The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Caroline F Finch - One of the best experts on this subject based on the ideXlab platform.
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sports biostatistician a critical member of all sports science and medicine teams for Injury Prevention
British Journal of Sports Medicine, 2018Co-Authors: Marti Casals, Caroline F FinchAbstract:Sports science and medicine need specialists to solve the challenges that arise with Injury data. In the sports Injury field, it is important to be able to optimise Injury data to quantify Injury occurrences, understand their aetiology and most importantly, prevent them. One of these specialty professions is that of Sports Biostatistician. The aim of this paper is to describe the emergent field of Sports Biostatistics and its relevance to Injury Prevention. A number of important issues regarding this profession and the science of sports Injury Prevention are highlighted. There is a clear need for more multidisciplinary teams that incorporate biostatistics, epidemiology and public health in the sports Injury area.
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we have the programme what next planning the implementation of an Injury Prevention programme
Injury Prevention, 2017Co-Authors: Alex Donaldson, Belinda J Gabbe, Jill Cook, David G. Lloyd, Caroline F FinchAbstract:Background and aim The impact of any Injury Prevention programme is a function of the programme and its implementation. However, real world implementation of Injury Prevention programmes is challenging. Lower limb injuries (LLIs) are common in community Australian football (community-AF) and it is likely that many could be prevented by implementing exercise-based warm-up programmes for players. This paper describes a systematic, evidence-informed approach used to develop the implementation plan for a LLI Prevention programme in community-AF in Victoria, Australia. Methods An ecological approach, using Step 5 of the Intervention Mapping health promotion programme planning protocol, was taken. Results An implementation advisory group was established to ensure the implementation plan and associated strategies were relevant to the local context. Coaches were identified as the primary programme adopters and implementers within an ecological system including players, other coaches, first-aid providers, and club and league administrators. Social Cognitive Theory was used to identify likely determinants of programme reach, adoption and implementation among coaches (eg, knowledge, beliefs, skills and environment). Diffusion of Innovations theory, the Implementation Drivers framework and available research evidence were used to identify potential implementation strategies including the use of multiple communication channels, programme resources, coach education and mentoring. Conclusions A strategic evidence-informed approach to implementing interventions will help maximise their population impact. The approach to implementation planning described in this study relied on an effective researcher-practitioner partnership and active engagement of stakeholders. The identified implementation strategies were informed by theory, evidence and an in-depth understanding of the implementation context.
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applying implementation science to sports Injury Prevention
British Journal of Sports Medicine, 2013Co-Authors: Alex Donaldson, Caroline F FinchAbstract:Recent commentary in the BJSM has argued that a key challenge for future sports Injury Prevention is to reduce the ‘research to practice’ gap.1 Unfortunately, very few examples of this type of research actually exist. In this issue, Myklebust et al 2 describe their approach to anterior cruciate ligament (ACL) Injury Prevention in Norwegian Handball over the past 13 years. This is one of the first published papers on the long-term outcomes of a sports Injury Prevention intiative that has shown promising efficacy in controlled trials.3 While this paper describes an impressive intial research effort and outstanding example of long-term follow-up through an ACL Injury Surveillance Programme, it also highlights challenges associated with conducting sports Injury Prevention implementation research. Like other reports of the implementation of sports Injury Prevention interventions,4–8 Myklebust et al have listed the implementation activities undertaken without providing details of theoretical frameworks, specifc evidence or guiding principles used to inform selection or operationalisation of these activities. While considerable effort is often invested in describing the details of, and the evidence-based underpinning, interventions, implementation research also requires detailed information about what specific implementation strategies were put in place, why and how they were selected and delivered, and how effective they were in reaching and influencing the behaviour of the targeted audience.9 It is insufficient to describe implementation activities in general …
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The Extent to Which Behavioural and Social Sciences Theories and Models are Used in Sport Injury Prevention Research
Sports Medicine, 2010Co-Authors: Angela J. Mcglashan, Caroline F FinchAbstract:Behavioural and social science theories and models (BSSTM) can enhance efforts to increase health and safety behaviours, such as the uptake and maintenance of Injury Prevention measures. However, the extent to which they have been used in sports Injury research to date is currently unknown. A systematic review of 24 electronic databases was undertaken to identify the extent to which BSSTM have been incorporated into published sports Injury Prevention research studies and to identify which theories were adopted and how they were used. After assessment against specific inclusion and exclusion criteria, the full text of 100 potentially relevant papers was reviewed in detail. These papers were classified as follows: (i) explicit — the use of BSSTM was a stated key aspect in the design or conduct of the study; or (ii) atheoretical — there was no clear evidence for the use of BSSTM. The studies that explicitly mentioned BSSTM were assessed for how BSSTM were specifically used. Amongst the 100 identified papers, only eleven (11% of the total) explicitly mentioned BSSTM. Of these, BSSTM were most commonly used to guide programme design/implementation (n = 8) and/or to measure a theory/construct (n = 7). In conclusion, very few studies relating to sport safety behaviours have explicitly used any BSSTM. It is likely that future sports Injury Prevention efforts will only be enhanced, and achieve successful outcomes, if increased attention is given to fully understanding the behavioural determinants of safety actions. Appropriate use of BSSTM is critical to provide the theoretical basis to guide these efforts.
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a new framework for research leading to sports Injury Prevention
Journal of Science and Medicine in Sport, 2006Co-Authors: Caroline F FinchAbstract:This paper proposes a new sports Injury research framework, the Translating Research into Injury Prevention Practice framework, or TRIPP. This model builds on the fact that only research that can, and will, be adopted by sports participants, their coaches and sporting bodies will prevent injuries. Future advances in sports Injury Prevention will only be achieved if research efforts are directed towards understanding the implementation context for Injury Prevention, as well as continuing to build the evidence base for their efficacy and effectiveness of interventions. There is no doubt that intervention research in the sporting field can be difficult and many challenges need to be overcome; however, that should not be put up as a barrier towards undertaking it. Over the next few years, sports Injury researchers will need to think carefully about the "best" study designs and analysis tools to achieve this. All reported sports Injury studies, of whatever design, should include information on key implementation factors such as player/club recruitment rates and other biases as well as the rate of uptake of the interventions being tested, including reasons for use/non-use. However, it will only be broad research endeavours that adopt the TRIPP six-staged approach that will lead to real-world Injury Prevention gains.
Akilah Hugine - One of the best experts on this subject based on the ideXlab platform.
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Intelliject’s novel epinephrine autoinjector: sharps Injury Prevention validation and comparable analysis with EpiPen and
2015Co-Authors: Stephanie Guerlain, Lu Wang, Akilah HugineAbstract:Background—Currently marketed epinephrine autoinjectors (EAs) are prone to misuse that may lead to Injury or a missed dose. A novel EA (NEA) (Intelliject Inc) was created to reduce such injuries by including features such as a unidirectional perceived injection end and a retractable needle. Objectives—To validate the sharps Injury Prevention features of the NEA and to obtain feedback on, and preference for, features of the NEA compared with Twinject and EpiPen. Methods—Twenty-eight health care professionals experienced with using the EpiPen or Twinject each injected 18 NEAs into an orange and provided confirmation of needle injection and retraction. Half of the injections were conducted using wet hands to replicate diaphoretic hands or wet environmental conditions. Participants provided feedback via a post-test questionnaire and gave ordinal preference rankings for the NEA, EpiPen, and Twinject based on shape, size, ease of use, ease of training, and overall preference. Participants also described known cases in which the Twinject or EpiPen was not correctly administered. Results—For all 505 tested NEAs, the needle injected and retracted as intended. For overall preference, 100 % of the experienced health care practitioners ranked the NEA first. Half of the participants recalled incidents in which the EpiPen or Twinject did not work as intended or caused an Injury. Conclusions—The sharps Injury Prevention feature was verified for the NEA, and health care professionals experienced in the use of EpiPen and Twinject for allergic emergencies perceived the NEA to be a safer and preferred alternative
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intelliject s novel epinephrine autoinjector sharps Injury Prevention validation and comparable analysis with epipen and twinject
Annals of Allergy Asthma & Immunology, 2010Co-Authors: Stephanie Guerlain, Lu Wang, Akilah HugineAbstract:Background Currently marketed epinephrine autoinjectors (EAs) are prone to misuse that may lead to Injury or a missed dose. A novel EA (NEA) (Intelliject Inc) was created to reduce such injuries by including features such as a unidirectional perceived injection end and a retractable needle. Objectives To validate the sharps Injury Prevention features of the NEA and to obtain feedback on, and preference for, features of the NEA compared with Twinject and EpiPen. Methods Twenty-eight health care professionals experienced with using the EpiPen or Twinject each injected 18 NEAs into an orange and provided confirmation of needle injection and retraction. Half of the injections were conducted using wet hands to replicate diaphoretic hands or wet environmental conditions. Participants provided feedback via a post-test questionnaire and gave ordinal preference rankings for the NEA, EpiPen, and Twinject based on shape, size, ease of use, ease of training, and overall preference. Participants also described known cases in which the Twinject or EpiPen was not correctly administered. Results For all 505 tested NEAs, the needle injected and retracted as intended. For overall preference, 100% of the experienced health care practitioners ranked the NEA first. Half of the participants recalled incidents in which the EpiPen or Twinject did not work as intended or caused an Injury. Conclusions The sharps Injury Prevention feature was verified for the NEA, and health care professionals experienced in the use of EpiPen and Twinject for allergic emergencies perceived the NEA to be a safer and preferred alternative.
G P Morris - One of the best experts on this subject based on the ideXlab platform.
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Injury Prevention a strategic priority for environmental health
Public Health, 2010Co-Authors: David H Stone, G P MorrisAbstract:Summary Injury results from the acute transfer of energy (or the acute lack of a vital element) from the environment to human tissue. It is thus, ipso facto , an ‘environmental health' issue par excellence . This paper argues that Injury consequently deserves consideration as a major strategic priority by environmental health professionals. Two international agreements concerning children's health and the environment have major implications for safety. The Children's Environmental Health Action Plan for Europe (CEHAPE) and the European Environmental Health Strategy make reference to the need for improved evidence and greater co-operation between the environmental and health sectors. CEHAPE is particularly relevant to safety as it focuses on four regional priority goals, the second of which refers to the Prevention and reduction of health consequences from injuries by promoting safe, secure and supportive human settlements for all children. The natural strategic ‘home' for Injury Prevention may therefore lie within environmental health, a domain from which it has generally been excluded. In support of this assertion, Scotland's recent policy initiative on the environment and human health ‘Good Places, Better Health' is cited, where Injury in children up to 8 years of age is one of four child health priorities being tackled during its initial implementation. An important test of the initiative may be its capacity to inform policy, practice and research in the field of Injury Prevention and safety promotion. If successful, it will help to validate the environmental health approach to a field that remains relatively neglected by public agencies, policy makers, practitioners and researchers.
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Injury Prevention a strategic priority for environmental health
Injury Prevention, 2010Co-Authors: David H Stone, G P MorrisAbstract:Injury results from the acute transfer of energy from the environment to human tissue. It is thus, ipso facto, an environmental health issue par excellence. In this paper, we argue that Injury consequently deserves consideration as a major strategic priority by environmental health professionals. Two international agreements concerning children's health and the environment have major implications for safety. The Children's Environmental Health Action Plan for Europe (CEHAPE) and the European Environmental Health Strategy (SCALE) refer to the need for improved evidence and greater co-operation between the environmental and health sectors. CEHAPE is particularly relevant to safety as it focuses on four regional priority goals, the second of which refers to the Prevention and reduction of health consequences from injuries by promoting safe, secure and supportive human settlements for all children. The natural strategic home for Injury Prevention may therefore lie within environmental health, a domain from which it has generally been excluded. In support of this assertion, we cite Scotland's recent policy initiative on environment and human health Good Places, Better Health where Injury in children up to 8 years of age is one of four child health priorities being tackled during its initial implementation. An important test of the initiative may be its capacity to inform policy, practice and research in the field of Injury Prevention and safety promotion. If successful, it will help to validate the environmental health approach to a field that remains relatively neglected by public agencies, policy makers, practitioners and researchers.
Willem Van Mechelen - One of the best experts on this subject based on the ideXlab platform.
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from the safety net to the Injury Prevention web applying systems thinking to unravel Injury Prevention challenges and opportunities in cirque du soleil
BMJ open sport and exercise medicine, 2019Co-Authors: Caroline Bolling, Willem Van Mechelen, Jay Mellette, Roeline H W Pasman, Evert VerhagenAbstract:Objective We undertook this qualitative study within an international circus company - Cirque du Soleil - to explore the narrative of artists and the artistic team in regards to injuries and their Prevention and to describe the Prevention of injuries from a systems thinking lens. Methods Focus groups (FG) with artists and semistructured individual interviews with the artistic team were conducted in six selected shows. The structure of the interviews and FGs concerned the themes: a € Injury', a € Injury-related factors' and a € Injury Prevention'. Data were analysed through comparative data analysis based on Grounded Theory. Concept mapping and systems thinking approaches were used to design a map of participants' views on how to prevent injuries. Results Injury was mainly described based on performance limitation. The factors mostly mentioned to be related to Injury occurrence were physical load factors. Many of these factors were said to be connected and to influence each other. Injury Prevention was mapped as a multilevel system, composed by artist-related factors (eg, technique and life style) and extrinsic factors (eg, touring conditions and equipment) that integrate different strategies and stakeholders. Conclusion Our study reinforces the importance of multilevel Injury Prevention approaches with shared responsibility and open communication among stakeholders.
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neuromuscular training Injury Prevention strategies in youth sport a systematic review and meta analysis
British Journal of Sports Medicine, 2015Co-Authors: Carolyn A. Emery, Thierryolivier Roy, Jackie L Whittaker, Alberto Nettelaguirre, Willem Van MechelenAbstract:Youth have very high participation and Injury rates in sport. Sport is the leading cause of Injury in youth. Sport Injury reduces future participation in physical activity which adversely affects future health. Sport Injury may lead to overweight/obesity and post-traumatic osteoarthritis. The objective of the systematic review and meta-analysis was to evaluate the efficacy of Injury Prevention neuromuscular training strategies in youth sport. Three electronic databases were systematically searched up to September 2014. Studies selected met the following criteria: original data; analytic prospective design; investigated a neuromuscular training Prevention strategy intervention(s) and included outcomes for Injury sustained during sport participation. Two authors assessed the quality of evidence using Downs and Black (DB) criteria. Meta-analyses including randomised controlled trials only (RCTs) to ensure study design homogeneity were completed for lower extremity and knee Injury outcomes. Of 2504 potentially relevant studies, 25 were included. Meta-analysis revealed a combined preventative effect of neuromuscular training in reducing the risk of lower extremity Injury (incidence rate ratio: IRR=0.64 (95% CI 0.49 to 0.84)). Though not statistically significant, the point estimate suggests a protective effect of such programmes in reducing the risk of knee Injury (IRR=0.74 (95% CI 0.51 to 1.07)). There is evidence for the effectiveness of neuromuscular training strategies in the reduction of Injury in numerous team sports. Lack of uptake and ongoing maintenance of such programmes is an ongoing concern. A focus on implementation is critical to influence knowledge, behaviour change and sustainability of evidence informed Injury Prevention practice.
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design of the iplay study systematic development of a physical activity Injury Prevention programme for primary school children
Sports Medicine, 2009Co-Authors: Dorine C M Collard, Mai J M Chinapaw, Willem Van Mechelen, Evert VerhagenAbstract:Health benefits of physical activity in children are well known. However, a drawback is the risk of physical activity-related injuries. Children are at particular risk for these injuries, because of a high level of exposure. Because of the high prevalence of physical activity injuries and the negative short-and long-term consequences, Prevention of these injuries in children is important. This article describes how we systematically developed a school-based physical activity Injury Prevention programme using the intervention mapping (IM) protocol. IM describes a process for developing theory-and evidence-based health promotion programmes. The development can be described in six steps: (i) perform a needs assessment; (ii) identify programme and performance objectives; (iii) select methods and strategies; (iv) develop programme; (v) adopt and implement; and (vi) evaluate. First, the results of the needs assessment showed the Injury problem in children and the different risk factors for physical activity injuries. Based on the results of the needs assessment the main focus of the Injury Prevention programme was described. Second, the overall programme objective of the Injury Prevention programme was defined as reducing the incidence of lower extremity physical activity injuries. Third, theoretical methods and practical strategies were selected to accomplish a decrease in Injury incidence. The theoretical methods used were active learning, providing cues and scenariobased risk information, and active processing of information. The practical strategy of the Injury Prevention programme was an 8-month course about Injury Prevention to be used in physical education classes in primary schools. Fourth, programme materials that were used in the Injury Prevention programme were developed, including newsletters for children and parents, posters, exercises to improve motor fitness, and an information website. Fifth, an implementation plan was designed in order to ensure that the Prevention programme would be implemented, adopted and sustained over time. Finally, an evaluation plan was designed. The Injury Prevention programme is being evaluated in a cluster randomized controlled trial with more than 2200 children from 40 primary schools throughout the Netherlands. The IM process is a useful process for developing an Injury Prevention programme. Based on the steps of the IM we developed an 8-month Injury Prevention programme to be used in physical education classes of primary schools. © 2009 Adis Data Information BV. All rights reserved.
Alex Donaldson - One of the best experts on this subject based on the ideXlab platform.
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we have the programme what next planning the implementation of an Injury Prevention programme
Injury Prevention, 2017Co-Authors: Alex Donaldson, Belinda J Gabbe, Jill Cook, David G. Lloyd, Caroline F FinchAbstract:Background and aim The impact of any Injury Prevention programme is a function of the programme and its implementation. However, real world implementation of Injury Prevention programmes is challenging. Lower limb injuries (LLIs) are common in community Australian football (community-AF) and it is likely that many could be prevented by implementing exercise-based warm-up programmes for players. This paper describes a systematic, evidence-informed approach used to develop the implementation plan for a LLI Prevention programme in community-AF in Victoria, Australia. Methods An ecological approach, using Step 5 of the Intervention Mapping health promotion programme planning protocol, was taken. Results An implementation advisory group was established to ensure the implementation plan and associated strategies were relevant to the local context. Coaches were identified as the primary programme adopters and implementers within an ecological system including players, other coaches, first-aid providers, and club and league administrators. Social Cognitive Theory was used to identify likely determinants of programme reach, adoption and implementation among coaches (eg, knowledge, beliefs, skills and environment). Diffusion of Innovations theory, the Implementation Drivers framework and available research evidence were used to identify potential implementation strategies including the use of multiple communication channels, programme resources, coach education and mentoring. Conclusions A strategic evidence-informed approach to implementing interventions will help maximise their population impact. The approach to implementation planning described in this study relied on an effective researcher-practitioner partnership and active engagement of stakeholders. The identified implementation strategies were informed by theory, evidence and an in-depth understanding of the implementation context.
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applying implementation science to sports Injury Prevention
British Journal of Sports Medicine, 2013Co-Authors: Alex Donaldson, Caroline F FinchAbstract:Recent commentary in the BJSM has argued that a key challenge for future sports Injury Prevention is to reduce the ‘research to practice’ gap.1 Unfortunately, very few examples of this type of research actually exist. In this issue, Myklebust et al 2 describe their approach to anterior cruciate ligament (ACL) Injury Prevention in Norwegian Handball over the past 13 years. This is one of the first published papers on the long-term outcomes of a sports Injury Prevention intiative that has shown promising efficacy in controlled trials.3 While this paper describes an impressive intial research effort and outstanding example of long-term follow-up through an ACL Injury Surveillance Programme, it also highlights challenges associated with conducting sports Injury Prevention implementation research. Like other reports of the implementation of sports Injury Prevention interventions,4–8 Myklebust et al have listed the implementation activities undertaken without providing details of theoretical frameworks, specifc evidence or guiding principles used to inform selection or operationalisation of these activities. While considerable effort is often invested in describing the details of, and the evidence-based underpinning, interventions, implementation research also requires detailed information about what specific implementation strategies were put in place, why and how they were selected and delivered, and how effective they were in reaching and influencing the behaviour of the targeted audience.9 It is insufficient to describe implementation activities in general …
