Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial

Introduction Efficacy trials show that evidence-based injury prevention training reduces injuries in youth athletes but effectiveness, that is, outside the controlled setting, is lower and, consequently this training has had limited public health impact. Insufficient involvement of end-users at the...

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Main Authors: Per Nilsen, Alex Donaldson, Eva Ageberg, Sofia Bunke, Jennie Linnéll, Karin Moesch, Karolina Lucander, Axel Ström, Robert Wedberg, Per Ekberg
Format: Article
Language:English
Published: BMJ Publishing Group 2024-04-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/2/1/e000991.full
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author Per Nilsen
Alex Donaldson
Eva Ageberg
Sofia Bunke
Jennie Linnéll
Karin Moesch
Karolina Lucander
Axel Ström
Robert Wedberg
Per Ekberg
author_facet Per Nilsen
Alex Donaldson
Eva Ageberg
Sofia Bunke
Jennie Linnéll
Karin Moesch
Karolina Lucander
Axel Ström
Robert Wedberg
Per Ekberg
author_sort Per Nilsen
collection DOAJ
description Introduction Efficacy trials show that evidence-based injury prevention training reduces injuries in youth athletes but effectiveness, that is, outside the controlled setting, is lower and, consequently this training has had limited public health impact. Insufficient involvement of end-users at the individual and organisational levels is identified as a main barrier to successful implementation. The ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT research project, the specific aim of this study is to investigate the implementation of the end-user-targeted I-PROTECT programme.Methods and analysis This pragmatic two-armed cluster randomised controlled trial is conducted collaboratively with the Swedish Handball Federation that has overall responsibility for handball in Sweden. Randomly selected clubs in Sweden offering handball for both female and male youth players are invited to participate. 18 clubs are randomised (stratified by club size) to intervention (I-PROTECT plus tailored implementation support) or control (injury prevention programme currently available through the Swedish Handball Federation). The anticipated total number of potential participants (players, coaches, club administrators, parents/guardians) is ~3500. The I-PROTECT programme includes end-user-targeted information and physical and psychological injury prevention training available in a specifically developed interactive mobile application. Implementation strategies were selected from the Expert Recommendations for Implementing Change discrete implementation strategy compilation, based on feedback from end-users. Implementation outcomes will be investigated at the end of the handball season using the Reach, Effectiveness, Adoption, Implementation and Maintenance implementation evaluation framework. A study-specific questionnaire, app downloads and/or workshops will be used to collect data.Ethics and dissemination The Swedish Ethical Review Authority approved the study. Results will be disseminated in peer-reviewed scientific journals, as popular science articles, at international conferences and communicated via the Swedish Handball Federation.Trial registration number NCT05696119.
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spelling doaj-art-220b04eda17f49c0bef27a129bd17ccf2025-01-28T19:15:09ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2024-000991Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trialPer Nilsen0Alex Donaldson1Eva Ageberg2Sofia Bunke3Jennie Linnéll4Karin Moesch5Karolina Lucander6Axel Ström7Robert Wedberg8Per Ekberg9Halmstad University School of Health and Welfare, Halmstad, SwedenCentre for Sport and Social Impact, LaTrobe University, Melbourne, Victoria, AustraliaDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden2 Department of Psychology, Lund University, Lund, SwedenSwedish Handball Federation, Stockholm, SwedenDepartment of Sports Sciences, Malmö University, Malmö, SwedenDepartment of Health Sciences, Lund University, Lund, SwedenClinical Studies Sweden Forum South, Lund, SwedenSwedish Handball Federation, Stockholm, SwedenSwedish Handball Federation, Stockholm, SwedenIntroduction Efficacy trials show that evidence-based injury prevention training reduces injuries in youth athletes but effectiveness, that is, outside the controlled setting, is lower and, consequently this training has had limited public health impact. Insufficient involvement of end-users at the individual and organisational levels is identified as a main barrier to successful implementation. The ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT research project, the specific aim of this study is to investigate the implementation of the end-user-targeted I-PROTECT programme.Methods and analysis This pragmatic two-armed cluster randomised controlled trial is conducted collaboratively with the Swedish Handball Federation that has overall responsibility for handball in Sweden. Randomly selected clubs in Sweden offering handball for both female and male youth players are invited to participate. 18 clubs are randomised (stratified by club size) to intervention (I-PROTECT plus tailored implementation support) or control (injury prevention programme currently available through the Swedish Handball Federation). The anticipated total number of potential participants (players, coaches, club administrators, parents/guardians) is ~3500. The I-PROTECT programme includes end-user-targeted information and physical and psychological injury prevention training available in a specifically developed interactive mobile application. Implementation strategies were selected from the Expert Recommendations for Implementing Change discrete implementation strategy compilation, based on feedback from end-users. Implementation outcomes will be investigated at the end of the handball season using the Reach, Effectiveness, Adoption, Implementation and Maintenance implementation evaluation framework. A study-specific questionnaire, app downloads and/or workshops will be used to collect data.Ethics and dissemination The Swedish Ethical Review Authority approved the study. Results will be disseminated in peer-reviewed scientific journals, as popular science articles, at international conferences and communicated via the Swedish Handball Federation.Trial registration number NCT05696119.https://bmjpublichealth.bmj.com/content/2/1/e000991.full
spellingShingle Per Nilsen
Alex Donaldson
Eva Ageberg
Sofia Bunke
Jennie Linnéll
Karin Moesch
Karolina Lucander
Axel Ström
Robert Wedberg
Per Ekberg
Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial
BMJ Public Health
title Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial
title_full Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial
title_fullStr Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial
title_full_unstemmed Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial
title_short Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial
title_sort implementing injury prevention training in youth handball i protect in sweden study protocol for a cluster randomised trial
url https://bmjpublichealth.bmj.com/content/2/1/e000991.full
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