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Journal Article

Citation

Frank B, Register-Mihalik J, Marshall S, Padua D. Br. J. Sports Med. 2014; 48(7): 595.

Affiliation

Sports Medicine Research Laboratory; The University of North Carolina at Chapel Hill, Chapel Hill, USA.

Copyright

(Copyright © 2014, BMJ Publishing Group)

DOI

10.1136/bjsports-2014-093494.96

PMID

24620137

Abstract

BACKGROUND: There is limited evidence describing methods and challenges for implementing anterior cruciate ligament (ACL) injury prevention programs (IPP) in a "real-world" context. OBJECTIVE: Evaluate the effects of a ACL IPP workshop on elite-division youth soccer coaches' behavioral determinants to implement a ACL IPP, and describe coaches' subsequent ACL IPP implementation compliance. DESIGN: Descriptive study. SETTING: Elite-division youth soccer club. PARTICIPANTS: A convenient sample of 34 soccer coaches (age=34.6±9.1 yrs) of elite-division youth soccer club teams. INTERVENTIONS: We administered a workshop aimed at increasing coaches' behavioral determinants to implement a ACL IPP. Coaches were provided with instructional materials following the workshop. MAIN OUTCOME MEASUREMENTS: Coaches' behavioral determinants regarding ACL IPP using pre/post-workshop surveys and coaches' subsequent rate and fidelity of implementation of the ACL IPP during the following soccer season. RESULTS: Wilcoxon signed-rank tests indicated the workshop increased coach attitude toward; conducting a ACL IPP (P=.020), substituting a ACL IPP for a warm-up (P=.007), and improving player cutting and landing technique by implementing a ACL IPP (P=.001). The workshop increased coaches' perceived behavioral control; coaches felt more comfortable in their ability to teach their team a ACL IPP (P=.002) and more confident leading a ACL IPP if given instructions (P=.025). The workshop increased coaches' intent to implement a ACL IPP the next season (P<.001); for 15 minutes (P=.008) and 20 minutes (P=.011) prior to the start of a training session. Only 53% of the club's teams implemented the ACL IPP, with implementers demonstrating high variability in program fidelity. CONCLUSIONS: ACL IPP workshops can effectively increase coach attitudes, perceived behavioral control, and intent to implement a ACL IPP. However, amplification of behavioral determinants does not appear to directly translate to high-level implementation compliance. Future research should investigate supplementary strategies to facilitate optimal ACL IPP implementation to improve compliance.


Language: en

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