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Anti-Doping Literacy Scale Validated in 265 Adult AthletesNew Tool Measures Anti-Doping Literacy in Adult Athletes

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Key Takeaway
Consider the ADL-S for assessing anti-doping literacy, but note it is a validation tool, not an intervention.

This validation study evaluated the psychometric properties of the Anti-Doping Literacy Scale (ADL-S) in 265 adult athletes. The setting was not reported. The study aimed to assess the factorial structure, reliability, and external correlates of the scale.

Confirmatory factor analyses supported a bifactor structure comprising a general anti-doping literacy factor and specific subdimensions. Internal reliability coefficients were satisfactory, and test-retest reliability indicated satisfactory temporal stability. Regarding external correlates, the ADL-S showed negative associations with moral disengagement and positive associations with resistive self-regulatory efficacy. No effect sizes, absolute numbers, or p-values were reported for these findings.

Safety and tolerability outcomes were not reported, as this was not an intervention study. Limitations were not reported. Funding and conflicts of interest were not reported.

The ADL-S provides a tool for assessing anti-doping literacy and guiding education-based prevention programmes in French-speaking athletic populations. However, this was a validation study of a measurement tool, not a clinical trial of an intervention. The absence of reported effect sizes and the lack of information on setting and limitations warrant cautious interpretation. Clinicians and practitioners should recognize that the scale's utility for guiding anti-doping education requires further validation in diverse populations and settings.

Researchers tested a new tool called the Anti-Doping Literacy Scale (ADL-S) to see if it accurately measures an athlete's knowledge and behavior regarding banned substances. The study included 265 adult athletes to see how well the scale performed as a measurement tool.

The results showed that the scale is reliable and stable over time. It also showed a link between high literacy scores and a person's ability to resist pressure to use banned substances. Conversely, higher literacy scores were linked to lower levels of moral disengagement, which is when people justify breaking rules.

It is important to note that this study was designed to validate a measurement tool rather than test a specific medical treatment or intervention. While the tool is useful for creating better education programs for athletes, it is not a clinical trial. The findings are intended to help coaches and organizations better understand how to teach athletes about anti-doping rules.

What this means for you:
The ADL-S is a reliable tool for measuring an athlete's knowledge and self-regulation regarding anti-doping rules.

Common questions

What does anti-doping literacy mean for an athlete?

Anti-doping literacy refers to an athlete's knowledge of rules regarding banned substances. The study found that higher literacy is linked to better self-regulatory efficacy, which means the athlete feels more capable of resisting the urge to use prohibited substances. It also showed a link to lower levels of moral disengagement.

Is the Anti-Doping Literacy Scale a reliable tool?

Yes, the study confirmed that the scale has satisfactory internal reliability and test-retest reliability. This means the tool provides consistent results over time and is a stable way to measure how much an athlete understands about anti-doping regulations.

How can this finding be used in sports?

The scale can be used by organizations to assess the current knowledge of athletes. This information can help coaches and programs create better education-based prevention programs to help athletes stay within the rules and avoid prohibited substances.

Study Details

Study typePhase3
EvidenceLevel 2
PublishedSep 2026
View Original Abstract ↓
Doping prevention has increasingly shifted toward education as a central strategy for promoting clean sport. This evolution reflects a growing consensus that effective prevention must go beyond the transmission of rules and sanctions and instead develop athletes’ competencies to make informed, autonomous, and ethically grounded decisions. Doping Awareness Literacy (DAL) framework defines anti-doping literacy as comprising three complementary dimensions: (1) functional literacy (i.e., knowledge of anti-doping rules and associated health risks); (2) interactive literacy (i.e., ability to use this information in training and social contexts); and (3) critical literacy (i.e., capacity to evaluate information and resist doping-related pressures). Despite its theoretical relevance, validated instruments assessing specifically these dimensions remain scarce, particularly in non-English-speaking contexts. The study aimed to develop and validate the Anti-Doping Literacy Scale (ADL-S), a French-language instrument based on the DAL framework, designed to provide both general anti-doping literacy and domain-specific literacy competencies. 265 adult athletes participated in a four-phase validation process: (1) Phase 1 involved item generation based on the DAL model and international anti-doping education guidelines, followed by expert review to ensure content validity and conceptual clarity; (2) Phase 2 examined the factorial structure and internal consistency using confirmatory factor analyses; (3) Phase 3 explored ADL-S external correlates through associations with psychosocial constructs relevant to doping, including moral disengagement and resistive self-regulatory efficacy; (4) Phase 4 evaluated test–retest reliability over time. Final version of ADL-S comprises 21 items distributed across three subscales reflecting functional, interactive, and critical anti-doping literacy. Confirmatory factor analyses supported a bifactor structure, indicating the coexistence of a general anti-doping literacy factor and specific subdimensions, with satisfactory model fit indices and internal reliability coefficients. Exploratory analyses showed negative associations with moral disengagement and positive associations with resistive self-regulatory efficacy, consistent with theoretical expectations. Test–retest analyses demonstrated satisfactory temporal stability. Overall, ADL-S shows robust psychometric properties and provides a theoretically grounded tool for assessing anti-doping literacy in French-speaking athletic populations. Beyond measurement, this instrument offers practical value for evaluating and guiding education-based prevention programmes aligned with international anti-doping standards, supporting the development of informed, autonomous, and health-protective decision-making among athletes.
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