Scientific evidence is just the starting point: A generalizable process for developing sports injury prevention interventions

(整期优先)网络出版时间:2016-03-13
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Background:The2mostcitedsportsinjurypreventionresearchframeworksincorporateinterventiondevelopment,yetlittleguidanceisavailableinthesportsscienceliteratureonhowtoundertakethiscomplexprocess.Thispaperpresentsageneralizableprocessfordevelopingimplementablesportsinjurypreventioninterventions,includingacasestudyapplyingtheprocesstodevelopalowerlimbinjurypreventionexercisetrainingprogram(FootyFirst)forcommunityAustralianfootball.Methods:Theinterventiondevelopmentprocessisunderpinnedby2complementarypremises:(1)thatevidence-basedpracticeintegratesthebestavailablescientificevidencewithpractitionerexpertiseandenduservaluesand(2)thatresearchevidencealoneisinsufficienttodevelopimplementableinterventions.Results:Thegeneralizable6-stepinterventiondevelopmentprocessinvolves(1)compilingresearchevidence,clinicalexperience,andknowledgeoftheimplementationcontext;(2)consultingwithexperts;(3)engagingwithendusers;(4)testingtheintervention;(5)usingtheory;and(6)obtainingfeedbackfromearlyimplementers.Followingeachstep,interventioncontentandpresentationshouldberevisedtoensurethatthefinalinterventionincludesevidence-informedcontentthatislikelytobeadopted,properlyimplemented,andsustainedovertimebythetargetedinterventiondeliverers.ForFootyFirst,thisprocessinvolvedestablishingamultidisciplinaryinterventiondevelopmentgroup,conducting2targetedliteraturereviews,undertakinganonlineexpertconsensusprocess,conductingfocusgroupswithprogramendusers,testingtheprogrammultipletimesindifferentcontexts,andobtainingfeedbackfromearlyimplementersoftheprogram.Conclusion:Thissystematicyetpragmaticanditerativeinterventiondevelopmentprocessispotentiallyapplicabletoanyinjurypreventiontopicacrossallsportssettingsandlevels.Itwillguideresearcherswishingtoundertakeinterventiondevelopment.