School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
Centre for Sport and Social Impact, La Trobe University, Melbourne, Vic., Australia.
Scand J Med Sci Sports. 2021 Feb;31(2):246-264. doi: 10.1111/sms.13858. Epub 2020 Nov 22.
National strategies to prevent sports injuries can potentially improve health outcomes at a population level and reduce medical costs. To date, a compilation of the strategies that countries have attempted, and their effectiveness, does not exist. This scoping review sets out to: identify nationwide attempts at implementing sports injury prevention strategies; examine the impact of these strategies; and map them onto the Translating Research into Injury Prevention Practice (TRIPP) framework. Using Levac's scoping review method, we: (a) identified the research questions, (b) identified relevant studies, (c) identified the study selection criteria, (d) charted the data, and (e) reported the results. A search of MEDLINE, Scopus, SPORTDiscus, CINAHL, and Web of Science databases for articles published pre-June 2019 was conducted. We identified 1794 studies and included 33 studies (of 24 strategies). The USA (n = 7), New Zealand (n = 4), Canada (n = 3), the Netherlands (n = 3), Switzerland (n = 2), Belgium (n = 1), France (n = 1), Ireland (n = 1), South Africa (n = 1), and Sweden (n = 1) have implemented nationwide sports injury prevention strategies with 29 (88%) of the included studies demonstrating positive results. Mapping the strategies onto the TRIPP framework highlighted that only four (17%) of the 24 included strategies reported on the implementation context (TRIPP Stage 5), suggesting an important reporting gap. Nationwide sports injury prevention efforts are complex, requiring a multidimensional approach. Future research should report intervention implementation data; examine the implementation context early in the research process to increase the likelihood of real-world implementation success; and could benefit from incorporating qualitative or mixed research methods.
国家预防运动损伤策略有可能改善人群健康结果并降低医疗成本。迄今为止，还没有对各国尝试的策略及其效果进行汇编。本范围综述旨在：确定全国范围内实施预防运动损伤策略的尝试；检查这些策略的影响；并将其映射到转化研究预防实践（TRIPP）框架上。我们使用 Levac 的范围综述方法：（a）确定研究问题，（b）确定相关研究，（c）确定研究选择标准，（d）整理数据，（e）报告结果。对 MEDLINE、Scopus、SPORTDiscus、CINAHL 和 Web of Science 数据库进行了检索，以查找 2019 年 6 月之前发表的文章。我们确定了 1794 项研究，并纳入了 33 项研究（涉及 24 项策略）。美国（n=7）、新西兰（n=4）、加拿大（n=3）、荷兰（n=3）、瑞士（n=2）、比利时（n=1）、法国（n=1）、爱尔兰（n=1）、南非（n=1）和瑞典（n=1）实施了全国性的预防运动损伤策略，其中 29 项（88%）纳入的研究显示出积极的结果。将策略映射到 TRIPP 框架上，突出了 24 项纳入策略中只有四项（17%）报告了实施情况（TRIPP 阶段 5），这表明存在重要的报告差距。全国性的预防运动损伤工作是复杂的，需要多维方法。未来的研究应报告干预措施的实施数据；在研究过程的早期检查实施情况，以增加实际实施成功的可能性；并可以受益于纳入定性或混合研究方法。
