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Int. J. Environ. Res. Public Health 2018, 15(2), 351; https://doi.org/10.3390/ijerph15020351

Working towards More Effective Implementation, Dissemination and Scale-Up of Lower-Limb Injury-Prevention Programs: Insights from Community Australian Football Coaches

1
Department of Community and Allied Health, La Trobe Rural Health School, College of Science, Health and Engineering, La Trobe University, Victoria 3550, Australia
2
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Victoria 3000, Australia
3
Centre for Sport and Social Impact, La Trobe University, Victoria 3000, Australia;
4
Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center Amsterdam, 1007 MB. Amsterdam, The Netherlands
5
UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, 7701 Cape Town, South Africa
6
Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, Ballarat, Victoria 3350, Australia
*
Author to whom correspondence should be addressed.
Received: 5 January 2018 / Revised: 9 February 2018 / Accepted: 12 February 2018 / Published: 16 February 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Abstract

Disseminating lower-limb injury-prevention exercise programs (LL-IPEPs) with strategies that effectively reach coaches across sporting environments is a way of preventing lower-limb injuries (LLIs) and ensuring safe and sustainable sport participation. The aim of this study was to explore community-Australian Football (community-AF) coaches’ perspectives on the strategies they believed would enhance the dissemination and scale-up of LL-IPEPs. Using a qualitative multiple case study design, semi-structured interviews with community-AF coaches in Victoria, Australia, were conducted. Overall, coaches believed a range of strategies were important including: coach education, policy drivers, overcoming potential problem areas, a ‘try before you buy approach’, presenting empirical evidence and guidelines for injury-prevention exercise programs (IPEPs), forming strategic collaboration and working in partnership, communication and social marketing, public meetings, development of a coach hotline, and targeted multi-focused approaches. A shift to a culture whereby evidence-based IPEP practices in community-AF will take time, and persistent commitment by all involved in the sport is important. This will support the creation of strategies that will enhance the dissemination and scale-up of LL-IPEPs across community sport environments. The focus of research needs to continue to identify effective, holistic and multi-level interventions to support coaches in preventing LLIs. This could lead to the determination of successful strategies such as behavioural regulation strategies and emotional coping resources to implement LL-IPEPs into didactic curricula and practice. Producing changes in practice will require attention to which strategies are a priority and the most effective. View Full-Text
Keywords: coaching; sport injury prevention; implementation and dissemination; Australian Football; lower-limb injury coaching; sport injury prevention; implementation and dissemination; Australian Football; lower-limb injury
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McGlashan, A.; Verrinder, G.; Verhagen, E. Working towards More Effective Implementation, Dissemination and Scale-Up of Lower-Limb Injury-Prevention Programs: Insights from Community Australian Football Coaches. Int. J. Environ. Res. Public Health 2018, 15, 351.

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