A CONCEPT MAPPING APPROACH TO IDENTIFY PERCEIVED FACILITATORS TO ENHANCE THE IMPLEMENTATION OF INJURY PREVENTION TRAINING IN YOUTH TEAM HANDBALL: THE I-PROTECT PROJECT

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Abstract

Background

Evidence-based injury preventive exercise programs (IPEPs) usually have limited public health impact because they are not widely implemented into regular training routines.

Objective

To identify facilitators that could help make IPEPs part of regular training routines in youth team handball.

Design

Ecological participatory approach incorporating the perspective of multiple stakeholders. This is the first phase in a series of studies within the “Implementing injury Prevention exercise ROutines in TEams and Clubs in youth Team handball (I-PROTECT)” project.

Setting

Two community team handball clubs in Sweden offering organized training for youth players.

Participants

Stakeholders from multiple levels of youth handball.

Methods

Concept Mapping (CM), a mixed-method approach for qualitative data collection and quantitative data analysis, was used. CM involves steps from generating statements from stakeholders to conceptualizing a framework for developing an implementation plan.

Results

179 stakeholders (32% players, 14% coaches, 42% caregivers, and 12% club, district and national handball administrators) participated in a brainstorming in response to the question “In order to make injury prevention training a part of our regular handball training routines I need….”. This generated 89 unique ‘facilitator’ statements which are currently being sorted into clusters and rated for ‘importance’ and ‘feasibility’ by 35 stakeholders. To date, data collection is completed for 11 of 35 stakeholders, yielding 5 clusters (stress value 0.255): “Understanding and motivation”, “Education, knowledge and consistency”, “Exercises and set-up”, “Routines and quality assurance”, and “Club policy and expert collaboration”. Statements rated as both highly important and feasible indicate that developing an IPEP and an associated implementation plan in partnership with all stakeholders should be a high priority.

Conclusions

The preliminary results suggest that developing an evidence-based context-specific IPEP and an associated context-specific implementation plan in partnership with all stakeholders should be a high priority to ensure successful IPEP implementation in youth team handball.

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