摘要
Background:Preventinganteriorcruciateligament(ACL)injuriesisimportanttoavoidlong-termadversehealthconsequences.Identifyingbarrierstoimplementationofthesepreventionprogramsiscrucialtoreducingtheincidenceoftheseinjuries.OurpurposewastoidentifybarriersofimplementationforACLinjurypreventionprogramsandsuggestmechanismsforreducingthebarriersthroughapplicationofaSocioEcologicalModel(SEM).Methods:StudiesinvestigatingACLpreventionprogrameffectivenessweresearchedinMedlineviaPubMedandtheCochraneLibrary,andasubsequentreviewofthereferencesoftheidentifiedarticles,yielded15articlestotal.Inclusioncriteriaencompassedprospectivecontrolledtrials,publishedinEnglish,withACLinjuriesastheprimaryoutcome.Studieswereindependentlyappraisedby2reviewersformethodologicalqualityusingthePEDroscale.Barrierstoimplementationwereidentifiedwhenreportedinatleast2separatestudies.ASEMwasusedtosuggestwaystoreducetheidentifiedbarriers.Results:Fivebarrierswereidentified:motivation,timerequirements,skillrequirementsforprogramfacilitators,compliance,andcost.TheSEMsuggestedwaystominimizethebarriersatalllevelsofthemodelfromtheindividualthroughpolicylevels.Conclusion:IdentificationofbarrierstoprogramimplementationandsuggestinghowtoreducethemthroughtheSEMisacriticalfirststeptowardenablingACLpreventionprogramstobemoreeffectiveandultimatelyreducingtheincidenceoftheseinjuries.
出版日期
2019年01月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
