Department of Community and Allied Health, La Trobe Rural Health School, College of Science, Health and Engineering, La Trobe University, Victoria 3550, Australia.
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Victoria 3000, Australia.
Int J Environ Res Public Health. 2018 Feb 16;15(2):351. doi: 10.3390/ijerph15020351.
Disseminating lower-limb injury-prevention exercise programs (LL-IPEPs) with strategies that effectively reach coaches across sporting environments is a way of preventing lower-limb injuries (LLIs) and ensuring safe and sustainable sport participation. The aim of this study was to explore community-Australian Football (community-AF) coaches' perspectives on the strategies they believed would enhance the dissemination and scale-up of LL-IPEPs. Using a qualitative multiple case study design, semi-structured interviews with community-AF coaches in Victoria, Australia, were conducted. Overall, coaches believed a range of strategies were important including: coach education, policy drivers, overcoming potential problem areas, a 'try before you buy approach', presenting empirical evidence and guidelines for injury-prevention exercise programs (IPEPs), forming strategic collaboration and working in partnership, communication and social marketing, public meetings, development of a coach hotline, and targeted multi-focused approaches. A shift to a culture whereby evidence-based IPEP practices in community-AF will take time, and persistent commitment by all involved in the sport is important. This will support the creation of strategies that will enhance the dissemination and scale-up of LL-IPEPs across community sport environments. The focus of research needs to continue to identify effective, holistic and multi-level interventions to support coaches in preventing LLIs. This could lead to the determination of successful strategies such as behavioural regulation strategies and emotional coping resources to implement LL-IPEPs into didactic curricula and practice. Producing changes in practice will require attention to which strategies are a priority and the most effective.
传播下肢损伤预防运动方案（LL-IPEPs），采用能够有效覆盖体育环境中教练的策略，是预防下肢损伤（LLIs）和确保安全可持续体育参与的一种方式。本研究旨在探讨澳大利亚社区澳式足球（community-AF）教练对他们认为可以增强 LL-IPEPs 传播和扩大规模的策略的看法。采用定性多案例研究设计，对澳大利亚维多利亚州的社区-AF 教练进行了半结构化访谈。总的来说，教练们认为以下一系列策略非常重要：教练教育、政策驱动、克服潜在问题领域、“先试后买”方法、呈现预防损伤运动方案（IPEPs）的实证证据和指南、建立战略协作和合作伙伴关系、沟通和社会营销、公开会议、设立教练热线、以及有针对性的多焦点方法。向一种文化转变，即在社区澳式足球中采用基于证据的 IPEP 实践需要时间，所有参与该运动的人都需要持续投入。这将支持制定策略，以增强 LL-IPEPs 在社区体育环境中的传播和扩大规模。研究的重点需要继续确定有效的、全面的和多层次的干预措施，以支持教练预防 LLIs。这可能会确定成功的策略，如行为调节策略和情绪应对资源，将其纳入教学课程和实践中。要改变实践，需要注意哪些策略是优先考虑的，以及哪些策略是最有效的。
