Background and aims: The consequences of health development with the exercise approach affect the 4 dimensions of physical, mental, economic, and social health. The aim of this study was to present a comprehensive model to determine the contributing factors, strategies, and outcomes of sport-based health development (SBHD).
Methods: This qualitative study was conducted through the grounded theory approach. Data were collected through interviews with 24 experts and authorities in health, sports, and health development who were selected through purposive and snowball sampling. Open, axial, and selective coding were used for data analysis. Trustworthiness was ensured through member checking and peer debriefing.
Results: Four hundred codes were drawn during open coding and were grouped into 127 subcategories during axial coding and nineteen main categories during selective coding. The nineteen categories were assigned to the five main dimensions of the paradigm model of grounded theory. The causal conditions of SBHD were personal, cultural, and social factors; its contextual conditions were attitudinal and attitudinal factors, media, planning, and legal factors; and its intervening conditions were environmental, infrastructural, interactional, and managerial factors. Its strategies were infrastructural development, attitudinal development, technical development, and support programs and its outcomes were improvement of physical health, financial development, social development, and improvement of mental health.
Conclusion: Health and sport managers and authorities need to provide an appropriate context to facilitate engagement in sports among all individuals.