Faculty of Kinesiology, Sport Injury Prevention Research Centre (SIPRC), University of Calgary, Calgary, Alberta, Canada.
Department of Sports Medicine, Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway.
Br J Sports Med. 2014 Sep;48(17):1281-6. doi: 10.1136/bjsports-2014-093543. Epub 2014 Jun 13.
Injury knowledge and beliefs influence uptake of prevention programmes, but the relationship between knowledge, beliefs and adherence remains unclear.
To describe injury knowledge and beliefs among youth female soccer coaches and players, and to identify the relationship between these factors, different delivery strategies of the FIFA 11+ programme and adherence.
A subcohort analysis from a cluster-randomised controlled trial of 31 female soccer teams (coaches n=29, players (ages 13-18) n=258). Preseason and postseason questionnaires were used to assess knowledge and beliefs. Teams recorded FIFA 11+ adherence during the season.
At baseline, 62.8% (95% CI 48.4% to 77.3%) of coaches and 75.8% (95% CI 71.5% to 80.1%) of players considered 'inadequate warm-up' a risk factor for injury. There was no effect of delivery method (OR=1.1; 95% CI 0.8 to 1.5) or adherence (OR=1.0; 95% CI 0.9 to 1.1) on this belief. At baseline, 13.8% (95% CI 1.3% to 26.4%) of coaches believed a warm-up could prevent muscle injuries, but none believed it could prevent knee and ankle injuries. For players, 9.7% (95% CI 6.1% to 13.3%), 4.7% (95% CI 2.1% to 7.3%) and 4.7% (95% CI 2.1% to 7.3%) believed a warm-up would prevent muscle, knee and ankle injuries, respectively. Years of playing experience were negatively associated with high adherence for coaches (OR=0.93; 0.88 to 0.99) and players (OR=0.92; 0.85 to 0.98).
There were gaps in injury knowledge and beliefs, which differed for coaches and players. Beliefs did not significantly affect adherence to the FIFA 11+, suggesting additional motivational factors should be considered.
伤害知识和信念会影响预防计划的采用，但知识、信念和坚持之间的关系仍不清楚。
描述青年女足教练和运动员的伤害知识和信念，并确定这些因素、国际足球联合会 11+ 计划的不同传递策略与坚持之间的关系。
对一项 31 支女足队伍（教练 n=29，年龄 13-18 岁的运动员 n=258）的整群随机对照试验的子队列分析。在赛季前和赛季末使用问卷评估知识和信念。队伍记录了赛季期间国际足球联合会 11+ 的坚持情况。
在基线时，62.8%（95%CI 48.4%至 77.3%）的教练和 75.8%（95%CI 71.5%至 80.1%）的运动员认为“热身不足”是受伤的风险因素。传递方法（比值比=1.1；95%CI 0.8 至 1.5）或坚持（比值比=1.0；95%CI 0.9 至 1.1）对此信念没有影响。在基线时，13.8%（95%CI 1.3%至 26.4%）的教练认为热身可以预防肌肉损伤，但没有人认为热身可以预防膝部和踝部损伤。对于运动员，9.7%（95%CI 6.1%至 13.3%）、4.7%（95%CI 2.1%至 7.3%）和 4.7%（95%CI 2.1%至 7.3%）分别认为热身可以预防肌肉、膝部和踝部损伤。教练和运动员的高坚持度与多年的比赛经验呈负相关（比值比=0.93；0.88 至 0.99）。
伤害知识和信念存在差距，教练和运动员的差距不同。信念对国际足球联合会 11+ 的坚持度没有显著影响，这表明应该考虑其他激励因素。
