Coaches' attitudes towards placebo interventions in sport

Placebo-induced performance enhancement is a new controversial issue in competitive sports. Coaches have control over the use of placebos, but their practices and attitudes were barely studied to date. In this survey 96 coaches from regional, national and international levels were asked about their practices and attitudes concerning placebo use in sports. Results revealed that 90% of the respondents were aware of placebo effects. Many (44%) coaches admitted to administering a placebo to their athletes. Those working at international level have administered placebos more often than the others (P = .02). Two thirds of the coaches agreed to the wider use of placebos in sport. Respondents who have used placebos in the past reported improved athletic performance. They also agreed more to the wider use of placebos than the coaches who previously did not use a placebo (P = .001). Team sport coaches use more often placebos than coaches working with individual athletes (P = .05). Only 10% of the sample thought that their athletes would refuse a hypothetical performance enhancer supplied by them. After a successful placebo intervention, only 15% of the coaches would administer it again without consulting the athlete. Overall, the coaches are optimistic about placebo use in sports. Close to half of them, especially those coaching at higher levels of competition, may use it regularly while achieving positive results.