Controlled ecological evaluation of an implemented exercise-training programme to prevent lower limb injuries in sport: Population-level trends in hospital-treated injuries
Journal article
Finch, Caroline F., Gray, Shannon E., Akram, Muhammad, Donaldson, Alex, Lloyd, David G. and Cook, Jill L.. (2019). Controlled ecological evaluation of an implemented exercise-training programme to prevent lower limb injuries in sport: Population-level trends in hospital-treated injuries. British Journal of Sports Medicine. 53(8), pp. 487 - 492. https://doi.org/10.1136/bjsports-2018-099488
Authors | Finch, Caroline F., Gray, Shannon E., Akram, Muhammad, Donaldson, Alex, Lloyd, David G. and Cook, Jill L. |
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Abstract | Objective: Exercise-training programmes have reduced lower limb injuries in trials, but their population-level effectiveness has not been reported in implementation trials. This study aimed to demonstrate that routinely collected hospital data can be used to evaluate population-level programme effectiveness. Method: A controlled ecological design was used to evaluate the effect of FootyFirst, an exercise-training programme, on the number of hospital-treated lower limb injuries sustained by males aged 16–50 years while participating in community-level Australian Football. FootyFirst was implemented with ‘support’ (FootyFirst+S) or ‘without support’ (FootyFirst+NS) in different geographic regions of Victoria, Australia: 22 clubs in region 1: FootyFirst+S in 2012/2013; 25 clubs in region 2: FootyFirst+NS in 2012/2013; 31 clubs region 3: control in 2012, FootyFirst+S in 2013. Interrupted time-series analysis compared injury counts across regions and against trends in the rest of Victoria. Results: After 1 year of FootyFirst+S, there was a non-statistically significant decline in the number of lower limb injuries in region 1 (2012) and region 3 (2013); this was not maintained after 2 years in region 1. Compared with before FootyFirst in 2006–2011, injury count changes at the end of 2013 were: region 1: 20.0% reduction (after 2 years support); region 2: 21.5% increase (after 2 years without support); region 3: 21.8% increase (after first year no programme, second year programme with support); rest of Victoria: 12.6% increase. Conclusion: Ecological analyses using routinely collected hospital data show promise as the basis of population-level programme evaluation. The implementation and sustainability of sports injury prevention programmes at the population-level remains challenging. |
Year | 2019 |
Journal | British Journal of Sports Medicine |
Journal citation | 53 (8), pp. 487 - 492 |
Publisher | BMJ |
ISSN | 0306-3674 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/bjsports-2018-099488 |
Scopus EID | 2-s2.0-85053767931 |
Open access | Open access |
Page range | 487 - 492 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | License |
Grant ID | NHMRC/565907 |
NHMRC/1058737 | |
Place of publication | United Kingdom |
Editors | K. Khan |
https://acuresearchbank.acu.edu.au/item/88w2w/controlled-ecological-evaluation-of-an-implemented-exercise-training-programme-to-prevent-lower-limb-injuries-in-sport-population-level-trends-in-hospital-treated-injuries
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Publisher's version
OA_Finch_2019_Controlled_ecological_evaluation_of_an_implemented.pdf | |
License: CC BY-NC 4.0 |
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