Purpose: Despite the strong belief in sports programs as a setting in which socially vulnerable youth can develop life skills, no overview exists of life skill development in sports programs serving this youth group. Therefore, the present systematic review provides an overview of the evidence on life skill development in sports programs serving socially vulnerable youth and, insofar as it was investigated in the included studies, of the conditions conducive to life skill development in these sports programs. Method: Potentially relevant studies published during 1990 to 2014 were identified by a search in 7 electronic databases. The search combined terms relating to (a) sport, (b) youth AND socially vulnerable, and (c) life skills. Eighteen of the 2,076 unique studies met the inclusion criteria. Results: Each included study reported that at least 1 life skill improved in youth who participated in the studied sports program. Improvements in cognitive and social life skills were more frequently reported than were improvements in emotional life skills. Only a few of the included studies investigated the conditions in the studied sports programs that made these programs conducive to life skill development. Conclusions: Sports programs have the potential to make a difference in the life skill development of socially vulnerable youth. This conclusion needs to be treated with some caution, because the studies experienced many challenges in reducing the risk for bias. Several alternative research strategies are suggested for future studies in this field.

Sense of coherence (SOC) reflects a coping capacity of people to deal with everyday life stressors and consists of three elements: comprehensibility, manageability and meaningfulness. SOC is often considered to be a stable entity that is developed in young adulthood and stabilizes around the age of 30. Recent studies have questioned this stability of SOC and some studies report on interventions that have been successful in strengthening SOC in adult populations. Currently, however, there is no clear understanding of the mechanisms underlying SOC. As a consequence, it is a challenge to determine what is needed in health promotion activities to strengthen SOC. This article aims to explore the mechanisms underlying SOC as these insights may underpin future health promotion efforts. An exploration of the salutogenic model suggests two important mechanisms: the behavioural and the perceptual. The behavioural mechanism highlights the possibility to empower people to use their resources in stressful situations. The perceptual mechanism suggests that, in order for people to deal with life stressors, it is essential that they are able to reflect on their understanding of the stressful situation and the resources that are available. Based on these mechanisms, we suggest that both empowerment and reflection processes, which are interdependent, may be relevant for health promotion activities that aim to strengthen SOC. The successful application of resources to deal with stressors is not only likely to have a positive influence on health, but also creates consistent and meaningful life experiences that can positively reinforce SOC levels.

Sport is widely recognised as having the potential to enhance the personal development of socially vulnerable youth, yet there is very limited knowledge on how community sports coaches can create optimal social conditions for life skill development and transferability. We adopt a salutogenic approach in order to study whether and how community sports coaches create these optimal social conditions. Based on the salutogenic framework, a thematic analysis was conducted of 15 in-depth interviews with community sports coaches providing sports lessons to socially vulnerable youth. As part of the interviews, the sports coaches were presented with several training scenarios and asked how they would respond in specific training situations. The results showed that the sports coaches aimed to create meaningful sporting experiences for youths. These meaningful sporting experiences were considered a precondition for keeping youths engaged in the sporting activities, as well as a precondition for life skill development. The sports coaches specifically focused on creating little moments of success and on making sure that the youths felt they belonged to a group. In order to ensure that the youths could experience moments of success, specific coaching strategies were implemented to increase the youths’ comprehensibility and manageability in specific sport situations. According to the sports coaches, experiencing little moments of success could contribute to an increase in socially vulnerable youths’ understanding of the everyday challenges that they face, as well as contribute to their ability to deal with these challenges. Creating meaningful sporting experiences may help youths ‘to learn to cope' – a skill that could be beneficial over their lifespan and in different societal domains.

Research has shown that sports participation is positively related to youth developmental outcomes, but it is still unknown if sports participation relates to these outcomes among socially vulnerable youth. Hence, this research aimed to examine the relationship between sports participation and youth developmental outcomes (i.e., problem behaviour, pro-social behaviour, school performance, subjective health, well-being, self-regulation skills, and sense of coherence) for socially vulnerable youth. In addition, the stability of the relationship between sports participation and the youth developmental outcomes were investigated with a six-month interval. Two identical questionnaires were administered with a six-month interval by youth professionals from four youth organisations, measuring the youth developmental outcomes and sports participation rates of socially vulnerable youth. In total, 283 socially vulnerable youths (average 14.68 years old) participated at baseline and 187 youths after six months. The results showed that sports participation was positively related to pro-social behaviour, subjective health, well-being, and sense of coherence at both measurements. We found no evidence for the relationship between sports participation and problem behaviour and the self-regulatory skills. In addition, sports participation was only positively related to school performance at the first, but not at the second, measurement. The results of this study show that there are positive relationships between sports participation and several youth developmental outcomes. Based on the current data no conclusions can be drawn about the causal relationship between sports participation and youth developmental outcomes. Given the focus of policymakers and health professionals on sport as a means to achieve wider social and educational outcomes for young people, including in the Netherlands, further research is needed to shed light on the relationship between sports participation and youth developmental outcomes for socially vulnerable youth, with a special focus on this group’s heterogeneity. Trialregister.nl NTR4621 Date of Registration: 2 June 2014 (retrospectively registered).

Background Sense of coherence (SOC) is a health-promoting resource within the salutogenic theory that reflects an individual's coping ability. The association between SOC and mental health has been confirmed, but its association with mortality is less clear. We examined the association between SOC and all-cause mortality in an adult Dutch population. Methods Between 1996 and 1998, a postal questionnaire, including the three-item SOC scale, was completed by 12 024 men and women aged 20–65 years, who had participated in a health examination (MORGEN project) 6 months to 3 years earlier. Vital status was recorded up to November 2011; in total, 603 deaths were registered (5%). The participants were divided into three groups with a weak (21.1%), intermediate (60.3%) or strong (18.6%) SOC. Cox proportional hazard models were used with an intermediate SOC as the reference group. Adjustments were made for sex, age, socioeconomic factors, indicators of health status and lifestyle. Results A weak SOC, as compared with an intermediate SOC, was associated with a higher all-cause mortality risk after, on average, 13.5 years of follow-up and adjusted for sex and age (HR=1.40, 95% CI 1.14 to 1.70). After additional adjustments, the higher all-cause mortality risk remained statistically significant (HR=1.27, 95% CI 1.01 to 1.59). Mortality risk for the strong SOC group did not differ from that for the intermediate group. Conclusions A weak SOC was associated with a higher risk of all-cause mortality. Health promotion focusing on strengthening SOC may be a promising new strategy, potentially affecting not only mental health but also mortality.

Maternal nutrition is essential for the development and lifelong health of the offspring. Antenatal care provides unique opportunities for nutrition communication, and health promotion tools (e.g., guidelines, instruments, packages, or resources) might help to overcome several concurrent barriers. We conducted a systematic literature review to map tools that are available for the promotion of a healthy dietary intake in healthy pregnant women in Western countries, and to identify what makes these tools feasible and effective for these women and their healthcare providers. Seventeen studies were included, evaluating tools with various delivery modes, content, and providers. Nine studies employed multiple, complementary delivery methods and almost all studies (n = 14) tailored the content to varying degrees, based on the individual characteristics and lifestyle behaviors of the participants. We found that the feasibility of a tool was dependent on practical issues, time investment, and providers’ motivation, skills, and knowledge, while the effectiveness was related more to the type of provider and the content. Most effective interventions were provided by dietitians and nutritionists, and were highly tailored. Based on the results of this review, we believe that custom tools that are sensitive to inequalities are needed to support all women in obtaining or maintaining a healthy diet during pregnancy.