BMJ Open Sport & Exercise Medicine最新文献

{"title":"Swedish elite athletes' experiences of psychotherapy for mental health concerns provided by licensed psychologists and psychotherapists: a qualitative study.","authors":"Carolina Lundqvist, Jonas Wig, David P Schary","doi":"10.1136/bmjsem-2024-002044","DOIUrl":"10.1136/bmjsem-2024-002044","url":null,"abstract":"<p><p>This study explores elite athletes' experiences of psychotherapy administered by Swedish licensed psychologists or psychotherapists with and without specialisation in elite sports, addressing the research question: What do elite athletes experience as important for psychotherapy effectiveness when seeking treatment from a licensed clinical psychologist or psychotherapist? Five elite athletes (self-assigned women=4, self-assigned men=1; age range: 20-34 years) from three sports (fencing: n=2, handball: n=2, triathlon: n=1) volunteered to participate in interviews. All athletes had worked with more than one licensed psychologists/psychotherapist, either through a regional healthcare or an elite sports specialised clinic while being national or international elite sports level athletes. Data were inductively analysed by the use of reflexive thematic analysis. Trust and professionalism to the psychologist/psychotherapist were generated as an overarching theme. Themes created during data analysis included the psychologist/psychotherapist's (a) understanding of elite sports and of both the person and the athlete, (b) psychotherapeutic behaviours or skills (ie, holistic problem assessment, communication, empathy, validation, confidentiality, therapeutic alliance, goal-oriented content and ability to tailor psychotherapy to the athlete) and (c) conditions for psychotherapy (time, accessibility and appropriate support). Participants expressed difficulties in differentiating between qualified and unqualified mental health support providers. Mental health services originating within the sport context were perceived to improve accessibility and the possibility of regular sessions. Mental health services provided outside the immediate sporting context, with the psychologist/psychotherapist not being overly involved in sports, was however perceived to enable a more objective and holistic assessment of both non-sport and sport-related concerns impacting on athlete mental health. We conclude that sports organisations must facilitate athletes' access to psychological treatment, and additionally ensure that practitioners working with psychotherapy have professional expertise and are appropriately qualified. Sports organisations should also systematically evaluate mental health services to ensure quality and that they are up to date with best practices.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002044"},"PeriodicalIF":3.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Activity levels across the intensity spectrum in athletes: a systematic review protocol.","authors":"Jacob John Capin, Nicola D Ridgers, Jena Heck Street, Alissa Fial, Grant R Tomkinson","doi":"10.1136/bmjsem-2024-002148","DOIUrl":"10.1136/bmjsem-2024-002148","url":null,"abstract":"<p><p>Physical activity (PA) promotes better cardiometabolic health, physical function, brain health and longevity. In contrast, prolonged sedentary behaviour (SB) is a risk factor for many chronic diseases and poor health. Limited research has evaluated or synthesised how competitive sports participation influences PA across the lifespan. Some evidence suggests, ironically, that former competitive athletes may be insufficiently active and current athletes may be highly sedentary away from sport. This study describes the protocol for a systematic review and meta-analysis on activity levels across the intensity spectrum in athletes, addressing the primary research question: is sports participation significantly associated with PA and/or SB among current and former competitive athletes? PubMed, Embase, Cochrane Database of Systematic Reviews, Web of Science and SPORTDiscus databases will be searched. Two reviewers will independently screen titles/abstracts and full texts of selected abstracts. Data will be extracted regarding the study population, sport played, PA measures and protocols, outcomes of interest and findings. Primary outcomes will include step counts, daily activity across the intensity spectrum (ie, sedentary, light, moderate and vigorous PA), metabolic equivalent of task and whole-day energy expenditure. Secondary outcomes will include additional accelerometry measures of PA, activity patterns and self-reported PA. The risk of bias will be assessed using the National Institutes of Health Study Quality Assessment Tools. Extracted data will be presented using narrative synthesis and tabular presentation. Meta-analyses will be conducted to determine outcomes with sufficient data.<b>PROSPERO registration number:</b> CRD42024469267.https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=469267.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002148"},"PeriodicalIF":3.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High prevalence of harmful drinking habits and gambling among professional rugby players: mental health symptoms and lifestyle risks among New Zealand Super Rugby players-a cross-sectional survey.","authors":"Theodore Dorfling, Mark L Fulcher","doi":"10.1136/bmjsem-2024-002002","DOIUrl":"10.1136/bmjsem-2024-002002","url":null,"abstract":"<p><strong>Objectives: </strong>Determining the prevalence of mental health and lifestyle risk factors (smoking, alcohol consumption, recreational drug use, gambling, family violence and anger management) in New Zealand (NZ) male professional rugby players.</p><p><strong>Study design: </strong>Cross-sectional survey of mental health symptoms and lifestyle risk factors in male professional rugby players in NZ.</p><p><strong>Methods: </strong>Players from all five NZ men's Super Rugby Franchises were invited to complete an online questionnaire (SportCHAT) measuring demographic status and mental health symptoms. Descriptive and interferential statistical analyses were used to identify the most prevalent mental health and lifestyle risk factors.</p><p><strong>Results: </strong>105 players participated in the study (response rate 52.5%). 51.4% of players were either at moderate or high risk for alcohol-related harm (defined as potential health, social, legal or financial problems linked to alcohol consumption). In comparison, 4.8% reported recreational drug use and 5% reported smoking tobacco. Twenty players (19%) reported engaging in gambling, with five of these reporting problematic gambling. 21% of players reported symptoms of depression, but none reached the 'mild depression' threshold of the Patient Health Questionnaire for Depression. Younger players (aged 20-29) were more likely to report symptoms of depression than older players (aged 30-39). The prevalence of anxiety symptoms was 17.1%. 66.7% of these players reported minimal symptoms (GAD-7 score 0-4) and 33.3% reported mild symptoms (GAD-7 score 5-9). Family violence was reported by 2.9% of respondents, while 12.4% reported issues with anger management. There were no significant differences between ethnic groups.</p><p><strong>Conclusion: </strong>There is a higher prevalence of alcohol misuse and gambling, but lower reported rates of depression and anxiety symptoms in this cohort when compared with the general population.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002002"},"PeriodicalIF":3.9,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beach Sprints Rowing: Injury and Illness Prevalence at the 2022 World Championships.","authors":"Joseph Michael DeLeo, Kathryn Ackerman, Evert Verhagen, Andrew C Fry, Fiona Wilson","doi":"10.1136/bmjsem-2024-001940","DOIUrl":"10.1136/bmjsem-2024-001940","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>Injury and illness surveillance helps establish the infrastructure to provide adequate medical support at regattas and is the foundation for developing prevention strategies.</p><p><strong>Objectives: </strong>To assess the prevalence and characteristics of injuries in the 4 weeks before the start of the 2022 World Rowing Beach Sprints Finals (WRBSF) (the '<i>Prevalence Survey'</i>) and describe the incidence and nature of new-onset injuries and illnesses incurred during the WRBSF (the '<i>Incidence Survey'</i>).</p><p><strong>Methods: </strong>Athletes completed: (1) a prevalence survey recording injuries the 4 weeks before the WRBSF and (2) a recording of injuries and illnesses that occurred during the 3-day regatta.</p><p><strong>Results: </strong>Fifty-nine of 152 eligible WRBSF athletes completed the prevalence injury survey. Twenty-three (38.9%) reported experiencing at least one injury within the 4 weeks before the WRBSF. The most prevalent anatomical injury sites were the forearm (11.86%), lumbar spine (10.17%), knee (8.47%), ankle (6.78%) and hand/fingers (6.78%). During the competition, only two illness occurrences were reported; both were respiratory infections. Two athletes reported injuries: a hamstring strain and a concussion.</p><p><strong>Conclusion: </strong>Rowers presenting to the WRBSF described injuries leading up to the event that were similar to those common in classic rowing. Rowers at the event suffered injuries of the lower limb that were different from classic rowing and may be related to the addition of running to this event. An event concussion should be considered as a more likely injury in this type of rowing and future events should be prepared to manage such an injury.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001940"},"PeriodicalIF":3.9,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative and quantitative return-to-sport test battery and second anterior cruciate ligament injury risk factors.","authors":"Lauren Butler, Alexa Martinez, Mina Entessari, Gabriel Cardenas, Margaret Wright, Dai Sugimoto","doi":"10.1136/bmjsem-2024-002000","DOIUrl":"10.1136/bmjsem-2024-002000","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Objective: </strong>To determine risk factors for second anterior cruciate ligament (ACL) injury following primary ACL reconstruction (ACLR) using return-to-sport (RTS) tests consisting of qualitative and quantitative measures in young athletes.</p><p><strong>Methods: </strong>A case-control study design was used, and a retrospective review of adolescent athletes after primary ACLR was performed. All athletes completed an RTS test consisting of qualitative and quantitative assessments and psychological assessments with the Tampa Scale of Kinesiophobia. Athlete demographics, surgical characteristics and sports participation were also examined. A binary logistic regression was performed to verify an independent association between risk factors and second ACL injury using adjusted OR (aORs), 95% CI and p<0.05.</p><p><strong>Results: </strong>In 72 eligible athletes, 12 (16.7%) suffered a second ACL injury. The mean Tegner activity level was 8.4+1.1, and the mean time from ACLR to RTS test completion was 10.4+2.9 months. One variable that showed the lowest p-value in the preliminary analysis was entered into the binary logistic regression model, which resulted in that qualitative assessment of knee valgus during the sidestep cut was associated with second ACL injury (aOR=4.64, 95% CI: 1.18 to 18.23, p=0.03).</p><p><strong>Conclusion: </strong>Athletes who demonstrated excessive dynamic knee valgus on the involved limb during the sidestep cut were approximately 4.6 times more likely to suffer a second ACL injury.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e002000"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I don't know the correct way to describe it\": neuropathic pain experiences among athletes with spinal cord injury.","authors":"Kendra Todd, John Kramer, Kenedy Olsen, Kathleen Martin Ginis","doi":"10.1136/bmjsem-2023-001828","DOIUrl":"10.1136/bmjsem-2023-001828","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain among athletes is often misinterpreted as tissue damage resulting from sport. While researchers have started to examine neuropathic pain among athletes with spinal cord injury (SCI), there is a need to develop a deeper understanding of their neuropathic pain symptoms and experiences, to support the development of evidence-based pain management protocols.</p><p><strong>Objectives: </strong>The primary purpose of this study was to describe neuropathic pain experienced by athletes with SCI. A secondary purpose was to compare athletes' neuropathic pain symptoms when measured by two different clinical pain assessment tools and describe their experiences when trying to communicate their neuropathic pain.</p><p><strong>Methods: </strong>47 athletes with SCI completed the International Spinal Cord Injury Pain Basic Data Set (V.2.0), Douleur Neuropathique 4 (DN4), and two open-ended pain questions over the telephone.</p><p><strong>Results: </strong>66% of participants reported experiencing moderate-intensity neuropathic pain (M_{pain intensity}=5.32±1.78) and mild-to-moderate pain interference with activities of daily living (M_{pain interference}=3.55±2.11) and sleep (M_{pain interference}4.68±2.92). Overall, participants reported significantly more neuropathic pain symptoms in response to DN4 questions (M=4.62±1.38) versus open-ended pain questions (M=2.13±1.08), p<0.001. Participants reported difficulty with identifying neuropathic pain, describing their pain symptoms and identifying pain locations.</p><p><strong>Conclusion: </strong>Athletes with SCI reported moderate-intensity neuropathic pain. However, they struggled with communicating their neuropathic pain without being prompted with a list of symptoms. To guide the development of effective pain management strategies among athletes with SCI, future research should focus on developing knowledge products to improve awareness of common neuropathic pain descriptors among athletes with SCI and sports medicine personnel.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001828"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of sport policy and practice recommendations for pregnant, postpartum and parenting Canadian high-performance athletes.","authors":"Tara-Leigh F McHugh, Margie H Davenport","doi":"10.1136/bmjsem-2024-001888","DOIUrl":"10.1136/bmjsem-2024-001888","url":null,"abstract":"<p><p>Our objective is to describe the development of evidence-based policy and practice recommendations for pregnant, postpartum and parenting Canadian high-performance athletes. A community-based participatory research approach was employed as the study design, and data were generated via a rapid review of existing sport policy for pregnant and postpartum athletes, followed by an extensive consultation and engagement process with key sport stakeholders via survey and one-on-one and group interviews. 102 sport stakeholders participated via the survey (n=56), individual and group interviews (n=33), and follow-up interviews (n=13). Individuals represented a range of summer/winter Olympic and Paralympic athletes, medical and support staff, National Sport Organisations and Sport Canada representatives. Seven evidence-based policy and practice recommendations were developed for Sport Canada decision-makers. Recommendations include the need for Sport Canada to (a) establish two new cards for pregnant and parenting athletes, (b) develop a policy to support pregnant, postpartum and parenting athletes, (c) create new funding sources for facilities that accommodate the needs of pregnant, postpartum and parenting athletes, (d) create new funding source for athletes to train and/or compete during infants' first year, (e) develop training and educational modules related to pregnant, postpartum and parenting athletes, (f) increase visibility of pregnant, postpartum and parenting athletes and (g) invest in research on high-performance sport participation during and following pregnancy. The collaborative processes employed in this research serve as a model for sports organisations to develop evidence-based policies and practices that can support pregnant, postpartum and parenting athletes.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001888"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring individual, social and environmental factors related to physical activity: a network analysis.","authors":"Takeyuki Oba, Keisuke Takano, Kentaro Katahira, Kenta Kimura","doi":"10.1136/bmjsem-2024-001983","DOIUrl":"10.1136/bmjsem-2024-001983","url":null,"abstract":"<p><strong>Objectives: </strong>Insufficient physical activity (PA) has long been a global health issue, and a number of studies have explored correlates of PA to identify the mechanisms underlying inactive lifestyles. In the literature, dozens of correlates have been identified at different (eg, individual, environmental) levels, but there is little or no direct evidence for the mutual associations of these correlates. This study analysed 44 variables identified as theoretically and empirically relevant for PA to clarify the factors directly and indirectly associated with PA.</p><p><strong>Methods: </strong>A cross-sectional survey dataset of 19 005 Japanese-speaking adults (mean age=53.50 years, SD=17.40; 9706 women) was analysed. The data encompassed demographic and anthropometric variables; self-reported PA levels; perceived social support and environments (eg, awareness of urban facilities for PA); psychological traits and health-behaviour characteristics (eg, personality, motivation, self-efficacy, decisional balance, process of change strategies); and technology use (eg, mobile health apps).</p><p><strong>Results: </strong>Network analyses were performed to select meaningful associations (partial correlations) among variables, which identified nine variables directly positively associated with PA: job/employment status, self-efficacy, perceived social support, intrinsic motivation, stage of change, counter conditioning, self-reevaluation, environment and technology use. Indirect associations (two-step neighbourhood) were identified for 40 (out of 44) variables, implying that most of the known PA-correlates are associated with PA-at least indirectly.</p><p><strong>Conclusion: </strong>These identified associations echo the importance of the multilevel perspective in understanding how people maintain (in)active lifestyles. Interventions for PA could have mixed-level targets, including intraindividual characteristics, social support and physical and digital environments.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"10 3","pages":"e001983"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11298727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How can we better engage female athletes? A novel approach to health and performance education in adolescent athletes","authors":"Megan Roche, Abby McIntyre, Carolyn Oliver, Kristin Sainani, Tatum Boyd, Austin Stoner, Emily Kraus","doi":"10.1136/bmjsem-2024-001901","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-001901","url":null,"abstract":"Objectives To evaluate the impact of a video series versus online pamphlets/blog posts on Female Athlete Triad (Triad) and Relative Energy Deficiency in Sport (REDs) knowledge in high school female runners. Methods Runners from 10 US schools were cluster-randomised into groups to either watch videos or read pamphlets on Triad/REDs, nutrition, menstrual cycle, bone health and mental health. Changes in knowledge and interest were assessed using generalised estimating equations. Results Forty-five runners were in the video intervention group (mean age=16.0) and 39 in the control (mean age=15.7). Both groups showed knowledge gains for all topics, except for mental health, where knowledge was already high. The intervention group’s knowledge increase (means=75.7 and 93.3) was not significantly higher than the control’s (means=77.9 and 93.6) (p=0.149). However, the intervention group had stronger scores on behavioural impact, information novelty and interest (means=3.77, 3.93 and 4.14) compared with the control’s (means=3.36, 3.48 and 3.52) (p≤0.05, p≤0.05 and p≤0.001). Conclusion Both videos and pamphlets improved knowledge of Triad/REDs and female athlete science, however videos had a greater influence on athletes’ engagement and behavioural intentions. All data relevant to the study are included in the article or uploaded as supplementary information.","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"2 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141939717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic development of an injury and illness prevention programme for athletes with a physical impairment: the TIPAS study","authors":"Sietske C M Luijten, Joske Nauta, Thomas Janssen, Jasmijn Holla, Simone C N Jenniskens, Evert Verhagen","doi":"10.1136/bmjsem-2024-001945","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-001945","url":null,"abstract":"Background/aim The participation of individuals with physical impairment in sports has numerous benefits, yet there is also the risk of sustaining sport-related injuries or illnesses. Therefore, prevention programmes of these problems are needed to ensure that individuals can maintain a healthy, active lifestyle. Currently, very few prevention interventions are accessible for these athletes. Therefore, the article aims to describe the development process of the Tailored Injury Prevention in Adapted Sports intervention, an online tailored injury and illness prevention intervention for athletes with a physical impairment. Methods The development was guided by the Knowledge Transfer Scheme (KTS). Results In the first step, a cohort study and a qualitative study were conducted to define the problem statement. In the second step, a systematic review was performed in order to learn from theory. Steps 3 and 4 involved an iterative process involving collaboration with diverse expert groups. This included defining athletes’ needs and creating a health problem blueprint, after which the intervention content was created. To ensure accuracy and completeness, a feedback loop was incorporated. In the final phase of this step, we refined the language used within the intervention together with athletes. Finally, an effect and process evaluation will take place in the last step of the KTS. Conclusions Through a five-step approach of the KTS, we developed an online injury and illness prevention intervention for athletes with a physical impairment. This intervention provides direct, timely feedback based on their current health status. Furthermore, it takes the sport and the physical impairment of the athletes into account with regard to the given prevention advices. Data are available upon reasonable request.","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"14 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141939641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}