What is the point of evidence if you cannot use it in the real world? This editorial is a call to action to reduce current knowledge-to-practice gaps and to emphasise the need for dissemination and implementation research in the field of sports injury and illness prevention. A challenging question exists for effective injury and illness prevention programmes: ‘Why is it that so many interventions in sports injury and illness prevention are not used by end users despite available evidence?’ For example, why do youth sport coaches not implement neuromuscular training warm-up programmes and sports medicine professionals and coaches not implement concussion management guidelines?1 2 There are several evidence-based interventions, including clinical interventions, community programmes, practices, technologies, services, guidelines and policies, which are not being optimally used or not being used at all.1 The problem of non-use or suboptimal use of evidence is not limited to sports and exercise medicine, but a problem in general medicine and public health as well.3 Described as a ‘wicked’ problem, poor use of evidence is associated with human behaviour across multiple socioecological levels.4 5 The integration of best evidence into practice is usually within complex systems; as such, effective implementation is dependent on several factors that are often dynamic and specific to different social, organisational and political contexts. …

中文翻译：

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移动针头：呼吁运动损伤和疾病预防研究人员接受知识转化原则

如果您不能在现实世界中使用它，那么证据的意义何在？这篇社论呼吁采取行动，缩小当前知识与实践之间的差距，并强调在运动损伤和疾病预防领域进行传播和实施研究的必要性。有效的伤害和疾病预防计划存在一个具有挑战性的问题：“为什么尽管有可用的证据，最终用户仍未使用这么多运动伤害和疾病预防干预措施？” 例如，为什么青少年体育教练不实施神经肌肉训练热身计划，运动医学专业人士和教练不实施脑震荡管理指南？1 2 有多种循证干预措施，包括临床干预、社区计划、实践、技术、服务、指导方针和政策，未被最佳使用或根本未被使用。1 未使用或次优使用证据的问题不仅限于运动和运动医学，也是普通医学和公共卫生领域的问题。3 被描述为“棘手”问题，证据使用不当与跨多个社会生态层面的人类行为有关。4 5 最佳证据与实践的整合通常发生在复杂的系统中；因此，有效执行取决于几个因素，这些因素往往是动态的，并且特定于不同的社会、组织和政治背景。…… 证据使用不当与跨多个社会生态学层面的人类行为有关。4 5 将最佳证据融入实践通常是在复杂的系统中进行的；因此，有效执行取决于几个因素，这些因素往往是动态的，并且特定于不同的社会、组织和政治背景。…… 证据使用不当与跨多个社会生态学层面的人类行为有关。4 5 将最佳证据融入实践通常是在复杂的系统中进行的；因此，有效执行取决于几个因素，这些因素往往是动态的，并且特定于不同的社会、组织和政治背景。……