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Staley K, Donaldson A, Mosler AB, O'Halloran P, Seal E, Forsyth A, Nicholson M, Forsdike K, Bruder AM. Understanding the challenges of injury in providing sport programmes for physically inactive women: concept mapping insights from programme deliverers. Inj Prev 2024; 30:400-409. [PMID: 38307715 DOI: 10.1136/ip-2023-045028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 01/18/2024] [Indexed: 02/04/2024]
Abstract
OBJECTIVES Injury/poor health is an important barrier to women's participation in sport and physical activity. This study aimed to identify perceived challenges sport programme deliverers face when supporting physically inactive women to prevent/manage injury. METHODS Sport programme deliverers, targeting physically inactive women in Victoria, participated in concept mapping to brainstorm, sort and rate (impact on their ability to prevent/manage injury, frequency of and difficulty to overcome the challenge on a 1 (low)-5 (high) scale) the challenges faced. Analysis included multidimensional scaling, hierarchical cluster analysis and descriptive statistics (eg, mean ratings). RESULTS Twenty-five deliverers brainstormed 82 injury prevention/management-related challenges. An eight cluster map was considered the most appropriate representation of the participants' sorting data (mean cluster impact, frequency and difficulty to overcome rating (1-5)): time constraints (3.42, 3.69, 3.12); perceived competence in injury prevention/management (3.36, 3.50, 3.27); navigating participant perceptions and knowledge (3.35, 3.74, 3.49); information and responsibility (3.32, 3.50, 3.26); session planning and structure (3.25, 3.45, 3.07); participant engagement (3.13, 3.47, 3.08); responding to individual needs (3.07, 3.42, 2.92) and access to injury management resources (2.87, 3.25, 3.17). CONCLUSION Limited time created injury prevention/management challenges for programme deliverers when planning and modifying sport programmes for physically inactive women. Injury prevention/management should be integrated into programme design and delivery principles. Programme deliverers need education/training and access to injury prevention/management resources (eg, activity modification) and engagement/communication strategies tailored for physically inactive women. Public health funders, coaching course accreditors, programme designers and deliverers can use these insights to develop strategies to minimise injury risk and effect systemic change in sport programme delivery.
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Affiliation(s)
- Kiera Staley
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia
- La Trobe Business School, La Trobe University, Melbourne, Victoria, Australia
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia
- La Trobe Business School, La Trobe University, Melbourne, Victoria, Australia
| | - Andrea B Mosler
- School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Paul O'Halloran
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
| | - Emma Seal
- School of Global, Urban and Social Studies, RMIT University, Melbourne, Victoria, Australia
| | - Adrienne Forsyth
- School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia
- School of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, Victoria, Australia
| | - Matthew Nicholson
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia
- Monash University Malaysia, Bandar Sunway, Selangor, Malaysia
| | - Kirsty Forsdike
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia
- La Trobe Business School, La Trobe University, Melbourne, Victoria, Australia
| | - Andrea Maree Bruder
- School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
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Møller M, Nygaard Andersen L, Möller S, Kongsted A, Juhl CB, Roos EM. Health And Performance Promotion in Youth (HAPPY) hybrid effectiveness-implementation cluster randomised trial: comparison of two strategies to implement an injury prevention exercise programme in Danish youth handball. Br J Sports Med 2024:bjsports-2023-107880. [PMID: 39209524 DOI: 10.1136/bjsports-2023-107880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/16/2024] [Indexed: 09/04/2024]
Abstract
OBJECTIVE To investigate if a combination of an online and onsite implementation strategy was superior to an online-only strategy in enhancing the use of an injury prevention exercise programme (IPEP) and in reducing the risk of shoulder, knee and ankle injuries in youth community handball players (age 11-17) over a handball season. METHODS In this 30-week hybrid effectiveness-implementation cluster randomised type 3 study, 20 youth handball clubs were randomly assigned 1:1 to either a combined online and onsite implementation strategy (coach workshop using the health action process approach behaviour change model and health service provider (HSP) support) or an online-only strategy (control group). The primary implementation outcome was coach-reported adherence, measured as the average IPEP exercise usage by the team over 30 weeks. The primary effectiveness outcome was player-reported handball playing time to any new handball-related shoulder, knee and ankle injuries, reported weekly using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. RESULTS We enrolled 63 coaches (27% women) and 945 players (mean age 14.5 years, 55% girls). Intention-to-treat analyses showed no statistically significant difference between implementation strategies in adherence (between-group difference 1.4, 95% CI -0.5 to 3.4) or in cumulative injury risk (between-group difference 5.5% points, 95% CI -2.2 to 13.1). CONCLUSION Our findings demonstrate that in youth community handball, a combined online and onsite implementation strategy, including a coach workshop and HSP support, was not superior to an online-only strategy regarding adherence to an IPEP or in reducing shoulder, knee and ankle injury risk. TRIAL REGISTRATION NUMBER NCT05294237.
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Affiliation(s)
- Merete Møller
- The Faculty of Health Sciences, Department of Sports Science and Clinical Biomechanics, Research Unit of Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
- Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway
| | - Lotte Nygaard Andersen
- Faculty of Health Sciences, Department of Sports Science and Clinical Biomechanics, Research Unit of Physical Activity and Health in Working life, University of Southern Denmark, Odense, Denmark
| | - Sören Möller
- Department of Clinical Research, Research Unit of Open, University of Southern Denmark, Odense, Denmark
- Open Patient Data Explorative Network, Odense University Hospital, Odense, Denmark
| | - Alice Kongsted
- The Faculty of Health Sciences, Department of Sports Science and Clinical Biomechanics, Research Unit of Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Carsten B Juhl
- The Faculty of Health Sciences, Department of Sports Science and Clinical Biomechanics, Research Unit of Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
- Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte, Denmark
| | - Ewa M Roos
- The Faculty of Health Sciences, Department of Sports Science and Clinical Biomechanics, Research Unit of Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
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Alkjær T, Bandak E, Henriksen M, Christensen R, Thorborg K, Zebis MK, Bencke J, Holm PM, Wæhrens EE. Perspectives on reasons why football and handball players sustain acute and severe knee injuries: a mixed-methods concept mapping study. BMJ Open Sport Exerc Med 2024; 10:e002048. [PMID: 39092236 PMCID: PMC11293416 DOI: 10.1136/bmjsem-2024-002048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2024] [Indexed: 08/04/2024] Open
Abstract
ABSTRACT Background The high incidence of knee injuries in football/handball challenges effective prevention. Identifying tangible and modifiable factors associated with a knee injury may innovate preventive actions. Engaging key stakeholders can reveal crucial insights that could improve knee injury prevention in football/handball. Objective To investigate football/handball stakeholders' perspectives on reasons for acute and severe knee injuries to generate a conceptual model on important factors associated with knee injuries in football/handball. Methods Mixed-method participatory Group Concept Mapping was applied to collect statements from football/handball stakeholders (players/coaches/healthcare staff/researchers) on the question, 'What may explain why some players sustain a knee injury?'. Participants rated the importance and feasibility of screening for each statement. Multidimensional scaling and hierarchical cluster analysis produced a cluster map, forming the basis for developing a final conceptual model. Results Stakeholders (n=37) generated and sorted 100 statements. Cluster analysis followed by cluster map validation yielded seven themes: (1) the player's physical and motor skill profile, (2) preparation and training, (3) footwear and playing surface, (4) the sport's impact on the risk of injury, (5) mental and physical fatigue, (6) history of injury and 7) genetics and context. A final conceptual model illustrating factors associated with knee injuries in football/handball was developed. Forty-six statements were identified as both important and feasible to screen for. Conclusions Stakeholders' perspectives on knee injuries in football/handball revealed a complex interplay of factors. We developed a conceptual model fostering stakeholder dialogue for enhanced prevention. Key among its themes is 'preparation and training'.
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Affiliation(s)
- Tine Alkjær
- Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
| | - Elisabeth Bandak
- Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
| | - Marius Henriksen
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
| | - Robin Christensen
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
- Research Unit of Rheumatology, Department of Clinical Research, University of Southern Denmark, Odense University Hospital, Odense, Denmark
| | - Kristian Thorborg
- Department of Orthopaedic Surgery, Sports Orthopedic Research Center - Copenhagen (SORC-C), Amager-Hvidovre Hospital, Faculty of Health Sciences, Copenhagen University Hospital, Copenhagen, Denmark
| | - Mette K Zebis
- Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, University College Copenhagen, Faculty of Health, Copenhagen, Denmark
- Institute of Sports Medicine Copenhagen, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
| | - Jesper Bencke
- Human Movement Analysis Laboratory, Department of Orthopaedic Surgery, Amager-Hvidovre Hospital, Copenhagen University Hospital, Copenhagen, Denmark
| | - Pætur M Holm
- The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
- The Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Center for Surgery, National Hospital of Faroe Islands, Tórshavn, Faroe Islands
- Faculty of Health Sciences, University of Faroe Islands, Tórshavn, Faroe Islands
| | - Eva E Wæhrens
- The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
- Occupational Science, User Perspectives and Community-based Research, Department of Public Health, University of Southern Denmark, Odense, Denmark
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Zhang ZX, Lai J, Shen L, Krishna L. Effectiveness of exercise-based sports injury prevention programmes in reducing injury rates in adolescents and their implementation in the community: a mixed-methods systematic review. Br J Sports Med 2024; 58:674-684. [PMID: 38749672 DOI: 10.1136/bjsports-2023-107717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2024] [Indexed: 06/02/2024]
Abstract
OBJECTIVE Despite evidence supporting the efficacy of sport injury prevention programmes (SIPPs) in adolescents, implementation of SIPPs in community settings is low. This review aims to synthesise and integrate evidence on the efficacy of exercise-based SIPPs in reducing injury rates in adolescents with implementation strategies for such programmes in the community. DESIGN A systematic review with meta-analysis, narrative synthesis and meta-aggregation was conducted, followed by a convergent segregated approach to integrate the findings. Sensitivity and subgroup analyses were conducted. Study appraisal was performed using Joanna Briggs Institute Critical Appraisal Checklists and Mixed Methods Appraisal Tool. DATA SOURCES Literature search of nine databases was carried out to identify studies in English from January 2012 to December 2022. ELIGIBILITY CRITERIA Included were randomised controlled trials (RCTs), qualitative or mixed-methods studies. Population included adolescents (10-19 years). Interventions included SIPPs. Outcomes were injury rate and rate ratio (IRR). Phenomena of interest were facilitators and barriers to the implementation of SIPPs. RESULTS 23 studies were included for analysis. Meta-analysis for 16 RCTs showed a protective effect of SIPP (IRR 0.63, 95% CI 0.53 to 0.74, p<0.00001) in adolescents. Meta-aggregation of seven qualitative/mixed-method studies revealed four sets of synthesised findings that impact implementation namely players' perceptions and beliefs, coaches as key facilitators, organisational support and characteristics of the SIPP. CONCLUSION Implementation of SIPPs provides a 37% risk reduction in adolescents but requires targeting key stakeholders through a top-down multifaceted approach for its efficacy to be translated. Future research should investigate the effectiveness of SIPPs and implementation strategies in adolescents in community settings.
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Affiliation(s)
- Zhe Xin Zhang
- Alice Lee Centre for Nursing Studies, National University of Singapore Yong Loo Lin School of Medicine, Singapore
| | - Joseph Lai
- National University of Singapore Yong Loo Lin School of Medicine, Singapore
| | - Liang Shen
- Biostatistics Unit, National University of Singapore Yong Loo Lin School of Medicine, Singapore
| | - Lingaraj Krishna
- Orthopaedic and Hand Surgery Partners Pte Ltd, Singapore
- Division of Sports, Shoulder & Elbow Surgery, Department of Orthopaedic Surgery, National University Hospital, Singapore
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Lutz D, van den Berg C, Räisänen AM, Shill IJ, Kim J, Vaandering K, Hayden A, Pasanen K, Schneider KJ, Emery CA, Owoeye OBA. Best practices for the dissemination and implementation of neuromuscular training injury prevention warm-ups in youth team sport: a systematic review. Br J Sports Med 2024; 58:615-625. [PMID: 38684329 DOI: 10.1136/bjsports-2023-106906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2024] [Indexed: 05/02/2024]
Abstract
OBJECTIVE To evaluate best practices for neuromuscular training (NMT) injury prevention warm-up programme dissemination and implementation (D&I) in youth team sports, including characteristics, contextual predictors and D&I strategy effectiveness. DESIGN Systematic review. DATA SOURCES Seven databases were searched. ELIGIBILITY The literature search followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. INCLUSION CRITERIA participation in a team sport, ≥70% youth participants (<19 years), D&I outcomes with/without NMT-related D&I strategies. The risk of bias was assessed using the Downs & Black checklist. RESULTS Of 8334 identified papers, 68 were included. Sport participants included boys, girls and coaches. Top sports were soccer, basketball and rugby. Study designs included randomised controlled trials (RCTs) (29.4%), cross-sectional (23.5%) and quasi-experimental studies (13.2%). The median Downs & Black score was 14/33. Injury prevention effectiveness (vs efficacy) was rarely (8.3%) prioritised across the RCTs evaluating NMT programmes. Two RCTs (2.9%) used Type 2/3 hybrid approaches to investigate D&I strategies. 19 studies (31.6%) used D&I frameworks/models. Top barriers were time restrictions, lack of buy-in/support and limited benefit awareness. Top facilitators were comprehensive workshops and resource accessibility. Common D&I strategies included Workshops with supplementary Resources (WR; n=24) and Workshops with Resources plus in-season Personnel support (WRP; n=14). WR (70%) and WRP (64%) were similar in potential D&I effect. WR and WRP had similar injury reduction (36-72%) with higher adherence showing greater effectiveness. CONCLUSIONS Workshops including supplementary resources supported the success of NMT programme implementation, however, few studies examined effectiveness. High-quality D&I studies are needed to optimise the translation of NMT programmes into routine practice in youth sport.
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Affiliation(s)
- Destiny Lutz
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Carla van den Berg
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Anu M Räisänen
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Department of Physical Therapy Education - Oregon, Western University of Health Sciences College of Health Sciences - Northwest, Lebanon, Oregon, USA
| | - Isla J Shill
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
| | - Jemma Kim
- Department of Physical Therapy & Athletic Training, Doisy College of Health Sciences, Saint Louis University, Saint Louis, Missouri, USA
- Interdisciplinary Program in Biomechanics and Movement Science, University of Delaware College of Health Sciences, Newark, Delaware, USA
| | - Kenzie Vaandering
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Alix Hayden
- Libraries and Cultural Resources, University of Calgary, Calgary, Alberta, Canada
| | - Kati Pasanen
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Tampere Research Center for Sports Medicine, Ukk Instituutti, Tampere, Finland
- McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Alberta, Canada
- Alberta Chilrden's Hopsital Research Institute, University of Calgary, Calgary, Alberta, Canada
| | - Kathryn J Schneider
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
- McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Alberta, Canada
- Alberta Chilrden's Hopsital Research Institute, University of Calgary, Calgary, Alberta, Canada
- Sport Medicine Centre, University of Calgary, Calgary, Alberta, Canada
| | - Carolyn A Emery
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
- McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Alberta, Canada
- Alberta Chilrden's Hopsital Research Institute, University of Calgary, Calgary, Alberta, Canada
- O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Oluwatoyosi B A Owoeye
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Department of Physical Therapy & Athletic Training, Doisy College of Health Sciences, Saint Louis University, Saint Louis, Missouri, USA
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Guevara SA, Donaldson A, Keegan RJ, Appaneal RN, Smyth EA, Waddington G, Mahony K, Mara JK, Drew MK. Gender and socioecological level differences in stakeholders' perceptions of athlete attrition factors in an Australian high-performance pathway system. J Sci Med Sport 2024; 27:197-203. [PMID: 37985254 DOI: 10.1016/j.jsams.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 09/30/2023] [Accepted: 11/07/2023] [Indexed: 11/22/2023]
Abstract
OBJECTIVES This study aimed to build on previous work by the authors. It examines how socioecological level and gender influence high-performance sport system (HPSS) stakeholders' perspectives of the relative importance and feasibility to address athlete attrition factors within an Australian high-performance pathway system (HPPS). DESIGN Mixed methods. METHODS Sub-analysis was conducted of rating data from 30 participants who had contributed to identifying 83 statements in 13 clusters in a previous Concept Mapping study. The 13 clusters were statistically analysed in 'R' using cumulative link mixed models (CLMMs) to determine differences in perceived importance and feasibility between 1) socioecological levels, and 2) genders. RESULTS Mean ratings for 11 and three of the 13 clusters were statistically significantly different between at least two of the five socioecological levels, for importance and feasibility, respectively. Athletes had the largest variation in mean ratings from the most (athlete health 4.59), to least (performance potential 2.83) important cluster, when compared to the other four socioecological levels. There were statistically significant differences between the ratings between genders (Men/Women) for two clusters for each rating scale: Importance: 'athlete health' (M3.33:W3.84 [p 0.012]); 'performance potential' (M3.35:W2.57; [p 0.001]), Feasibility: 'abuse and mismanagement of health' (M2.97:W3.68; [p 0.000]) and 'athlete health' (M2.54:W3.33; [p 0.000]). CONCLUSIONS This study highlights the need to implement more robust athlete attrition monitoring protocols. It also highlights the importance of listening to youth athletes' voices, and enabling equal gender representation to ensure holistically tailored environments are created to retain talented athletes in high-performance pathway programmes.
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Affiliation(s)
- Sara A Guevara
- Research Institute for Sports and Exercise Medicine, University of Canberra, Australia; New South Wales Institute of Sport, Australia; Athlete Performance Health, AIS Operations, Australian Institute of Sport, Australia.
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Australia.
| | | | - Renee N Appaneal
- Athlete Performance Health, AIS Operations, Australian Institute of Sport, Australia
| | - Erin A Smyth
- Research Institute for Sports and Exercise Medicine, University of Canberra, Australia.
| | - Gordon Waddington
- Research Institute for Sports and Exercise Medicine, University of Canberra, Australia.
| | - Kate Mahony
- New South Wales Institute of Sport, Australia.
| | - Jocelyn K Mara
- Research Institute for Sports and Exercise Medicine, University of Canberra, Australia.
| | - Michael K Drew
- Research Institute for Sports and Exercise Medicine, University of Canberra, Australia.
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Ageberg E, Bunke S, Linnéll J, Moesch K. Co-creating holistic injury prevention training for youth handball: Development of an intervention targeting end-users at the individual, team, and organizational levels. BMC Sports Sci Med Rehabil 2024; 16:10. [PMID: 38191495 PMCID: PMC10773026 DOI: 10.1186/s13102-023-00800-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 12/22/2023] [Indexed: 01/10/2024]
Abstract
BACKGROUND Interventions that are co-created with end-users, and that are informed by behavior change or implementation theories, support implementation in real world settings. However, injury prevention programs for youth athletes have typically been developed by experts with no, or insufficiently described, end-user involvement and without guidance by theories. The aim of the current study was to describe the development of a holistic injury prevention intervention for youth handball targeting end-users at different levels, through using knowledge from end-users and researchers/experts and applying relevant behavior change and implementation theories. METHODS Knowledge from researchers/experts (sports medicine, sport psychology, handball, physical therapy, strength and conditioning (n = 14)) and end-users (coaches, players, club administrators, n = 16), and applying relevant implementation (Consolidated Framework for Implementation Research, CFIR), behavior change (Health Action Process Approach, HAPA) and motivational (Self-Determination Theory, SDT) theories, were used to co-design the intervention. Early end-users (coaches (n = 6), players (n = 3) and a club administrator (n = 1)) were interviewed for initial feedback. RESULTS The intervention consisted of end-user-targeted information and training that was made available in a specifically developed interactive mobile application with modules for players, coaches, club administrators, and caregivers. Information for all end-users included benefits and principles of physical and psychological injury prevention training, load-management, motivation, and communication. Information about implementation was developed for club administrators specifically. For coaches, training to do with their teams included handball-specific injury prevention exercises (legs, shoulders, core) combined with psychological aspects (motivation, task focus, body awareness) to integrate within warm-up and handball skills training. Training for players included handball-specific multi-joint strength, power, and explosive exercises (legs, shoulders, core) and sport psychology exercises (self-awareness, relaxation, being in the present moment, prevent and handle stress). To support self-management, adoption, and motivation, programs were provided, and players and coaches could change, add, progress the difficulty of exercises, and build their own programs. Initial feedback from early end-users was generally positive. CONCLUSIONS Utilizing an approach where researchers/experts and end-users co-created injury prevention training specifically for youth handball, an intervention was generated that included information and holistic training targeting end-users at the individual (players, caregivers), team (coaches), and organizational (club administrators) levels.
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Affiliation(s)
- Eva Ageberg
- Department of Health Sciences, Faculty of Medicine, Lund University, PO Box 117, Lund, SE-221 00, Sweden.
| | - Sofia Bunke
- Department of Psychology, Lund University, Lund, Sweden
| | - Jennie Linnéll
- Department of Health Sciences, Faculty of Medicine, Lund University, PO Box 117, Lund, SE-221 00, Sweden
- Swedish Handball Federation, Stockholm, Sweden
| | - Karin Moesch
- Department of Psychology, Lund University, Lund, Sweden
- Department of Sports Sciences, Malmö University, Malmö, Sweden
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Nauta J, de Klerk C, van Nassau F, Kemler E, Zuidema V, de Wit J, Verhagen E, Vriend I. A sports-related injury prevention program for Dutch youth volleyball players: Process evaluation alongside a quasi-randomized controlled trial. Scand J Med Sci Sports 2024; 34:e14560. [PMID: 38268073 DOI: 10.1111/sms.14560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 11/07/2023] [Accepted: 01/02/2024] [Indexed: 01/26/2024]
Abstract
OBJECTIVE This process evaluation aimed to gain insight into the implementation of the VolleyVeilig Youth program by Dutch volleyball clubs within the context of an effectiveness trial. METHODS We applied the UK Medical Research Council framework for process evaluations and assessed the context, implementation and mechanisms of impact. Trainers participating in the effectiveness trial were asked to complete a questionnaire at the end of the study. A subsample of the trainers based on the self-reported adherence score was invited to participate in an interview accordingly. We used a thematic analysis to present the data. RESULTS Thirty-one trainers (100%) completed the questionnaire, and seven agreed to participate in an interview. Although adherence gradually decreased over the volleyball season, most trainers reported partially adhere with the program until the end of the study. The main themes included factors associated with the (1) VolleyVeilig Youth program, (2) trainer, (3) players, and (4) volleyball club. CONCLUSION Although (partial) adherence to the VolleyVeilig Youth program was high in this study, implementation strategies must be developed to target the barriers reported by the trainers before the program can be successfully implemented nationwide in the Netherlands.
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Affiliation(s)
- Joske Nauta
- Department of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Cindy de Klerk
- Department of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Femke van Nassau
- Department of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Ellen Kemler
- Dutch Consumer Safety Institute (VeligheidNL), Amsterdam, The Netherlands
| | - Victor Zuidema
- Dutch Consumer Safety Institute (VeligheidNL), Amsterdam, The Netherlands
| | | | - Evert Verhagen
- Department of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Ingrid Vriend
- Department of Public and Occupational Health, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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9
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Kamarajugadda S, Italiano J, Horodyski M, Zaremski JL, Pazik M, Zeppieri G, Farmer KW, Brombacher-O’Connell S, Prine B, Smith MS. Caregiver Awareness of Safe Pitching Recommendations in Youth Fastpitch Softball Pitchers. Orthop J Sports Med 2023; 11:23259671231169947. [PMID: 37255943 PMCID: PMC10226313 DOI: 10.1177/23259671231169947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 01/24/2023] [Indexed: 06/01/2023] Open
Abstract
Background Although fastpitch softball participation continues to rise, there is a lack of established pitch count guidelines, potentially putting young female athletes at risk of overuse injuries. In addition to coaches, caregivers' ability to recognize and employ safe pitching guidelines plays an important role in athlete safety. Purpose/Hypothesis The purpose of this study was to assess caregivers' knowledge of their child's pitching practices and their familiarity with softball pitching recommendations. We hypothesized that caregivers would be unaware of safe pitching recommendations in youth fastpitch softball. Study Design Cross-sectional study. Methods A 30-question survey was distributed to caregivers of youth fastpitch softball pitchers in age groups 10U (ie, ≤10 years), 12U, 14U, 16U, and 18U. The survey included questions on the demographic characteristics of caregivers and athletes, caregivers' knowledge of safe pitching recommendations, and athletes' pitching background and throwing habits. Comparisons of responses between the age groups were conducted using the chi-square test, Fisher exact test, or 1-way analysis of variance, as appropriate. Results A total of 115 caregivers completed the survey. Of the respondents, 84% were between 31 and 50 years, and 81.7% had a degree beyond high school. Only 28.1% of caregivers reported participating in youth sports. When asked to estimate the number of pitches they considered a safe amount during a single outing, 28.7% of caregivers (n = 33) did not provide a limit, 4.3% (n = 5) stated no limit was needed, 32.2% (n = 37) suggested 25 to 80 pitches, 21.7% (n = 25) suggested 81 to 100 pitches, 12.2% (n = 14) suggested 100 to 150 pitches, and 0.9% (n = 1) suggested that >150 pitches were acceptable. These data emphasized that only 14.8% of the caregivers were aware of any pitching guidelines. However, 93% of caregivers acknowledged that they would adhere to recommendations if guidelines were made available. Conclusion The study findings demonstrated that a majority of caregivers are unaware of current youth fastpitch softball pitching recommendations.
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Affiliation(s)
| | - Jack Italiano
- Department of Community Health &
Family Medicine, University of Florida, Gainesville, Florida, USA
| | - MaryBeth Horodyski
- Department of Orthopaedic Surgery &
Sports Medicine, University of Florida, Gainesville, Florida, USA
| | - Jason L. Zaremski
- Department of Physical Medicine and
Rehabilitation, University of Florida, Gainesville, Florida, USA
| | - Marissa Pazik
- Department of Orthopaedic Surgery &
Sports Medicine, University of Florida, Gainesville, Florida, USA
| | - Giorgio Zeppieri
- Department of Rehabilitation,
University of Florida, Gainesville, Florida, USA
| | - Kevin W. Farmer
- Department of Community Health &
Family Medicine, University of Florida, Gainesville, Florida, USA
| | | | - Bryan Prine
- Department of Community Health &
Family Medicine, University of Florida, Gainesville, Florida, USA
| | - Michael Seth Smith
- Department of Community Health &
Family Medicine, University of Florida, Gainesville, Florida, USA
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10
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Tischer T, Martens G, Cabri J, Thoreux P, Tscholl P, Edouard P, Leclerc S, Le Garrec S, Delvaux F, Croisier JL, Kaux JF, Hannouche D, Lutter C, Seil R. The awareness of injury prevention programmes is insufficient among French- and German-speaking sports medicine communities in Europe. Knee Surg Sports Traumatol Arthrosc 2023:10.1007/s00167-023-07416-w. [PMID: 37074402 DOI: 10.1007/s00167-023-07416-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 04/06/2023] [Indexed: 04/20/2023]
Abstract
PURPOSE Evaluate the current state of sports injury prevention perception, knowledge and practice among sports medicine professionals located in Western Europe and involved in injury prevention. METHODS Members of two different sports medicine organizations (GOTS and ReFORM) were invited to complete a web-based questionnaire (in German and in French, respectively) addressing perception, knowledge and implementation of sports injury prevention through 22 questions. RESULTS 766 participants from a dozen of countries completed the survey. Among them, 43% were surgeons, 23% sport physicians and 18% physiotherapists working mainly in France (38%), Germany (23%) and Belgium (10%). The sample rated the importance of injury prevention as "high" or "very high" in a majority of cases (91%), but only 54% reported to be aware of specific injury prevention programmes. The French-speaking world was characterized by lower levels of reported knowledge, unfamiliarity with existing prevention programmes and less weekly time spent on prevention as compared to their German-speaking counterparts. Injury prevention barriers reported by the respondents included mainly insufficient expertise, absence of staff support from sports organizations and lack of time. CONCLUSION There is a lack of awareness regarding injury prevention concepts among sports medicine professionals of the European French- and German-speaking world. This gap varied according to the professional occupation and working country. Relevant future paths for improvement include specific efforts to build awareness around sports injury prevention. LEVEL OF EVIDENCE Level IV.
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Affiliation(s)
- Thomas Tischer
- Department of Orthopedics, University Medical Center, Rostock, Germany
| | - Géraldine Martens
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium.
- Physical Medicine and Sport Traumatology Department, SportS2, University and University Hospital of Liege, Avenue de L'Hôpital, 1, 4000, Liège, Belgium.
| | - Jan Cabri
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Sports Medicine and Science, Luxembourg Institute of Research in Orthopedics, Luxembourg, Luxembourg
| | - Patricia Thoreux
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- French National Institute of Sport (INSEP), Paris, France
- Centre d'Investigations en Médecine du Sport (CIMS) - Hôpital Hôtel Dieu-APHP, Paris, France
| | - Philippe Tscholl
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Department of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland
| | - Pascal Edouard
- Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Saint-Etienne, France
- Inter-University Laboratory of Human Movement Biology, EA 7424, Univ Lyon, UJM-Saint-Etienne, F-42023, Saint-Etienne, France
| | - Suzanne Leclerc
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Institut National du Sport du Québec (INS), Montréal, QC, Canada
| | - Sébastien Le Garrec
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- French National Institute of Sport (INSEP), Paris, France
| | - François Delvaux
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Physical Medicine and Sport Traumatology Department, SportS2, University and University Hospital of Liege, Avenue de L'Hôpital, 1, 4000, Liège, Belgium
| | - Jean-Louis Croisier
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Physical Medicine and Sport Traumatology Department, SportS2, University and University Hospital of Liege, Avenue de L'Hôpital, 1, 4000, Liège, Belgium
| | - Jean-François Kaux
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Physical Medicine and Sport Traumatology Department, SportS2, University and University Hospital of Liege, Avenue de L'Hôpital, 1, 4000, Liège, Belgium
| | - Didier Hannouche
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Department of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland
| | - Christoph Lutter
- Department of Orthopedics, University Medical Center, Rostock, Germany
| | - Romain Seil
- ReFORM IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Liège, Belgium
- Sports Medicine and Science, Luxembourg Institute of Research in Orthopedics, Luxembourg, Luxembourg
- Department of Orthopaedic Surgery, Centre Hospitalier de Luxembourg-Clinique d'Eich, Luxembourg, Luxembourg
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11
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Smyth EA, Donaldson A, Drew MK, Menaspa M, Cooke J, Guevara SA, Purdam C, Appaneal C, Wiasak R, Toohey L. What Contributes to Athlete Performance Health? A Concept Mapping Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:300. [PMID: 36612621 PMCID: PMC9819660 DOI: 10.3390/ijerph20010300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/09/2022] [Accepted: 12/15/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND In high-performance sport, athlete performance health encompasses a state of optimal physical, mental, and social wellbeing related to an athlete's sporting success. The aim of this study was to identify the priority areas for achieving athlete performance health in Australia's high-performance sport system (HPSS). METHODS Participants across five socioecological levels of Australia's HPSS were invited to contribute to this study. Concept mapping, a mixed-methods approach incorporating qualitative and quantitative data collection, was used. Participants brainstormed ideas for what athlete performance health requires, sorted the ideas into groups based on similar meaning and rated the importance, and ease of achieving each idea on a scale from 1 (not important/easiest to overcome) to 5 (extremely important/hardest to overcome). RESULTS Forty-nine participants generated 97 unique statements that were grouped into 12 clusters following multidimensional scaling and hierarchical cluster analysis. The three clusters with highest mean importance rating were (mean importance rating (1-5), mean ease of overcoming (1-5)): 'Behavioral competency' (4.37, 2.30); 'Collaboration and teamwork' (4.19, 2.65); 'Valuing athlete wellbeing' (4.17, 2.77). The 12 clusters were grouped into five overarching domains: Domain one-Performance health culture; Domain two-Integrated strategy; Domain three-Operational effectiveness; Domain four-Skilled people; Domain five-Leadership. CONCLUSION A diverse sample of key stakeholders from Australia's HPSS identified five overarching domains that contribute to athlete performance health. The themes that need to be addressed in a strategy to achieve athlete performance health in Australia's HPSS are 'Leadership', 'Skilled people', 'Performance health culture', 'Operational effectiveness', and 'Integrated strategy'.
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Affiliation(s)
- Erin A. Smyth
- Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Bruce Campus, 11 Kirinari Street, Bruce, Canberra, ACT 2617, Australia
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Melbourne, VIC 3086, Australia
| | - Michael K. Drew
- Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Bruce Campus, 11 Kirinari Street, Bruce, Canberra, ACT 2617, Australia
| | - Miranda Menaspa
- Australian Institute of Sport, Bruce, Canberra, ACT 2617, Australia
| | - Jennifer Cooke
- Australian Institute of Sport, Bruce, Canberra, ACT 2617, Australia
| | - Sara A. Guevara
- Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Bruce Campus, 11 Kirinari Street, Bruce, Canberra, ACT 2617, Australia
| | - Craig Purdam
- School of Physiotherapy, University of Canberra, Bruce, Canberra, ACT 2617, Australia
- La Trobe Sport and Exercise Medicine Research Centre, Melbourne, VIC 3086, Australia
| | - Craig Appaneal
- Research School of Psychology, Australian National University, Canberra, ACT 2601, Australia
| | - Rebecca Wiasak
- Australian Institute of Sport, Bruce, Canberra, ACT 2617, Australia
| | - Liam Toohey
- Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Bruce Campus, 11 Kirinari Street, Bruce, Canberra, ACT 2617, Australia
- Australian Institute of Sport, Bruce, Canberra, ACT 2617, Australia
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12
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McCormack S, Till K, Wenlock J, Whitehead S, Stokes KA, Bitcon M, Brown J, Cross M, Davies P, Falvey ÉC, Flahive S, Gardner A, Hendricks S, Johnston R, Mellalieu SD, Parmley J, Phillips G, Ramirez C, Stein J, Scantlebury S, West SW, Jones B. Contributors to negative biopsychosocial health or performance outcomes in rugby players (CoNBO): a systematic review and Delphi study protocol. BMJ Open Sport Exerc Med 2022; 8:e001440. [PMID: 36249486 PMCID: PMC9557262 DOI: 10.1136/bmjsem-2022-001440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2022] [Indexed: 11/13/2022] Open
Abstract
The importance of contributors that can result in negative player outcomes in sport and the feasibility and barriers to modifying these to optimise player health and well-being have yet to be established. Within rugby codes (rugby league, rugby union and rugby sevens), within male and female cohorts across playing levels (full-time senior, part-time senior, age grade), this project aims to develop a consensus on contributors to negative biopsychosocial outcomes in rugby players (known as the CoNBO study) and establish stakeholder perceived importance of the identified contributors and barriers to their management. This project will consist of three parts; part 1: a systematic review, part 2: a three-round expert Delphi study and part 3: stakeholder rating of feasibility and barriers to management. Within part 1, systematic searches of electronic databases (PubMed, Scopus, MEDLINE, SPORTDiscus, CINAHL) will be performed. The systematic review protocol is registered with PROSPERO. Studies will be searched to identify physical, psychological and/or social factors resulting in negative player outcomes in rugby. Part 2 will consist of a three-round expert Delphi consensus study to establish additional physical, psychological and/or social factors that result in negative player outcomes in rugby and their importance. In part 3, stakeholders (eg, coaches, chief executive officers and players) will provide perceptions of the feasibility and barriers to modifying the identified factors within their setting. On completion, several manuscripts will be submitted for publication in peer-reviewed journals. The findings of this project have worldwide relevance for stakeholders in the rugby codes. PROSPERO registration number CRD42022346751.
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Affiliation(s)
- Sam McCormack
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK
| | - Kevin Till
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Leeds Rhinos Rugby League club, Leeds, UK
| | - Jessica Wenlock
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Leeds Rhinos Rugby League club, Leeds, UK
| | - Sarah Whitehead
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK
| | - Keith A Stokes
- Department for Health, University of Bath, Bath, UK,Rugby Football Union, Twickenham, UK
| | | | - James Brown
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Institute of Sport and Exercise Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | | | | | - Éanna C Falvey
- World Rugby Limited, Dublin, Ireland,College of Medicine and Health, University College Cork, Cork, Ireland
| | | | - Andrew Gardner
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Sydney School of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
| | - Sharief Hendricks
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Rondebosch, South Africa
| | - Rich Johnston
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,School of Behavioural and Health Sciences, Australia Catholic University, Brisbane, Queensland, Australia
| | - Stephen D Mellalieu
- Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University—Cyncoed Campus, Cardiff, Cardiff, UK
| | - James Parmley
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK
| | - Gemma Phillips
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK,Hull Kingston Rovers Rugby League club, Hull, UK
| | - Carlos Ramirez
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,Scottich Rugby Union, Edinburgh, UK
| | - Joshua Stein
- National Rugby League, Sydney, New South Wales, Australia
| | - Sean Scantlebury
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK
| | - Stephen W West
- Department for Health, University of Bath, Bath, UK,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Ben Jones
- Carnegie Applied Rugby Research (CARR) centre, Leeds Beckett University, Leeds, UK,England Performance Unit, Rugby Football League, Manchester, UK,Leeds Rhinos Rugby League club, Leeds, UK,Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Rondebosch, South Africa,School of Science and Technology, University of New England, Armidale, New South Wales, Australia
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13
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Connors EH, Lyon AR, Garcia K, Sichel CE, Hoover S, Weist MD, Tebes JK. Implementation strategies to promote measurement-based care in schools: evidence from mental health experts across the USA. Implement Sci Commun 2022; 3:67. [PMID: 35729657 PMCID: PMC9210728 DOI: 10.1186/s43058-022-00319-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 06/12/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Despite an established taxonomy of implementation strategies, minimal guidance exists for how to select and tailor strategies to specific practices and contexts. We employed a replicable method to obtain stakeholder perceptions of the most feasible and important implementation strategies to increase mental health providers' use of measurement-based care (MBC) in schools. MBC is the routine use of patient-reported progress measures throughout treatment to inform patient-centered, data-driven treatment adjustments. METHODS A national sample of 52 school mental health providers and researchers completed two rounds of modified Delphi surveys to rate the relevance, importance, and feasibility of 33 implementation strategies identified for school settings. Strategies were reduced and definitions refined using a multimethod approach. Final importance and feasibility ratings were plotted on "go-zone" graphs and compared across providers and researchers to identify top-rated strategies. RESULTS The initial 33 strategies were rated as "relevant" or "relevant with changes" to MBC in schools. Importance and feasibility ratings were high overall for both survey rounds; on a scale of 1 to 5, importance ratings (3.61-4.48) were higher than feasibility ratings (2.55-4.06) on average. Survey 1 responses resulted in a reduced, refined set of 21 strategies, and six were rated most important and feasible on Survey 2: (1) assess for readiness and identify barriers and facilitators; (2) identify and prepare champions; (3) develop a usable implementation plan; (4) offer a provider-informed menu of free, brief measures; (5) develop and provide access to training materials; and (6) make implementation easier by removing burdensome documentation tasks. Provider and researcher ratings were not significantly different, with a few exceptions: providers reported higher feasibility and importance of removing burdensome paperwork than researchers, providers reported higher feasibility of train-the trainer approaches than researchers, and researchers reported higher importance of monitoring fidelity than providers. CONCLUSIONS The education sector is the most common setting for child and adolescent mental health service delivery in the USA. Effective MBC implementation in schools has the potential to elevate the quality of care received by many children, adolescents, and their families. This empirically derived, targeted list of six implementation strategies offers potential efficiencies for future testing of MBC implementation in schools.
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Affiliation(s)
- Elizabeth H. Connors
- grid.47100.320000000419368710Department of Psychiatry, Yale University, 389 Whitney Avenue, Office 106, New Haven, CT 06511 USA
| | - Aaron R. Lyon
- grid.34477.330000000122986657Department of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th Street, Suite 100, Seattle, WA 98115 USA
| | - Kaylyn Garcia
- grid.47100.320000000419368710Department of Psychiatry, Yale University, 389 Whitney Avenue, Office 106, New Haven, CT 06511 USA
- grid.254567.70000 0000 9075 106XDepartment of Psychology, University of South Carolina, 1512 Pendelton Street, Columbia, SC 29208 USA
| | - Corianna E. Sichel
- grid.47100.320000000419368710Department of Psychiatry, Yale University, 389 Whitney Avenue, Office 106, New Haven, CT 06511 USA
- grid.21729.3f0000000419368729Division of Child/Adolescent Psychiatry, Department of Psychiatry, Columbia University, 1051 Riverside Drive, New York, NY 10032 USA
| | - Sharon Hoover
- grid.411024.20000 0001 2175 4264Department of Psychiatry, University of Maryland, 737 West Lombard Street, 4th Floor, Baltimore, MD 21201 USA
| | - Mark D. Weist
- grid.254567.70000 0000 9075 106XDepartment of Psychology, University of South Carolina, 1512 Pendelton Street, Columbia, SC 29208 USA
| | - Jacob K. Tebes
- grid.47100.320000000419368710Department of Psychiatry, Yale University, 389 Whitney Avenue, Office 106, New Haven, CT 06511 USA
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14
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Ageberg E, Brodin EM, Linnéll J, Moesch K, Donaldson A, Adébo E, Benjaminse A, Ekengren J, Granér S, Johnson U, Lucander K, Myklebust G, Møller M, Tranaeus U, Bunke S. Cocreating injury prevention training for youth team handball: bridging theory and practice. BMJ Open Sport Exerc Med 2022; 8:e001263. [PMID: 35505981 PMCID: PMC8984048 DOI: 10.1136/bmjsem-2021-001263] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2022] [Indexed: 11/12/2022] Open
Abstract
Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts. Employing action evaluation within participatory action research, the cyclical development process included three phases: research team preparation, handball expert-based preparation and end-user evaluation to develop injury prevention training incorporating both physical and psychological perspectives. To grow the knowledge of the interdisciplinary research team, rethinking was conducted within and between phases based on participants’ contributions. Researchers and end-users cocreated examples of handball-specific exercises, including injury prevention physical principles (movement technique for upper and lower extremities, respectively, and muscle strength) combined with psychological aspects (increase end-user motivation, task focus and body awareness) to integrate into warm-up and skills training within handball practice. A cyclical development process that engaged researchers/handball experts and end-users to cocreate evidence-based, theory-informed and context-specific injury prevention training specifically for youth handball players generated a first pilot version of exercises including physical principles combined with psychological aspects to be integrated within handball practice.
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Affiliation(s)
- Eva Ageberg
- Department of Health Sciences, Lund University, Lund, Sweden
| | - Eva M Brodin
- Department of Educational Sciences, Lund University, Lund, Sweden.,Centre for Higher and Adult Education (CHAE), Stellenbosch University, Stellenbosch, South Africa
| | - Jennie Linnéll
- Department of Health Sciences, Lund University, Lund, Sweden
| | - Karin Moesch
- Department of Psychology, Lund University, Lund, Sweden
| | - Alex Donaldson
- Centre for Sport and Social Impact (CSSI), La Trobe University, Melbourne, Victoria, Australia
| | - Emme Adébo
- Regional Handball Federation in South Sweden, Lund, Sweden
| | - Anne Benjaminse
- Center for Human Movement Sciences, University of Groningen, Groningen, The Netherlands.,School of Sport Studies, Hanze University Groningen School of Social Studies, Groningen, The Netherlands
| | - Johan Ekengren
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - Simon Granér
- Department of Psychology, Lund University, Lund, Sweden
| | - Urban Johnson
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | | | - Grethe Myklebust
- Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway
| | - Merete Møller
- Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway.,Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Ulrika Tranaeus
- Department of physiology, nutrition and biomechanics, The Swedish School of Sport and Health Sciences, Stockholm, Sweden.,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Sofia Bunke
- Department of Psychology, Lund University, Lund, Sweden
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15
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Guevara SA, Donaldson A, Keegan RJ, Appaneal RN, Smyth EA, Waddington G, Mahony K, Drew MK. Stakeholder insights into athlete attrition in the high-performance pathway. J Sci Med Sport 2022; 25:755-763. [DOI: 10.1016/j.jsams.2022.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 04/30/2022] [Accepted: 05/24/2022] [Indexed: 10/18/2022]
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16
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Moesch K, Bunke S, Linnéll J, Brodin EM, Donaldson A, Ageberg E. "Yeah, I Mean, You're Going to Handball, so You Want to Use Balls as Much as Possible at Training": End-Users' Perspectives of Injury Prevention Training for Youth Handball Players. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3402. [PMID: 35329089 PMCID: PMC8949033 DOI: 10.3390/ijerph19063402] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 03/02/2022] [Accepted: 03/08/2022] [Indexed: 02/01/2023]
Abstract
Young handball players experience high injury rates. Specific injury prevention programs reduce injury rates but are not well implemented into youth players' training. The 'Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)' project addresses this challenge. The aim of this study was to investigate how youth handball coaches and players experienced the recently developed I-PROTECT GO pilot program, by focusing on barriers and facilitators. Three focus group interviews were conducted with coaches and players, and their answers were analyzed using a general inductive approach. The participants appreciated the program and found it useful for their context. The participants' statements about facilitators and barriers centered around the categories of resources, exercises, program design, and learning. Facilitators that emerged were motivating exercises (e.g., handball-specific), a helpful set-up (e.g., variation), having a clear purpose of exercises, the possibility to fulfil basic psychological needs while training, receiving instructions and feedback, and having role models. Barriers that emerged were limited space and material, difficulties with exercises, an unhelpful set-up (e.g., too repetitive), and undisciplined training. It is important to address perceived barriers and facilitators among coaches and players when developing injury prevention training programs to enhance the uptake of such training.
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Affiliation(s)
- Karin Moesch
- Department of Psychology, Lund University, 22100 Lund, Sweden;
| | - Sofia Bunke
- Department of Psychology, Lund University, 22100 Lund, Sweden;
| | - Jennie Linnéll
- Department of Health Sciences, Lund University, 22100 Lund, Sweden; (J.L.); (E.A.)
| | - Eva M. Brodin
- Department of Educational Sciences, Lund University, 22100 Lund, Sweden;
- Centre for Higher and Adult Education (CHAE), Department of Curriculum Studies, Faculty of Education, Stellenbosch University, Stellenbosch 7600, South Africa
| | - Alex Donaldson
- Centre for Sport and Social Impact (CSSI), La Trobe University, Bundoora, VIC 3086, Australia;
| | - Eva Ageberg
- Department of Health Sciences, Lund University, 22100 Lund, Sweden; (J.L.); (E.A.)
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17
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Mellish S, Ryan JC, McLeod EM, Tuckey MR, Pearson EL. Challenges and successes to the implementation of a zoo conservation-education program. EVALUATION AND PROGRAM PLANNING 2021; 88:101950. [PMID: 33866233 DOI: 10.1016/j.evalprogplan.2021.101950] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Revised: 02/02/2021] [Accepted: 03/27/2021] [Indexed: 06/12/2023]
Abstract
Zoo conservation-education programs have potential to address biodiversity loss, although evidence of their effectiveness to encourage social change is in its infancy. Moreover, how a program is implemented may influence program efficacy, yet there is little evidence of the factors that shape this process in zoos. Accordingly, through a process evaluation of Zoos Victoria's 'When Balloons Fly" (WBF) conservation-education program against marine debris, we identified barriers and enablers to the implementation of the program which can be addressed to improve future initiatives. Between April-May 2018, 24 Zoos Victoria professionals completed an online survey focussed on identifying challenges and successes in implementing WBF. Four participants additionally completed a follow-up telephone interview. Themes were identified and organised according to the model of diffusion in service organisations (Greenhalgh, Robert, Macfarlane, Bate, & Kyriakidou, 2004). Our results illuminate that features of the organisation (e.g., structure, culture) rather than features of individuals (e.g., skills, motivation) or characteristics of the conservation-education program itself (e.g., messaging), were most influential to implementation success. Based on these findings, attention to the organisational context is critical for promoting and evaluating the success of conservation-education programs and must be given significant attention alongside program characteristics and staff capability to deliver them.
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Affiliation(s)
- Sarah Mellish
- Conservation Psychology and Applied Animal Behaviour Research Group, School of Psychology, Social Work, and Social Policy, Magill Campus, St Bernards Road, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia.
| | - Jillian C Ryan
- Commonwealth Scientific and Industrial Research Organisation, North Terrace Campus, Kintore Avenue, University of Adelaide, Adelaide, SA, 5000, Australia.
| | - Emily M McLeod
- Wildlife Conservation and Science, Zoos Victoria, Elliott Avenue, Parkville, 3052, Australia.
| | - Michelle R Tuckey
- Centre for Workplace Excellence, University of South Australia, School of Psychology, Social Work and Social Policy, Magill Campus, St Bernards Road, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia.
| | - Elissa L Pearson
- Conservation Psychology and Applied Animal Behaviour Research Group, School of Psychology, Social Work, and Social Policy, Magill Campus, St Bernards Road, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia.
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Kalema RN, Duhig SJ, Williams MD, Donaldson A, Shield AJ. Sprinting technique and hamstring strain injuries: A concept mapping study. J Sci Med Sport 2021; 25:209-215. [PMID: 34600821 DOI: 10.1016/j.jsams.2021.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 09/09/2021] [Accepted: 09/16/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The aim of this study was to explore expert opinion to identify the components of sprinting technique they believed to be risk factors for hamstring strain injuries (HSI). DESIGN Mixed-method research design. METHODS The Concept Systems groupwisdom™ web platform was used to analyse and collect data. Participants brainstormed, sorted and rated the components of sprinting technique to consider in a HSI prevention strategy. RESULTS Twenty-three experts (academic/researcher, physiotherapist, strength and conditioning coaches and sprint coaches) brainstormed 66 statements that were synthesised and edited to 60 statements. Nineteen participants sorted the statements into clusters and rated them for relative importance and confidence they could be addressed in a hamstring injury prevention program. Multidimensional scaling and cluster analysis identified a 8-cluster solution modified to a 5-cluster solution by the research team: Training prescription (10 statements, mean importance: 3.79 out of 5 and mean confidence: 3.79); Neuromuscular and tendon properties (9, 3.09, 3.08); Kinematics parameters/Technical skills (27, 2.99, 2.98); Kinetics parameters (10, 2.85, 2.92); and Hip mechanics (4, 2.70, 2.63). The statement: "low exposure to maximal sprint running" located in the cluster "Training prescription" received the highest mean importance (4.55) and confidence ratings (4.42) of all statements. CONCLUSION The five clusters of components of sprinting technique believed to be risk factors for HSIs in order of most to least important were: training prescription, neuromuscular and tendon properties, kinematics parameters/technical drills, kinetics parameters and hip mechanics.
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Affiliation(s)
- Rudy N Kalema
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia.
| | - Steven J Duhig
- School of Allied Health Sciences - Exercise and Sport, Griffith University, Australia.
| | - Morgan D Williams
- Faculty of life Sciences and Education, University of South Wales, United Kingdom.
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Australia.
| | - Anthony J Shield
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia.
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19
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Implementing ACL Injury Prevention in Daily Sports Practice-It's Not Just the Program: Let's Build Together, Involve the Context, and Improve the Content. Sports Med 2021; 51:2461-2467. [PMID: 34533777 PMCID: PMC8589765 DOI: 10.1007/s40279-021-01560-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2021] [Indexed: 11/03/2022]
Abstract
Although the benefits of current anterior cruciate ligament (ACL) injury prevention programmes have been demonstrated in efficacy studies, they, unfortunately, have had limited public health impact to date. For example, the incidence of ACL injuries continues to rise in adolescent athletes. Raising awareness and educating coaches and athletes is not enough to facilitate the widespread, sustained use of these programmes in the real-world setting. Considering the profound burden of ACL injuries, it is necessary to continue to improve the current ACL injury prevention programmes through co-creation. First, the uptake of the programmes should be optimized by a better appreciation and understanding of the individual, socio-cultural and environmental context (i.e., community). Second, the content of the programmes should be optimized to better reflect the demands of the sport by creating more ownership and increasing motivation (incorporating challenging, sport-specific and fun elements) with the end-users. In addition, implicit motor learning, random practice and differential learning are concepts that should be integrated when practising to obtain the most optimal results when learning or finetuning skills.
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20
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Moving Beyond One-Size-Fits-All Approaches to Injury Prevention: Evaluating How Tailored Injury Prevention Programs Are Developed and Implemented in Academy Soccer. J Orthop Sports Phys Ther 2021; 51:432-439. [PMID: 34465143 DOI: 10.2519/jospt.2021.10513] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To evaluate the real-world development and implementation of tailored injury prevention exercise programs (IPEPs) in academy soccer players. DESIGN A mixed-methods process evaluation employing the Consolidated Framework for Implementation Research. METHODS The participants were 38 players and staff members (eg, coaches, physical therapists) from 4 male teams in 1 European soccer academy. The content and nature of the 4 teams' IPEPs and the degree of implementation across 1 playing season were evaluated. Additionally, participants took part in semi-structured interviews and focus groups, focusing on the development of tailored IPEPs and implementation barriers and facilitators. RESULTS Teams employed multiple IPEPs, developed by the team physical therapists and strength and conditioning coaches. A range of sources, including scientific literature, guidelines, individual player screening data, and previous experience, influenced IPEP development. Across all teams, 76% of IPEP sessions were completed as originally planned and a further 11% were completed in modified form. The key barriers to implementation during the season were related to scheduling changes and managing player workload. Thematic coding of interviews and focus groups identified 25 IPEP implementation barriers (eg, time and scheduling, player workload) and 41 facilitators (eg, program adaptability, facilities and equipment). CONCLUSION In a male soccer academy setting, physical therapists and strength and conditioning coaches played the key role in IPEP development. Teams employed a range of different, internally developed programs. The key implementation factors were related to time and scheduling and managing player workload. J Orthop Sports Phys Ther 2021;51(9):432-439. doi:10.2519/jospt.2021.10513.
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21
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How injury prevention programs are being structured and implemented worldwide: An international survey of sports physical therapists. Phys Ther Sport 2021; 53:143-150. [PMID: 34238639 DOI: 10.1016/j.ptsp.2021.06.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 06/04/2021] [Accepted: 06/08/2021] [Indexed: 01/17/2023]
Abstract
OBJECTIVE To identify the role of sports physical therapists (PT) in the injury prevention process and to compare the structure of preventive programs and associated (organization) policies applied in athletic organizations and sports teams of varying gender and level world-wide. DESIGN cross-sectional study. SETTING LimeSurvey platform. PARTICIPANTS Sports PT working with athletes invited through the International Federation of Sports Physical Therapy. MAIN OUTCOME MEASURES Sports injury prevention program (IPP) structure and implementation. RESULTS 414 participants fully participate in this survey study. Athlete's injury history (68.84%), the most common injuries within the sport modality (67.87%) and athlete's preseason screening results (64.01%) were most frequently used to customize IPPs. Warm-up (70.04%) and individually PT-guided exercise-therapy (70.04%) were the preferred methods to organize the prevention routine. The main barrier for IPP implementation was lack of time within the athlete's weekly training schedule (66.66%). The majority of the participants (72.84%) reported to evaluate the perception of IPP's effect by comparing current and preceding seasons' injury occurrences. CONCLUSION These survey results are the first identifying contemporary sports injury prevention organization and implementation policies on an international level. This information might support the sports PT community in improving and standardizing IPP (implementation) strategies worldwide.
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22
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Møller M, Zebis MK, Myklebust G, Lind M, Wedderkopp N, Bekker S. "Is it fun and does it enhance my performance?" - Key implementation considerations for injury prevention programs in youth handball. J Sci Med Sport 2021; 24:1136-1142. [PMID: 34167894 DOI: 10.1016/j.jsams.2021.04.017] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 04/29/2021] [Accepted: 04/30/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVES We aimed to determine the use of injury prevention exercises and injury prevention exercise programs in Danish youth handball and investigate coach and player experiences, beliefs and attitudes of injury and their prevention. DESIGN A mixed-methods design consisting of cross-sectional quantitative surveys and qualitative interviews. METHODS We surveyed 481 youth (14-18 years old) handball players and their 33 coaches about their use of injury prevention exercises, and attitudes towards injury and their prevention. Additionally, we interviewed five coaches and three players about barriers and motivational factors for implementing injury prevention programs. RESULTS Players (71%) and almost all coaches reported performing injury prevention exercises for the shoulder, knee, and ankle. Yet few players (4%) and coaches (1%) reported performing the established full injury prevention programs systematically. Players were willing to implement programs to reduce injury risk (84% agreed) and enhance performance (88% agreed). Key factors influencing program uptake were lack of awareness of evidence-based injury prevention programs and lack of handball-specific exercises. Coaches and players identified continued education and training as vital facilitators in this setting, and all coaches agreed that injury prevention should be an essential part of coach education. CONCLUSIONS While Danish youth handball players and coaches seemed to recognize the importance of injury prevention, the use of established programs was marginal. Experiences, beliefs, and attitudes about injury and injury prevention influenced program uptake and should be addressed through continued education and training in this context in combination with making the programs more handball specific.
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Affiliation(s)
- Merete Møller
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark.
| | - Mette K Zebis
- Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, Faculty of Health, University College Copenhagen, Denmark
| | - Grethe Myklebust
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Norway
| | - Martin Lind
- Div. of Sportstraumatology, Aarhus University Hospital, Denmark
| | - Niels Wedderkopp
- Orthopedic Department, University Hospital of South West Jutland, Denmark; Department of Regional Health Research, University of Southern Denmark, Denmark
| | - Sheree Bekker
- Department for Health, University of Bath, United Kingdom
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Shamlaye J, Tomšovský L, Fulcher ML. Attitudes, beliefs and factors influencing football coaches' adherence to the 11+ injury prevention programme. BMJ Open Sport Exerc Med 2020; 6:e000830. [PMID: 33062304 PMCID: PMC7525254 DOI: 10.1136/bmjsem-2020-000830] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2020] [Indexed: 11/28/2022] Open
Abstract
Objective To explore football coaches’ beliefs and attitudes about injury prevention and the 11+ injury prevention programme, and to investigate factors that may influence adherence to the 11+ injury prevention programme. Methods A total of 538 football coaches who had completed an injury prevention education workshop were invited to participate in a web-based nationwide survey. The survey questions explored beliefs and attitudes about injury prevention and the 11+ injury prevention programme, self-reported adherence to the 11+ programme, as well as perceived barriers and facilitators to the use of the 11+ programme. Results There were 158 respondents. The majority believe that injury prevention is part of their coaching role (94%) that a structured warm-up is an important part of their team’s preparation for training and games (96%), and that the 11+ is effective (92%). While most respondents (95%) use the 11+, modifications are common. Participants with greater coaching experience are more likely to use the programme. Time constraints are the main barriers to adherence, while knowing that the programme enhances performance is seen as a major facilitator. Conclusions Coaches who attended an injury prevention workshop have positive attitudes towards injury prevention and the 11+ programme. However, coaches with less coaching experience may be less likely to use the 11+ and could therefore be the target population for future education workshops. Promoting the performance enhancing effects of the 11+ and encouraging modifications could improve acceptability and adherence.
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Affiliation(s)
| | - Luboš Tomšovský
- Auckland University of Technology (AUT), Sports Performance Research Institute, Auckland, New Zealand.,Auckland University of Technology (AUT), School of Sport and Recreation, Auckland, New Zealand
| | - Mark L Fulcher
- Axis Sports Medicine Specialists, Auckland, New Zealand.,New Zealand Football, Auckland, New Zealand
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Cederström N, Granér S, Nilsson G, Ageberg E. Effect of motor imagery on enjoyment in knee-injury prevention and rehabilitation training: A randomized crossover study. J Sci Med Sport 2020; 24:258-263. [PMID: 32958377 DOI: 10.1016/j.jsams.2020.09.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/14/2020] [Accepted: 09/01/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The novel MOTor Imagery to Facilitate Sensorimotor Re-Learning (MOTIFS) model takes a uniquely holistic approach by integrating mental and physical aspects into current training programs. The aim of this trial was to evaluate enjoyment of MOTIFS training as compared to Care-as-Usual (CaU) knee injury and/or rehabilitation training. The primary hypothesis was that enjoyment would be greater following MOTIFS training than CaU training. DESIGN Block-randomized 2×2 cross-over trial. METHODS Thirty athletes (18-31years, 50% women) currently or previously active in team ball sports, with no pain or injury preventing jump and/or directional changes. MOTIFS training integrates sport-specific experiences and equipment into physical exercises to increase individualized realism and meaning. The CaU condition included solely physical exercise. The main outcome was the Physical Activity Enjoyment Scale (PACES). Secondary outcomes included Self-Assessment Manikin (SAM; subscales Valence, Arousal, Dominance), Perceived exertion, pulse, duration, and movement quality. RESULTS PACES scores were better following MOTIFS training than CaU (point estimate 24.67; 95% CI: 19.0; 30.3). Between-groups differences in SAM Valence (median 2, quartiles 1;3), Arousal (median 1, quartiles 0;2.25), and Dominance (median 0.5, quartiles 0;2), and RPE (median 1, quartiles -0.3;2), training duration (mean 5.34, 95% CI: -0.17; -0.73), and pulse (median 7.50, quartiles 0.25;16.75) were higher following MOTIFS training than CaU training. CONCLUSIONS Results suggest that the MOTIFS model, which integrates simultaneous physical and psychological interventions, is a clinically plausible method of influencing enjoyment and other psychological outcomes. Further studies may explore effects of the MOTIFS principles on injury prevention and rehabilitation training.
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Affiliation(s)
| | - Simon Granér
- Department of Psychology, Lund University, Sweden
| | | | - Eva Ageberg
- Department of Health Sciences, Lund University, Sweden
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25
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Ageberg E, Bunke S, Nilsen P, Donaldson A. Planning injury prevention training for youth handball players: application of the generalisable six-step intervention development process. Inj Prev 2020; 26:164-169. [PMID: 32019772 PMCID: PMC7146925 DOI: 10.1136/injuryprev-2019-043468] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Revised: 12/27/2019] [Accepted: 12/28/2019] [Indexed: 11/21/2022]
Abstract
Background Youth handball players are vulnerable to injuries. Because there is no available injury prevention training specifically developed for youth handball players targeting both upper and lower limbs or incorporating psychological aspects of injury, we undertook the ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ project. We used an ecological participatory design incorporating the perspectives of multiple stakeholders (health beneficiaries, programme deliverers and policy makers). The aim of this paper was to describe the process of developing the I-PROTECT model, featuring injury prevention training and an accompanying implementation strategy. Design We used the generalisable six-step intervention development process, outlined to guide researchers when developing implementable, evidence-based sports injury prevention interventions, to develop the I-PROTECT model. The six-step process involves establishing a research–stakeholder collaborative partnership to (1) identify and synthesise research evidence and clinical experience; (2) consult with relevant experts; (3) engage end users to ensure their needs, capacity and values are considered; (4) test the feasibility and acceptability of the intervention; (5) evaluate the intervention against theory; and (6) obtain feedback from early implementers. Two community handball clubs in southern Sweden, offering organised training for youth male and female players, and the district handball federation, participate in the intervention development. Drafts of the I-PROTECT model will be developed and revised with key stakeholder advice and input throughout all six steps. Conclusion The I-PROTECT model described will be an end user-driven intervention, including evidence-based, theory-informed and context-specific injury prevention training for youth handball, and an associated implementation strategy.
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Affiliation(s)
- Eva Ageberg
- Department of Health Sciences, Lund University, Lund, Sweden
| | - Sofia Bunke
- Department of Psychology, Lund University, Lund, Sweden
| | - Per Nilsen
- Department of Community Medicine, Division of Health and Medical Sciences, Linköping University, Linkoping, Sweden
| | - Alex Donaldson
- Centre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia
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Ageberg E, Bunke S, Lucander K, Nilsen P, Donaldson A. Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach. Scand J Med Sci Sports 2018; 29:275-285. [PMID: 30339309 PMCID: PMC7380009 DOI: 10.1111/sms.13323] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 10/12/2018] [Indexed: 12/11/2022]
Abstract
There is a need for research to identify effective implementation strategies for injury prevention training within real-world community sports. The aim of this ecological participatory study was to identify facilitators, among stakeholders at multiple levels, that could help injury prevention training become part of regular training routines in youth team handball. Concept mapping, a mixed-method approach for qualitative data collection and quantitative data analysis, was used. Stakeholders (n = 196) of two community team handball clubs (29% players, 13% coaches, 38% caregivers, 11% club, district and national handball administrators, 9% unknown) participated in a brainstorming process. After the research team synthesized the 235 generated statements, 50 stakeholders (34% players, 22% coaches, 24% caregivers, 20% administrators) sorted 89 unique facilitator statements into clusters and rated them for importance and feasibility. Multidimensional scaling and hierarchical cluster analysis yielded five clusters (stress value 0.231): "Understanding and applying knowledge," "Education, knowledge, and consistency," "Set-up and exercises," "Inspiration, motivation, and routines," and "Club policy and expert collaboration." The cluster "Understanding and applying knowledge" had the highest mean importance (3.17 out of 4) and feasibility (2.93) ratings. The 32 statements rated as both highly important and feasible (Go-zone) indicate action is required at the individual (end-users) and organizational (policymakers) levels to implement injury prevention training. Results suggest that developing evidence-based context-specific injury prevention training, incorporating physiological, biomechanical and psychological components, and an associated context-specific implementation plan in partnership with all stakeholders should be a high priority to facilitate the implementation of injury prevention training in youth team handball.
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Affiliation(s)
- Eva Ageberg
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Sofia Bunke
- Department of Psychology, Faculty of Social Sciences, Lund University, Lund, Sweden
| | - Karolina Lucander
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Per Nilsen
- Department of Community Medicine, Division of Health and Medical Sciences, Linköping University, Linköping, Sweden
| | - Alex Donaldson
- Centre for Sport and Social Impact (CSSI), La Trobe University, Melbourne, Victoria, Australia.,Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Australia
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