Health And Performance Promotion in Youth (HAPPY) hybrid effectiveness-implementation cluster randomised trial: comparison of two strategies to implement an injury prevention exercise programme in Danish youth handball

IF 11.6 1区医学 Q1 SPORT SCIENCES

British Journal of Sports Medicine Pub Date : 2024-08-29 DOI:10.1136/bjsports-2023-107880

Merete Møller, Lotte Nygaard Andersen, Sören Möller, Alice Kongsted, Carsten B Juhl, Ewa M Roos

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Abstract

Objective To investigate if a combination of an online and onsite implementation strategy was superior to an online-only strategy in enhancing the use of an injury prevention exercise programme (IPEP) and in reducing the risk of shoulder, knee and ankle injuries in youth community handball players (age 11–17) over a handball season. Methods In this 30-week hybrid effectiveness-implementation cluster randomised type 3 study, 20 youth handball clubs were randomly assigned 1:1 to either a combined online and onsite implementation strategy (coach workshop using the health action process approach behaviour change model and health service provider (HSP) support) or an online-only strategy (control group). The primary implementation outcome was coach-reported adherence, measured as the average IPEP exercise usage by the team over 30 weeks. The primary effectiveness outcome was player-reported handball playing time to any new handball-related shoulder, knee and ankle injuries, reported weekly using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. Results We enrolled 63 coaches (27% women) and 945 players (mean age 14.5 years, 55% girls). Intention-to-treat analyses showed no statistically significant difference between implementation strategies in adherence (between-group difference 1.4, 95% CI −0.5 to 3.4) or in cumulative injury risk (between-group difference 5.5% points, 95% CI −2.2 to 13.1). Conclusion Our findings demonstrate that in youth community handball, a combined online and onsite implementation strategy, including a coach workshop and HSP support, was not superior to an online-only strategy regarding adherence to an IPEP or in reducing shoulder, knee and ankle injury risk. Trial registration number [NCT05294237][1]. Data are available on reasonable request. All personally identifiable information will be deleted or anonymised before data transfer. [1]: /lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT05294237&atom=%2Fbjsports%2Fearly%2F2024%2F08%2F29%2Fbjsports-2023-107880.atom

查看原文本刊更多论文

促进青少年健康和表现（HAPPY）混合效果-实施群组随机试验：比较在丹麦青少年手球运动中实施预防损伤运动计划的两种策略

目的研究在一个手球赛季中，在线和现场相结合的实施策略是否比单纯的在线策略更能提高伤害预防运动计划（IPEP）的使用率，并降低青少年社区手球运动员（11-17 岁）肩部、膝部和踝关节受伤的风险。方法在这项为期 30 周的效果-实施混合群组随机 3 型研究中，20 个青少年手球俱乐部被按 1:1 随机分配到在线和现场相结合的实施策略（采用健康行动过程方法行为改变模型的教练研讨会和健康服务提供者 (HSP) 支持）或仅在线策略（对照组）。主要实施结果是教练报告的坚持率，以团队在 30 周内的平均 IPEP 运动使用率来衡量。主要有效性结果是球员报告的手球运动时间，以及每周使用奥斯陆运动创伤研究中心健康问题问卷调查报告的任何新的手球相关肩伤、膝伤和踝伤。结果我们招募了 63 名教练（27% 为女性）和 945 名球员（平均年龄 14.5 岁，55% 为女孩）。意向治疗分析表明，不同实施策略在坚持率（组间差异为 1.4，95% CI -0.5-3.4）或累积受伤风险（组间差异为 5.5%，95% CI -2.2-13.1）方面没有统计学意义上的显著差异。结论我们的研究结果表明，在青少年社区手球运动中，在坚持 IPEP 或降低肩部、膝部和踝部受伤风险方面，包括教练研讨会和 HSP 支持在内的在线与现场相结合的实施策略并不优于单纯的在线策略。试验注册号[NCT05294237][1]。如有合理要求，可提供数据。数据传输前，所有个人身份信息将被删除或匿名化。[1]:/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT05294237&atom=%2Fbjsports%2Fearly%2F2024%2F08%2F29%2Fbjsports-2023-107880.atom

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来源期刊

British Journal of Sports Medicine 医学-运动科学

CiteScore

27.10

自引率

4.90%

发文量

217

审稿时长

3-8 weeks

期刊介绍： The British Journal of Sports Medicine (BJSM) is a dynamic platform that presents groundbreaking research, thought-provoking reviews, and meaningful discussions on sport and exercise medicine. Our focus encompasses various clinically-relevant aspects such as physiotherapy, physical therapy, and rehabilitation. With an aim to foster innovation, education, and knowledge translation, we strive to bridge the gap between research and practical implementation in the field. Our multi-media approach, including web, print, video, and audio resources, along with our active presence on social media, connects a global community of healthcare professionals dedicated to treating active individuals.

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