Injury Prevention in Danish Youth Handball - a Hybrid Effectiveness-implementation Study
试验速览
- 阶段
- 不适用
- 入组人数
- 950
- 试验地点
- 1
- 主要终点
- Adherence volume at team level
研究概览
简要总结
The primary aim of this hybrid-effectiveness-implementation cluster randomised study is to investigate if a supported implementation of an injury prevention exercise program (Happy program) involving a train-the-trainer workshop and coach support during the season is superior to an unsupported implementation of the Happy program involving the availability of the program on webpages, in improving adherence (volume, frequency, duration) of the Happy program among coaches for young (11-17 years of age) Danish female and male handball players during one handball season. Secondary aims are to investigate if the supported implementation is superior to the unsupported implementation in improving behavioural outcomes among the coaches and in reducing the risk for new ankle, knee, and shoulder injuries among young (11-17 years of age) Danish female and male handball players during one handball season. Further, the investigators aim to evaluate how and why adherence and behavioural determinants towards use of the Happy program might improve (or not).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
盲法说明
The clubs will be randomly assigned to either the control or intervention group at a 1:1 allocation ratio, using a computer-generated randomisation schedule. The randomisation will be performed by a person not else involved in the trial.
入排标准
- 年龄范围
- 11 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •playing in youth teams from the age groups under (u)13, u15, and u17
- •playing in handball club with at least four teams in the desired age groups
排除标准
- 未提供
研究组 & 干预措施
Supported Implementation (Intervention)
The Happy-program will be available online on a webpage and consists of 7 warm-up components and 4 resistance training components that can be completed after handball practice.
The warm-up program has three exercise variations for each of the seven components. The coaches may deliver the four resistance training components in the field or in the gym. The resistance training components in the field and the gym targets the same four body areas but differs in that the components in the gym are performed with equipment, while the components in the field can be performed without equipment. Each resistance training component has three levels.
Happy ambassadors (Health professionals with a handball player or coach background) will conduct a 3-hour train-the trainer workshop in the beginning of the season and provide coaches with the opportunity for support throughout the season. At mid-season, the ambassadors will re-visit the clubs for 1,5-hour supervision and support.
干预措施: Happy program (Behavioral)
Supported Implementation (Intervention)
The Happy-program will be available online on a webpage and consists of 7 warm-up components and 4 resistance training components that can be completed after handball practice.
The warm-up program has three exercise variations for each of the seven components. The coaches may deliver the four resistance training components in the field or in the gym. The resistance training components in the field and the gym targets the same four body areas but differs in that the components in the gym are performed with equipment, while the components in the field can be performed without equipment. Each resistance training component has three levels.
Happy ambassadors (Health professionals with a handball player or coach background) will conduct a 3-hour train-the trainer workshop in the beginning of the season and provide coaches with the opportunity for support throughout the season. At mid-season, the ambassadors will re-visit the clubs for 1,5-hour supervision and support.
干预措施: Support (Behavioral)
Unsupported implementation (control)
Access to the Happy program will be available online to the coaches. No additional education or support will be provided.
干预措施: Happy program (Behavioral)
结局指标
主要结局
Adherence volume at team level
时间窗: Measured weekly over 7 months
How much the Happy components have been delivered (adherence volume) will be evaluated as the number of Happy components delivered per week at team level over the full season Reports of Happy program usage will be recorded electronically on a weekly basis by the head coach of each team using a web application. A full warm-up session includes 7 components. A full resistance exercise training includes 4 components. The coaches are encouraged to perform all Happy program components with their players twice a week
Shoulder, knee and ankle injuries using the Oslo Sports Trauma Research Center Health problems Questionnaire (OSTRC-H2)
时间窗: Measured weekly over 7 months
The primary injury outcomes will be time to any new handball-related ankle, knee and shoulder injury defined as any tissue damage or other derangement of normal physical function due to participation in handball, resulting from rapid or repetitive transfer of kinetic energy, following a recent consensus statement from the International Olympic Committee Injury status will be monitored weekly during the season using the Oslo Sports Trauma Research Center Overuse Injury Questionnaire distributed electronically to the players via an application. The questionnaire also measures exposure to handball, both training and match, during the last seven days.
次要结局
- Substantial shoulder, knee and ankle injuries using the Oslo Sports Trauma Research Center Health problems Questionnaire (OSTRC-H2)(Assessed weekly over 7 months)
- Adherence volume of the Happy resistance training components at player level(Assessed weekly over 7 months)
- Determinants of Implementation Behavior Questionnaire (DIBQ) responses(Will be assessed at baseline, mid-season (3 months after baseline) and at end season (7 months))
- Adherence volume of the Happy resistance training components at team level(Assessed weekly over 7 months)
- Health Action Process Approach (HAPA) Questionnaire responses(Will be assessed at baseline, mid-season (3 months after baseline) and at end season (7 months))
- Adherence volume of the Happy warm-up components at team level(Assessed weekly over 7 months)