Applying implementation science to sports injury prevention

Donaldson, Alex; Finch, Caroline F.

doi:10.1136/bjsports-2013-092323

Cited by 88 publications

(107 citation statements)

References 21 publications

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“…Greater understanding of the implementation barriers and the methods to best engage team personnel would facilitate more effective planning and application of the injury surveillance programme. 30 …”

Section: Discussionmentioning

confidence: 97%

Incidence and characteristics of injuries in elite Australian junior rugby league players

Orr

Cheng

2016

Journal of Science and Medicine in Sport

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Section: Discussionmentioning

confidence: 97%

Incidence and characteristics of injuries in elite Australian junior rugby league players

Orr

Cheng

2016

Journal of Science and Medicine in Sport

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“…Adopting frameworks from the field of health promotion and implementation science can provide guidance on how to do this 6 7…”

Section: What Can Be Done?mentioning

confidence: 99%

“…Key considerations are how an IPEP will be delivered and by whom . Consulting all levels of the system when developing IPEPs and their related implementation plans can identify potential barriers to programme adoption (eg, lack of knowledge, time or programme acceptance) 2 7. These barriers can be tackled with appropriate programme development or modification, information, training, funding, incentives and policies.…”

Section: Enhance Adoptionmentioning

confidence: 99%

It will take more than an existing exercise programme to prevent injury

2015

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In 1983, Ekstrand et al 1 published the first randomised controlled trial (RCT) of an injury prevention programme for team ball sport. Three decades on from this landmark study, it is worth reflecting on the progress made and the current 'state-of-play' in the field of team ball sport injury prevention research. The volume of published research has grown considerably with a recent systematic review of team ball sport injury prevention exercise programmes (IPEPs) identifying over 50 published trials. 2 The scale, quality and outcomes of recent RCTs are also encouraging with a Swedish trial including over 4500 female soccer players and demonstrating a 64% reduction in the rate of anterior cruciate ligament (ACL) injuries. 3 In 2013, a subsequent subanalysis of the original Swedish RCT, published in this journal, highlighted the importance of adequate IPEP compliance in preventing injuries. The ACL injury rate was 88% lower in highly compliant players, compared to those with low compliance. 4 A 3-year follow-up, 5 also published in this journal, investigated if coaches from the original trial and others in the same target population were still using the IPEP, and found that many had modified it (74-77%) or had not implemented it regularly across the season (52-60%). Others did not know about the programme, or had chosen not to adopt it. 5 HOW BIG IS THE PROBLEM?Considering that only compliant players had a reduced injury rate in the original RCT, the results of the above implementation study are of concern and demonstrate that it takes more than the existence of an IPEP to prevent injury. Even highly efficacious IPEPs risk losing much of their effect under real-world conditions, unless they are successfully adopted, implemented and maintained. A major challenge currently facing injury prevention in team ball sports is translating the positive outcomes of RCTs into injury reductions under real world, less controlled conditions. Unfortunately, little guidance is available in the sports medicine literature to help researchers and clinicians tackle this challenge. Our recent systematic review evaluating 52 published IPEP trials using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework 2 identified major gaps in the reporting of key implementation aspects, particularly those relating to Adoption and Maintenance. The proportion of trials reporting the RE-AIM's eight items of adoption averaged just 4%. The corresponding figure across the nine measures of maintenance was less than 1%. 2

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“…Conceptualization of health promotion actions on different levels different themes within sports and health promotion, like sports clubs as healthy and welcoming environments in order to increase member volume (7), sports clubs and associations health promotion activities with special focus on nutrition-related activities (8), health promotion within sports and recreation organizations with focus on capacity building strategies (9) and sports injury prevention related research (26). The HPSC conceptualizations and/or measurements have been proven useful and reliable (27) in assessing the health promotion actions in Australian sporting organizations and those have also been developed and applied further.…”

Section: Levels Of Actorsmentioning

confidence: 99%

Sports clubs as settings for health promotion: Fundamentals and an overview to research

Kokko

2014

Scand J Public Health

106

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This paper explores the efficacy and value of sports clubs as a setting for health promotion. Sports clubs for children and adolescents are the primary focus of the paper, and the aims are twofold. Aims: Firstly, the paper aims to review the basis for and elements of the health promoting sports club (HPSC) concept. Secondly, the aim is to overview the international evolution of the HPSC concept and its usefulness in the research. The settings-based health promotion approach forms the basis for the HPSC concept and it is introduced first. Thereafter, both obligating and prospecting factors, to justify the importance for sports clubs to address health promotion, are expressed. major prospecting factors relate to the facts that sports club activities reach a lot of children and adolescents, and that its educational nature is informal due to voluntary participation. The paper also presents multilevel structure of sports clubs, as well as the determinants affecting the settingsbased work. The research concerning health promotion in sports-related settings is evolving worldwide, and Nordic countries are in the front line of this new-wave of settings-based health promotion. Indeed, it has been claimed that, for the settings approach to assimilate to current societal challenges, there is a need to widen the reach of the approach to non-traditional, non-institutional settings, like sports clubs.

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Applying implementation science to sports injury prevention

Cited by 88 publications

References 21 publications

Incidence and characteristics of injuries in elite Australian junior rugby league players

Incidence and characteristics of injuries in elite Australian junior rugby league players

It will take more than an existing exercise programme to prevent injury

Sports clubs as settings for health promotion: Fundamentals and an overview to research

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