School of Medical and Health Sciences, Edith Cowan University, Joondalup, Perth, Australia
Sports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.
Br J Sports Med. 2023 Nov;57(21):1371-1381. doi: 10.1136/bjsports-2022-105984. Epub 2023 Feb 1.
Research evidence is commonly compiled into expert-informed consensus guidelines intended to consolidate and distribute sports medicine knowledge. Between 2003 and 2018, 27 International Olympic Committee (IOC) consensus statements were produced. This study explored the policy and practice impact of the IOC Statements on athlete health and medical team management in two economically and contextually diverse countries.
A qualitative case study design was adopted. Fourteen face-to-face interviews were conducted with purposively selected interviewees, seven participants from Australia (higher economic equality) and seven from South Africa (lower economic equality), representing their national medical commissions (doctors and physiotherapists of Olympic, Paralympic and Youth teams). A framework method was used to analyse interview transcripts and identify key themes.
Differences across resource settings were found, particularly in the perceived usefulness of the IOC Statements and their accessibility. Both settings were unsure about the purpose of the IOC Statements and their intended audience. However, both valued the existence of evidence-informed guidelines. In the Australian setting, there was less reliance on the resources developed by the IOC, preferring to use locally contextualised documents that are readily available.
The IOC Statements are valuable evidence-informed resources that support translation of knowledge into clinical sports medicine practice. However, to be fully effective, they must be perceived as useful and relevant and should reach their target audiences with ready access. This study showed different contexts require different resources, levels of support and dissemination approaches. Future development and dissemination of IOC Statements should consider the perspectives and the diversity of contexts they are intended for.
研究证据通常被汇编成专家知情的共识指南，旨在整合和传播运动医学知识。2003 年至 2018 年间，国际奥委会（IOC）发布了 27 项共识声明。本研究探讨了 IOC 声明对运动员健康和医疗团队管理在两个经济和背景不同的国家的政策和实践影响。
采用定性案例研究设计。通过有针对性地选择受访者，在澳大利亚（经济平等程度较高）和南非（经济平等程度较低）的 14 名受访者进行了 14 次面对面访谈，代表他们的国家医学委员会（奥林匹克、残奥会和青年队的医生和物理治疗师）。采用框架方法分析访谈记录并确定关键主题。
发现资源环境存在差异，特别是在对 IOC 声明的有用性及其可及性的看法上。两个国家都对 IOC 声明的目的及其目标受众不确定。然而，他们都重视存在循证指南。在澳大利亚环境中，对 IOC 开发的资源的依赖程度较低，更倾向于使用现成的具有本地背景的文件。
IOC 声明是有价值的循证资源，支持将知识转化为临床运动医学实践。然而，要充分发挥其作用，就必须被视为有用和相关的，并且应该让目标受众能够轻松获得。本研究表明，不同的环境需要不同的资源、支持水平和传播方法。未来应考虑到 IOC 声明的目标受众和意图的多样性，对其进行开发和传播。
