Exercise Delivery Services Codes of Conduct: Awareness and Adherence of Fitness Trainers in Ghana

Authors

  • Tiguridaane IA Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • Doku AO Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • Deku PD Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • Akwa LG Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • Afrifa D Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • Asamoah-Mensah A Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  • Moses MO Department of Physiotherapy and Sports Science, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana https://orcid.org/0000-0001-5785-9551

DOI:

https://doi.org/10.60787/tnhj-744

Keywords:

Exercise Delivery Services, Codes of Conduct, Adherence, Awareness, Fitness Trainer

Abstract

Background: Ethical competency plays vital in the services of any profession including Fitness trainers (FT). There has been upsurge in the number of FT in Ghana in recent time with scarce information on the awareness and adherence to exercise delivery services codes of conduct (EDCC) that should guide their practice.  This study investigated the awareness and adherence of FT in Ghana to EDCC in fitness industry.

Method: This exploratory research study had 30 FT recruited through a three step multi- stage sampling technique (Meanage =25.75 ± 3.86years) from fitness and wellness centers and gyms in Ghana. A close-ended questionnaire adapted from the British Association of Sports and Exercise Science codes of conduct was administered. Descriptive statistics and factor analysis were used for data analysis.

Result: FT were aware of the existence of EDCC internationally (total awareness contribution = 67.99%) but none in Ghana hence did not adhere to any. A regulatory body to set up, monitor and enforce rules and regulations governing fitness in Ghana was significantly unavailable (Chi-square = 2.449, P > 0.05).

Conclusion: Activities of FT in Ghana were not regulated by any professional body. Relevant stakeholders need to develop EDCC legal document for FT to ensure ethical conduct in the fitness industry across Ghana. It is recommended that accredited higher institution of learning in Ghana should develop certificate and refresher courses for FT. There should be stakeholders’ engagement to birth FT regulation in Ghana.

References

Obeng MW. Adherence to Treatment among Adults Living with Hypertension, Diabetes and Stroke in Ghana (Doctoral dissertation, Ensign Global College). Available online @ https://repository.ensign.edu.gh/handle/123456789/80

Kushitor SB, Sanuade OA, Baatiema L, Kushitor MK, Afrifa-Anane EK, Awuah RB. Non-communicable disease comorbidities in KwaZulu-Natal Province, South Africa. South African Medical Journal. 2021;111(2):149-58.

Okunogbe A, Nugent R, Spencer G, Ralston J, Wilding J. Economic impacts of overweight and obesity: current and future estimates for eight countries. BMJ global health. 2021 Oct 1;6(10): e006351.Ataey, A., Jafarvand, E., Adham, D., & Moradi-Asl, E. (2020).

Ataey A, Jafarvand E, Adham D, Moradi-Asl E. The relationship between obesity, overweight, and the human development index in world health organization eastern mediterranean region countries. Journal of Preventive Medicine and Public Health. 2020;53(2):98.

Williams DM, Nawaz A, Evans M. Drug therapy in obesity: a review of current and emerging treatments. Diabetes Therapy. 2020; 11:1199-216.

Di Cesare M, Sorić M, Bovet P, Miranda JJ, Bhutta Z, Stevens GA, Laxmaiah A, Kengne AP, Bentham J. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC medicine. 2019; 17:1-20.

Ghorayeb N, Stein R, Daher DJ, Silveira AD, Ritt LE, Santos DF, Sierra AP, Herdy AH, Araújo CG, Colombo CS, Kopiler DA. The Brazilian society of cardiology and Brazilian society of exercise and sports medicine updated guidelines for sports and exercise cardiology-2019. Arquivos Brasileiros de Cardiologia. 2019; 112:326-68.

Saqib ZA, Dai J, Menhas R, Mahmood S, Karim M, Sang X, Weng Y. Physical activity is a medicine for non-communicable diseases: a survey study regarding the perception of physical activity impact on health wellbeing. Risk management and healthcare policy. 2020 11:2949-62.

Puoane T, Muzigaba M. Interventions to prevent and control of chronic non-communicable disease in South Africa. Chapter 4. In N.Phaswana-Mafuya, D. Tassiopoulos. (eds). Non-communicable diseases (NCDs) in developing countries. 2011; 83 -104. Nova Science Publishers, Inc. Available online @ https://www.researchgate.net/profile/Dimitri-Tassiopoulos/publication/288408582_Epidemiology_of_chronic_non-communicable_diseases_in_low_and_middle_income_countries_-_a_review/links/56df950508ae9b93f79a9b8c/Epidemiology-of-chronic-non-communicable-diseases-in-low-and-middle-income-countries-a-review.pdf#page=95

Chetty-Makkan CM, DeSanto D, Lessells R, Charalambous S, Velen K, Makgopa S, Gumede D, Fielding K, Grant AD. Exploring the promise and reality of ward-based primary healthcare outreach teams conducting TB household contact tracing in three districts of South Africa. Plos one. 2021 Aug 13; 16(8):e0256033.

Parsa-Parsi RW. The international code of medical ethics of the world medical association. JAMA. 2022 Nov 22; 328(20):2018-21.

Bar M, Fish E, Mendlovic S. Mental-health care under threat: a pragmatic approach for ethical decision-making for practitioners in COVID-19. Counselling Psychology Quarterly. 2021 Oct 2;34(3-4):525-37.

Nyante G, Andoh C, Bello A. Patterns of ethical issues and decision-making challenges in clinical practice among Ghanaian physiotherapists. Ghana Medical Journal. 2020 Sep 30;54(3):179-85.

Bowman JS. From codes of conduct to codes of ethics: The ASPA case. In: Handbook of administrative ethics 2020: 335-353. Routledge. eBook ISBN: 9780429272738.

Heesters AM. How Legal Theory Can Save the Life of Healthcare Ethics. Springer Nature; 2022 Oct 10. https://doi.org/10.1007/978-3-031-14035-8

Fåhraeus D. Processing personal health data in the context of the European online pharmacy market: lawful bases under the GDPR and Swedish law. Nordic Journal of European Law. 2023;6(1):30-56.

Babri M, Davidson B, Helin S. An updated inquiry into the study of corporate codes of ethics: 2005–2016. Journal of Business Ethics. 2021; 168:71-108.

Rushton CH, Swoboda SM, Reller N, Skarupski KA, Prizzi M, Young PD, Hanson GC. Mindful ethical practice and resilience academy: Equipping nurses to address ethical challenges. American Journal of Critical Care. 2021;30(1):e1-1.

Varkey B. Principles of clinical ethics and their application to practice. Medical Principles and Practice. 2021;30(1):17-28.

Prechel N. Nefariously Selling Muscle by the Supplement Industry. Spring 2022. Available online @ https://digitalshowcase.lynchburg.edu/cgi/viewcontent.cgi?article=1256&context=utcp.

Paschalidou K, Tsitskari E, Alexandris K, Karagiorgos T, Filippou D. Conceptualizing ethics positions of health and fitness managers; an empirical investigation in Greece Conceptualizar las posiciones éticas de los directivos de salud y fitness; una investigación empírica en Grecia. Retos. 2024; 51:398-407.

The British Association of Sport and Exercise Sciences. Codes of Conduct. 2017. Available online @ https://www.bases.org.uk/imgs/bases_codes_of_conduct872.pdf

Abbott KW, Snidal D. The governance triangle: Regulatory standards institutions and the shadow of the state. In: The spectrum of international institutions 2021. Routledge. eBook ISBN: 9781003111719: 52-91.

Mittelstadt B. Principles alone cannot guarantee ethical AI. Nature machine intelligence. 2019 Nov;1(11):501-7.

Baltag D, Butmalai V. Challenging corruption through administrative ethics: a change of paradigm. Studii Juridice Universitare. 2019(1-2):53-68.

Williams IL. Practice-based conundrums and existentialist quandaries of a professional code of ethics. Journal of Human Services: Training, Research, and Practice. 2018;3(1). Available at: https://scholarworks.sfasu.edu/jhstrp/vol3/iss1/1

Harriss DJ, Jones C, MacSween A. Ethical standards in sport and exercise science research: 2022 update. International journal of sports medicine. 2022 Dec;43(13):1065-70.

Doan HT, Stallemo I. Code of ethics and moral awareness; A study about the relationship between code of ethics and moral awareness and the moderating impact of locus of control (master’s thesis, BI Norwegian Business School). Available at https://biopen.bi.no/bi-xmlui/bitstream/handle/11250/2444130/MSc0642016.pdf?sequence=1

Radenković M. Importance of decisional capacity tools in obtaining informed consent in clinical settings. Bioethics. 2023;37(2):146-53.

Borhani F, Abbaszadeh A, Bahrampour A, Ameri GF, Aryaeenezhad A. Investigating the relationship between the ethical atmosphere of the hospital and the ethical behavior of Iranian nurses. Journal of Education and Health Promotion. 2021;10(1):193. doi: 10.4103/jehp.jehp_891_20

Chatfield K, Lightbody CE, Qayum I, Ohly H, Rasgado MC, Watkins C, Lowe NM. Can an ethics code help to achieve equity in international research collaborations? Implementing the global code of conduct for research in resource-poor settings in India and Pakistan. Research Ethics. 2022;18(4):281-303.

McCandless S, Ronquillo JC. Social equity in professional codes of ethics. Public Integrity. 2020 Sep 2;22(5):470-84.

Utz C, Degeling M, Fahl S, Schaub F, Holz T. (Un) informed consent: Studying GDPR consent notices in the field. InProceedings of the 2019 acm sigsac conference on computer and communications security 2019: 973-990). https://doi.org/10.1145/3319535.3354212.

Burkhardt G, Boy F, Doneddu D, Hajli N. Privacy behaviour: A model for online informed consent. Journal of business ethics. 2023;186(1):237-55.

Millum J, Bromwich D. Informed consent: What must be disclosed and what must be understood? The American Journal of Bioethics. 2021;21(5):46-58.

Tiguridaane IA, Doku AO, Deku PD, Afrifa D, Akwa LG, Asamoah‐Mensah A, Moses MO. Ghanaian clients' perception of fitness instructors' adherence to exercise delivery services codes of conduct: An exploratory study. Health Science Reports. 2023;6(10):e1632.

Al-Darmaki F, Yaaqeib SI, Partridge S. Ethical standards for psychological practice in the UAE: current status and aspirations. Ethics & Behavior. 2023 Apr 3;33(3):205-19.

Houtan B, Hafid AS, Makrakis D. A survey on blockchain-based self-sovereign patient identity in healthcare. IEEE Access. 2020; 8:90478-94.

Potgieter HE. Authenticity of informed consent in anaesthesia: ethical reflection on the dilemma of informed consent in anaesthesia (Doctoral dissertation, Stellenbosch: Stellenbosch University.). http://hdl.handle.net/10019.1/108070

Mittelstadt, B. (2019). Principles alone cannot guarantee ethical AI. Nature machine intelligence, 1(11), 501-507.

Eitel-Porter, R. (2021). Beyond the promise: implementing ethical AI. AI and Ethics, 1, 73-80. https://doi.org/10.1007/s43681-020-00011-6.

Rességuier, A., & Rodrigues, R. (2020). AI ethics should not remain toothless! A call to bring back the teeth of ethics. Big Data & Society, 7(2), 2053951720942541.

Downe J, Cowell R, Morgan K. What determines ethical behavior in public organizations: Is it rules or leadership. Public Administration Review. 2016;76(6):898-909.

Gershfeld Litvak S, Sush DJ. Ethics and Legal Issues. In: Handbook of Applied Behavior Analysis: Integrating Research into Practice 2023 Apr 30 (pp. 19-34). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-19964-6_2

Rivaldo Y, Nabella SD. Employee Performance: Education, Training, Experience and Work Discipline. Calitatea. 2023 Mar 1;24(193):182-8.

Downey J, Shearn K, Brown N, Wadey R, Breckon J. The implementation of behaviour change practices in Physical Activity Referral Schemes: a narrative review. Health Psychology and Behavioral Medicine. 2024 31;12(1):2278293.

Rusilowati U, Wahyudi W. The significance of educator certification in developing pedagogy, personality, social and professional competencies. In: 2nd Social and Humaniora Research Symposium (SoRes 2019) 2020: 446-451). Atlantis Press.

Downloads

Published

2024-01-15

How to Cite

TIGURIDAANE, I. A., DOKU, A. O., DEKU, P. D.-G., AKWA, L. G., AFRIFA, D., ASAMOAH-MENSAH, A., & Moses, M. O. (2024). Exercise Delivery Services Codes of Conduct: Awareness and Adherence of Fitness Trainers in Ghana. The Nigerian Health Journal, 23(4), 906–914. https://doi.org/10.60787/tnhj-744

Issue

Section

Original Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.