Coaches of youth field sports as delivery agents of injury prevention programmes: how are we training the trainers? A scoping review

Abstract

ObjectiveTo systematically map the coach education (CE) component of injury prevention programmes (IPPs) for youth field sports by identifying and synthesising the design, content and facilitation strategies used to address competency drivers and behaviour change.DesignScoping review.Data sourcesPubMed, PsycInfo, EMBASE, CINAHL, SportDiscus and Google Scholar electronic databases were searched using keywords related to IPPs and youth field sports.Eligibility criteria for selecting studiesStudies of IPPs in youth field sports, that provided ‘train-the-trainer’ education to coaches as designated delivery agents.Results20 studies from two field sports (soccer/football; n=17, Rugby Union; n=3) fulfilled the eligibility criteria. Eleven CE interventions occurred in the preseason and 18 occurred at one time-point (single day). Five studies cited use of a behavioural change theory or model in the design of their CE, most frequently the Health Action Process Approach model (n=5); and use of behavioural change techniques varied. Twelve of twenty studies (60%) reported some form of ongoing support to coaches following the CE primary intervention concurrent with IPP implementation.ConclusionCE that occurs on 1 day (one time-point) is most popular for preparing coaches as delivery agents of IPPs in youth field sports. While recognising pragmatic barriers, more expansive in-service training, support and feedback may enhance the effective implementation of IPPs.Trial registration numberhttps://doi.org/10.17605/OSF.IO/FMHGD

A qualitative exploration of perceived challenges and opportunities in the implementation of injury prevention and management in amateur female sport

“…This may indicate that while participants knew these were useful, they may not have actually understood why and how these protocols impact injury prevention and, in some cases, simply copied what they may have seen coaches or practitioners do previously. Recent research on injury prevention programmes has also suggested that future research incorporate frameworks that support development of coach competency; however, current challenges of time and finance may limit the feasibility of such strategies without leadership advocacy and support of female coaches in this process ( 24 ).…”

“…These programmes have been effective in reducing non-contact injuries, in particular hamstring strain and overuse injuries ( 21 – 23 ). Pragmatic barriers (time, cost) often limit coach education towards such interventions to a single day, but effective implementation may be enhanced by future iterations involving greater support and feedback ( 24 , 25 ). The rate at which such interventions are implemented in amateur female sport at present is also unclear ( 19 ).…”