Minnig Mary Catherine, Hawkinson Lauren, Root Hayley J, Driban Jeffrey, DiStefano Lindsay J, Callahan Leigh, Ambrose Kirsten R, Spang Jeffrey T, Golightly Yvonne M
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Department of Exercise and Sport Science, University of North Carolina at Chapel Hill College of Arts and Sciences, Chapel Hill, North Carolina, USA.
BMJ Open Sport Exerc Med. 2022 Sep 27;8(3):e001374. doi: 10.1136/bmjsem-2022-001374. eCollection 2022.
While there is a multitude of evidence supporting the efficacy of injury prevention training programmes, the literature investigating the implementation of these programmes is, in contrast, rather limited. This narrative review sought to describe the commonly reported barriers and facilitators of the implementation of injury prevention training programmes among athletes in organised sport. We also aimed to identify necessary steps to promote the uptake and sustainable use of these programmes in non-elite athletic communities. We identified 24 publications that discussed implementing evidence-based injury prevention training programmes. Frequently reported barriers to implementation include the perceived time and financial cost of the programme, coaches lacking confidence in their ability to implement it, and the programme including exercises that were difficult or confusing to follow. Frequently reported facilitators to implementation include the coach being aware of programme efficacy, shared motivation to complete the programme from both coaches and athletes, and the ability to easily integrate the programme into practice schedules. The current literature is focused on high-income, high-resource settings. We recommend that future studies focus on understanding the best practices of programme dissemination in culturally and economically diverse regions. Programmes ought to be of no financial burden to the user, be simply adaptable to different sports and individual athletes and be available for use in easily accessible forms, such as in a mobile smartphone application.
虽然有大量证据支持 injury prevention training programmes 的有效性，但相比之下，研究这些项目实施情况的文献却相当有限。本叙述性综述旨在描述在有组织的体育运动中，运动员实施 injury prevention training programmes 时常见的障碍和促进因素。我们还旨在确定在非精英运动社区中促进这些项目的采用和可持续使用的必要步骤。我们确定了 24 篇讨论实施循证 injury prevention training programmes 的出版物。常见的实施障碍包括对项目的时间和财务成本的认知、教练对实施项目的能力缺乏信心，以及项目中的练习难以理解或遵循。常见的实施促进因素包括教练了解项目的有效性、教练和运动员共同完成项目的动机，以及能够轻松地将项目纳入训练计划。当前的文献集中在高收入、高资源的环境中。我们建议未来的研究专注于理解在文化和经济多样的地区传播项目的最佳实践。项目应该对用户没有财务负担，能够简单地适应不同的运动和个体运动员，并以易于获取的形式提供使用，例如通过移动智能手机应用程序。
