was to determine whether this model is invariant across sex and country. We used a cross-sectional design. Participants were 1495 (729 females) elite football players (mean age 20.4 ± 4.4) recruited from 97 teams in the UK, Denmark and Greece. They completed questionnaires measuring the aforementioned variables. Moral disengagement positively predicted doping likelihood both directly and indirectly via anticipated guilt. The direct relationship was significant only when performance climate was perceived as average or high. Moral identity negatively predicted doping likelihood via both moral disengagement and anticipated guilt; and performance climate positively predicted doping likelihood. The model was largely invariant across sex and country. Our findings suggest that young elite football players in the UK, Denmark and Greece are less likely to use banned substances to enhance their performance, if they consider being moral an important part of who they are, and if they perceive a low performance climate in their team. Moral identity is likely to trigger feelings of guilt associated with the use of banned substances and to mobilize moral disengagement mechanisms. Our findings highlight the importance of moral variables in deterring the use of banned substances in sport. • Young elite football players in the UK, Denmark and Greece are less likely to use banned substances if they consider being moral an important part of who they are. • When football players perceive a performance climate in their team they are more likely to use banned substances. • Performance climate may accentuate the facilitating role of moral disengagement on doping likelihood. • Moral identity is negatively associated with the use of banned substances via anticipated guilt. Moral identity could reduce the need to morally disengage leading to lower likelihood to dope. [ABSTRACT FROM AUTHOR]