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Facilitators and barriers for implementation of a load management intervention in football
BMJ Open Sport & Exercise Medicine Pub Date : 2021-06-01 , DOI: 10.1136/bmjsem-2021-001046
Torstein Dalen-Lorentsen , Andreas Ranvik , John Bjørneboe , Benjamin Clarsen , Thor Einar Andersen

Background In a recent randomised controlled trial, we found that a commonly used training load management approach was not effective in preventing injuries and illnesses in Norwegian elite youth footballers. Aim To investigate players’ and coaches’ barriers and facilitators to a load management approach to prevent injuries and illnesses and their attitudes and beliefs of load management and injuries and illnesses in general. Methods We asked players and coaches about their views on injury risk in football, the benefits and limitations of load management in general and implementation of load management in football. The questionnaires used were based on similar studies using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework. Results We recorded answers from 250 players and 17 coaches. Most players (88%) reported that scientific evidence showing improved performance from the intervention measures is a key facilitator to completing the intervention. Similarly, coaches reported that the most important facilitator was scientific evidence that the preventive measures were effective (100%). Players reported that the coach’s attitude to preventive measures was important (86%), and similarly, 88% of coaches reported that the player’s attitude was important. Conclusions By having a mutual positive attitude towards the intervention, players and coaches can positively contribute to each other’s motivation and compliance. Both players and coaches reported scientific evidence for load management having injury-preventive and performance-enhancing effect and being time efficient as important facilitators. Trial registration number Trial registration number All data are available upon request.

中文翻译:

实施足球负荷管理干预的促进因素和障碍

背景 在最近的一项随机对照试验中,我们发现常用的训练负荷管理方法无法有效预防挪威精英青年足球运动员的受伤和疾病。目的 调查球员和教练在负荷管理方法中的障碍和促进因素,以防止受伤和疾病,以及他们对负荷管理和受伤和疾病的总体态度和信念。方法 我们询问了球员和教练他们对足球受伤风险的看法、一般负荷管理的好处和局限性以及足球负荷管理的实施。所使用的问卷基于使用范围、有效性、采用、实施和维护框架的类似研究。结果 我们记录了 250 名球员和 17 名教练的回答。大多数参与者 (88%) 报告说,科学证据表明干预措施的绩效提高是完成干预的关键促进因素。同样,教练报告说,最重要的促进因素是预防措施有效的科学证据 (100%)。球员报告教练对预防措施的态度很重要 (86%),同样,88% 的教练报告球员的态度很重要。结论 通过对干预采取相互积极的态度,球员和教练可以对彼此的积极性和顺从性做出积极贡献。球员和教练都报告了负荷管理具有预防伤害和提高成绩的作用,并且作为重要的促进者具有时间效率的科学证据。
更新日期:2021-06-22
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