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- Ageberg, Eva, et al.
(author)
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Co-creating holistic injury prevention training for youth handball : Development of an intervention targeting end-users at the individual, team, and organizational levels
- 2024
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In: BMC Sports Science, Medicine and Rehabilitation. - : BioMed Central (BMC). - 2052-1847. ; 16:1
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Journal article (peer-reviewed)abstract
- BackgroundInterventions 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.MethodsKnowledge 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.ResultsThe 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.ConclusionsUtilizing 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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- Ageberg, Eva, et al.
(author)
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Co-creating injury prevention education and training for youth handball players targeting end-users at the individual, team and organizational levels
- 2023
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In: Osteoarthritis and Cartilage. - : Elsevier. - 1063-4584 .- 1522-9653. ; 31, s. S19-S20
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Journal article (other academic/artistic)abstract
- Purpose: Research has established that physical and psychological injury prevention training is effective in reducing injuries in youth team sports, but public health impact tends to be limited because such training is not widely, properly, or sustainably implemented. Insufficient involvement of end-users at the individual and organizational levels has been identified as a main barrier to implementation. Against this backdrop, the ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ project was initiated through dialogue between end-users and researchers with the goal of making injury prevention training an integral part of regular practice in youth handball through a series of studies. We have conducted studies within I-PROTECT and identified numerous barriers and facilitators, and address these determinants when designing the intervention.
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- Ageberg, Eva, et al.
(author)
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Cocreating injury prevention training for youth team handball : bridging theory and practice
- 2022
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In: BMJ Open Sport and Exercise Medicine. - London : BMJ Publishing Group Ltd. - 2055-7647. ; 8:2
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Journal article (peer-reviewed)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. © 2022 BMJ Publishing Group. All rights reserved. © 2022 BMJ Publishing Group. All rights reserved.
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| 5. |
- Ageberg, Eva, et al.
(author)
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Facilitators to support the implementation of injury prevention training in youth handball: A concept mapping approach
- 2019
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In: Scandinavian Journal of Medicine and Science in Sports. - : WILEY. - 0905-7188 .- 1600-0838. ; 29:2, s. 275-285
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Journal article (peer-reviewed)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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- Ageberg, Eva, et al.
(author)
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Planning injury prevention training for youth handball players : Application of the generalisable six-step intervention development process
- 2020
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In: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 26:2, s. 164-169
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Journal article (peer-reviewed)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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| 8. |
- Bunke, Sofia, et al.
(author)
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Behavior change - a key aspect of injury preventive training in youth sport
- 2017
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In: ; , s. 48-48
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Conference paper (peer-reviewed)abstract
- Injury preventive exercise programs in community sport are of great importance to increase the well-being and engagement of youth in regular physical activity, exercise and sport from a lifespan perspective. In addition, effective Injury preventive exercise programs will indirectly contribute to enhanced sports performance; however research is needed to better understand the strategies to successfully implement injury prevention training routines for young athletes within the real-world sport club environment. Systematic reviews and meta-analyses which focus sport injury prevention studies underline the inadequate use of theory-based methods to increase the effectiveness of such behavior change interventions. To bridge the “intention-behavior gap”, there has been a call for applying theories that include strategies to maintain behavior change. The theoretical framework “Health Action Process Approach” is an example of a theory which focuses on initiation and maintenance of behaviour change. The HAPA framework has been used in various focus areas with different methodological approaches and age groups. Also, one exploratory study has examined the first part of the HAPA model (motivational stage) in relation to an injury preventive exercise program (FIFA 11+) in female youth soccer. In general, the results of these studies support the application of HAPA-informed psychological processes.We, as a research group (I-PROTECT), have established collaboration with two handball clubs. This collaborative approach is required to combine valuable research and practice knowledge. One of our goals is to develop a sport-specific Health Action Process Approach-informed behavior change model for youth handball injury prevention training routines. Applied knowledge of theory-based behavior change processes in relation to injury preventive exercise programs within a sport club setting is highly warranted.
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