@article{ref1,
title="A coaching workshop improves coach intention but does not translate to implementation of an ACL  injury prevention program",
journal="British journal of sports medicine",
year="2014",
author="Frank, B. and Register-Mihalik, J. and Marshall, S. and Padua, D.",
volume="48",
number="7",
pages="595-595",
abstract="BACKGROUND: There is limited evidence describing methods and challenges for implementing anterior cruciate ligament (ACL) injury prevention programs (IPP) in a &quot;real-world&quot; 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.<p /> <p>Language: en</p>",
language="en",
issn="0306-3674",
doi="10.1136/bjsports-2014-093494.96",
url="http://dx.doi.org/10.1136/bjsports-2014-093494.96"
}