1. The Health And Performance Promotion in Youth Sport (HAPPY) study: A qualitative evaluation of the implementation of injury prevention exercise programs in community handball.
- Author
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Jespersen, Julie, Storm, Louise Kamuk, Larsen, Anders Christer, Andersen, Lotte Nygaard, Zacher-Gross, Sarah, Juhl, Carsten, Roos, Ewa Maria, and Møller, Merete
- Subjects
SPORTS injury prevention ,HUMAN services programs ,PHYSICAL training & conditioning ,CONFERENCES & conventions ,HANDBALL - Abstract
Introduction: Although evidence-based injury prevention programs are available in youth handball, their implementation in practice remains insufficient. This gap emphasizes the need for a better understanding of the behavioral determinants, facilitators, and barriers among youth handball coaches. Objectives: To gain a profound understanding of youth handball coaches' behavioural determinants and adher- ence to an injury prevention exercise programme in youth community handball. Methods: We used a qualitative study-design. Data were collected from 18 semi-structured interviews with hand- ball coaches who participated in a randomized controlled trial, comparing the effectiveness of an online and on-site implementation strategy (11 coaches) versus an online-only strategy (7 coaches) in enhancing adherence to an injury prevention exercise program. The interview guide was based on The Health Action Process Approach (HAPA) behaviour change model, addressing barriers, facilitators, and behavioural determinants influencing the implementation process. Interviews were transcribed verbatim and data were analyzed using reflexive thematic analysis. Results: All participants recognized the importance of injury prevention; however, they had different levels of adherence implementing the HAPPY-program. 6 overall themes were identified influencing the implementation process positively or negatively; 1) coaches' knowledge, skills and preferences, 2) player skills and motivation 3) practical setting, 4) injury prevention club culture, 5) onsite expert support from health professionals and 6) social support among coaches. We found no major differences in coach responses between the two randomized implemen- tation strategy groups. Instead, adherence to the implementation was strongly influenced by personal autonomy, as well as environmental factors such as the availability of resources/facilities, social support and culture. Conclusion: Adherence to an injury prevention program was largely dependent on pre-existing factors, such as the coaches' personal beliefs, skills, resources, and the environmental factors surrounding them. [ABSTRACT FROM AUTHOR]
- Published
- 2024