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'The general concept is a safer use approach': how image and performance enhancing drug coaches negotiate safety through community care.

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Title: 'The general concept is a safer use approach': how image and performance enhancing drug coaches negotiate safety through community care.
Authors: Piatkowski, Timothy (AUTHOR), Cox, Luke (AUTHOR), Gibbs, Nick (AUTHOR), Turnock, Luke (AUTHOR), Dunn, Matthew (AUTHOR)
Source: Drugs: Education, Prevention & Policy. Oct2025, Vol. 32 Issue 5, p461-469. 9p.
Subjects: Substance abuse prevention, Professionalism, Safety, Community health services, Occupational roles, Qualitative research, Anabolic steroids, Statistical sampling, Interviewing, Risk management in business, Personal trainers, Judgment sampling, Descriptive statistics, Client relations, Harm reduction, Attitudes of medical personnel, Research methodology, Trust, Data analysis software, Psychosocial factors
Abstract: Background: Drug coaches are a novel extension of traditional personal trainers who play a significant role providing support and shaping drug-related behaviours for people who use image and performance enhancing drugs (IPEDs). They constitute a critical domain for everyday risk management, where substance use, and its associated harms are influenced by social exchange. This study investigated how IPED coaches negotiate safety within the community through the provision of their services and the partnerships they form with clients. Method: Ten IPED coaches, selected through purposive sampling, engaged in semi-structured interviews (32–57 minutes in length) exploring the way in which they operate in their field of practice. Iterative inductive analysis was applied to the transcripts, enhanced by discussions among researchers and an independent coder. Results: The findings are organised under three categories, revealing the nuanced strategies and identities of IPED coaches, emphasising harm reduction and optimising 'gains' in IPED use. These coaches play a significant role in harm reduction, wielding their 'chemical capital' and lived experience to integrate nuanced harm reduction strategies into their partnerships with clients. Conclusion: Embodying a model of peer-driven knowledge exchange and emphasising open and inclusive discourse IPED coaches offer a vehicle toward integrated harm reduction strategies. [ABSTRACT FROM AUTHOR]
Copyright of Drugs: Education, Prevention & Policy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 'The general concept is a safer use approach': how image and performance enhancing drug coaches negotiate safety through community care.
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  Data: <searchLink fieldCode="JN" term="%22Drugs%3A+Education%2C+Prevention+%26+Policy%22">Drugs: Education, Prevention & Policy</searchLink>. Oct2025, Vol. 32 Issue 5, p461-469. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse+prevention%22">Substance abuse prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Professionalism%22">Professionalism</searchLink><br /><searchLink fieldCode="DE" term="%22Safety%22">Safety</searchLink><br /><searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Anabolic+steroids%22">Anabolic steroids</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+management+in+business%22">Risk management in business</searchLink><br /><searchLink fieldCode="DE" term="%22Personal+trainers%22">Personal trainers</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Client+relations%22">Client relations</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Drug coaches are a novel extension of traditional personal trainers who play a significant role providing support and shaping drug-related behaviours for people who use image and performance enhancing drugs (IPEDs). They constitute a critical domain for everyday risk management, where substance use, and its associated harms are influenced by social exchange. This study investigated how IPED coaches negotiate safety within the community through the provision of their services and the partnerships they form with clients. Method: Ten IPED coaches, selected through purposive sampling, engaged in semi-structured interviews (32–57 minutes in length) exploring the way in which they operate in their field of practice. Iterative inductive analysis was applied to the transcripts, enhanced by discussions among researchers and an independent coder. Results: The findings are organised under three categories, revealing the nuanced strategies and identities of IPED coaches, emphasising harm reduction and optimising 'gains' in IPED use. These coaches play a significant role in harm reduction, wielding their 'chemical capital' and lived experience to integrate nuanced harm reduction strategies into their partnerships with clients. Conclusion: Embodying a model of peer-driven knowledge exchange and emphasising open and inclusive discourse IPED coaches offer a vehicle toward integrated harm reduction strategies. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Drugs: Education, Prevention & Policy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=188176695
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09687637.2024.2352442
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 461
    Subjects:
      – SubjectFull: Substance abuse prevention
        Type: general
      – SubjectFull: Professionalism
        Type: general
      – SubjectFull: Safety
        Type: general
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Anabolic steroids
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Risk management in business
        Type: general
      – SubjectFull: Personal trainers
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Client relations
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      – SubjectFull: Harm reduction
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      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Research methodology
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      – SubjectFull: Trust
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
    Titles:
      – TitleFull: 'The general concept is a safer use approach': how image and performance enhancing drug coaches negotiate safety through community care.
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            NameFull: Gibbs, Nick
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              Text: Oct2025
              Type: published
              Y: 2025
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