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The Trauma Registry as a statewide quality improvement tool

- Cameron, Peter, Gabbe, Belinda, McNeil, John, Finch, Caroline, Smith, Karen, Cooper, James, Judson, Rodney, Kossmann, Thomas

  • Authors: Cameron, Peter , Gabbe, Belinda , McNeil, John , Finch, Caroline , Smith, Karen , Cooper, James , Judson, Rodney , Kossmann, Thomas
  • Date: 2005
  • Type: Text , Journal article
  • Relation: The Journal of Trauma Vol. 59, no. 6 (2005), p. 1469-1476
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  • Description: Background: Trauma registries have been developed to describe the pattern of trauma and trauma workload, provide data for research, and to demonstrate changes in patient outcomes. Quality improvement using trauma registries at a systemwide level has been difficult to achieve. In Victoria, Australia, a statewide trauma system and trauma registry has been established to monitor and feedback the process of management and outcomes of major trauma patients across all healthcare providers. Methods: The development and implementation of the Victorian State Trauma Registry (VSTR), including its role as a quality monitoring tool and results from the first 2 years of operation, are provided. Results: More than 80% of major trauma patients are being managed at major trauma services and standardized death rates are comparable with international standards. Quality indicators identify some areas for improvement. Conclusion: VSTR data indicate that the statewide trauma system is working well and provides a method for ongoing monitoring and trauma care feedback. (C) 2005 Lippincott Williams & Wilkins, Inc.

Sports biostatistician : A critical member of all sports science and medicine teams for injury prevention

- Casals, Martí, Finch, Caroline

  • Authors: Casals, Martí , Finch, Caroline
  • Date: 2017
  • Type: Text , Journal article
  • Relation: Injury Prevention Vol. 23, no. 6 (2017), p. 423-427
  • Relation: British Journal of Sports Medicine Vol. 52, no. 22 (2018), p. 1457-1461
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  • Description: 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. © Published by the BMJ Publishing Group Limited.

Fall Prevention in Australia: Policies and activities

- Clemson, Lindy, Finch, Caroline, Hill, Keith, Lewin, Gill

  • Authors: Clemson, Lindy , Finch, Caroline , Hill, Keith , Lewin, Gill
  • Date: 2010
  • Type: Text , Journal article
  • Relation: Clinics in geriatric medicine Vol. 26, no. 4 (2010), p. 733-749
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  • Description: Fall prevention recommendations and plans have been prolific in Australia since 1986 but Commonwealth recommendations have rarely been acted on from a national perspective and the funds for prevention at a national level have been limited At a state level, although increasing annually funds for fall prevention have also remained as only a low proportion of total health spending Several Australian states have developed their own strategic plans and their activities have developed separately and uniquely although referring to national guidelines This article presents a perspective of Australian fall prevention policy over time provides insights into the current focus, and draws on some specific examples of activities from the 2 most populous Australian states (New South Wales and Victoria) and from our largest geographic state Western Australia

The long-term impact of overuse injuries on life-long participation in sport and health status

- Cook, Jill, Finch, Caroline

  • Authors: Cook, Jill , Finch, Caroline
  • Date: 2011
  • Type: Text , Book chapter
  • Relation: Sport participation: Health benefits, injuries and psychological effects p. 85-104
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  • Description: Overuse injuries are common in many sports and it is well known that they can negatively influence ongoing participation in sport, especially during the period when people recover and rehabilitate from these injuries. Much less is recognised about the longer-term impact of these overuse injuries, with most focus in the literature appearing to be on the outcomes of acute, traumatic injuries. This chapter provides an overview of the available evidence that links overuse injuries to restriction of sport participation and other physical activities in both the short term and longer term, as well as the associated health issues that may be associated with this. In particular, residual musculoskeletal deficits that might affect future joint and tendon health and injury risk are reviewed. By drawing on models describing the chronicity of problems such as poor tendon health and osteoarthritis and the recently presenting LOAD (List of All Deficits) injury outcome framework, this chapter presents a new conceptual approach towards understanding the significant impact of overuse injuries that arise during sport on subsequent health and sports participation across the lifespan.

Modelling the population-level impact of tai-chi on falls and fall-related injury among community-dwelling older people

- Day, Lesley, Finch, Caroline, Harrison, James, Hoareau, Effie, Segal, Leonie, Ullah, Shahid

  • Authors: Day, Lesley , Finch, Caroline , Harrison, James , Hoareau, Effie , Segal, Leonie , Ullah, Shahid
  • Date: 2010
  • Type: Text , Journal article
  • Relation: Injury Prevention Vol. 16, no. 5 (2010), p. 321-326
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
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  • Description: Objective: To model the population level impact of tai-chi on future rates of falls and fall-related injury in older people as a tool for policy development. Design: An epidemiological and economic model for estimating population-level effectiveness of tai-chi. Setting: Australia, 2009. Patients or subjects: Australian community-dwelling population aged 70+ years, ambulatory and without debilitating conditions or profound visual defects. Intervention: Group-based tai-chi, for 1 h twice weekly for 26 weeks, assuming no sustained effect beyond the intervention period. Main outcome measure: Total falls and fall-related hospitalisation prevented in 2009. Results: Population-wide tai-chi delivery would prevent an estimated 5440 falls and 109 fall-related hospitalisations, resulting in a 0.18% reduction in the fall related hospital admission rate for community-dwelling older people. The gross costs per fall and per fall-related hospital admission prevented were $ A4414 ((sic)3013) and $A220 712 ((sic)150 684), respectively. A total investment of $A24.01 million ((sic)16.39 million), equivalent to 4.2% of the cost of fall-related episodes of hospital care in 2003/4, would be required to provide tai-chi for 31 998 people and achieve this effect. Conclusions: Substantial investment in, and high population uptake of, tai-chi would be required to have a large effect on falls and fall-related hospitalisation rates. Although not accounted for in this study, investment in tai-chi is likely to be associated with additional significant health benefits beyond falls prevention. This approach could be applied to other interventions to assist selection of the most cost effective falls-prevention portfolio for Australia and other countries.

Modelling the impact, costs and benefits of falls prevention measures to support policy-makers and program planners

- Day, Lesley, Hoareau, Effie, Finch, Caroline, Harrison, James, Segal, Leonie, Bolton, Tom, Bradley, Clare, Boufous, Soufiane, Ullah, Shahid, National Injury Prevention Injury Working Group

  • Authors: Day, Lesley , Hoareau, Effie , Finch, Caroline , Harrison, James , Segal, Leonie , Bolton, Tom , Bradley, Clare , Boufous, Soufiane , Ullah, Shahid , National Injury Prevention Injury Working Group
  • Date: 2009
  • Type: Text , Technical report
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  • Description: The ageing of the population is one of the major transformations being experienced in Australia, with falls a significant threat to safety, health and independence. There is now substantial evidence regarding effective interventions for preventing falls among older people living independently in the community. The aim of this project was to develop and apply a framework for epidemiological modelling of the population level impact of proven interventions on future fall rates, providing a powerful policy-setting tool for prevention. We used the Cochrane review to source current best efficacy evidence from randomised controlled trials which have provided evidence of minimising the incidence of falls among older people living in the community. Six interventions defined in that review as most promising for community dwelling older people were modelled. Additionally, one other intervention not in the Cochrane review, expedited cataract removal, was also modelled. Occupational therapy delivered home hazard assessment and modification for those with recent fall history, as modelled here, represents the best falls prevention investment. Cardiac pacing is a good falls prevention investment over the medium term, although is unlikely to have a major impact on population level hospital admission rates. The relative cost-effectiveness of psychotropic medication withdrawal appears high, although some implementation issues would need to be addressed and further costs included. Multi-disciplinary multi-factorial risk management represents good clinical practice for high risk individuals, but is not relatively cost-effective for widespread implementation. Tai chi programs may represent good value for falls prevention resources, if local circumstances allow the cost per participant to be substantially lower than modelled here. Predicted reductions in national fall-related hospital admission rates for people aged 65 years and over ranged from 0.4% to 4.6% for five of the six falls prevention strategies implemented over a one year period. These reductions, however, suggest that substantial investment in falls prevention will be required to have large effects on the fall-related hospitalisation rates. In addition, the costeffectiveness of a number of the modelled interventions could be improved by variations to the implementation processes such as measures to increase uptake, or decrease the cost per participant. The framework developed provides the potential for the research evidence base to better guide policy and practice with respect to reducing falls and future fall-related hospitalisation rates.

A protocol for evidence-based targeting and evaluation of statewide strategies for preventing falls among community-dwelling older people in Victoria, Australia

- Day, Lesley, Finch, Caroline, Hill, Keith, Haines, Terry, Clemson, Lindy, Thomas, Margaret, Thompson, Catherine

  • Authors: Day, Lesley , Finch, Caroline , Hill, Keith , Haines, Terry , Clemson, Lindy , Thomas, Margaret , Thompson, Catherine
  • Date: 2011
  • Type: Text , Journal article
  • Relation: Injury Prevention Vol. 17, no. 2 (2011), p. 1-8
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
  • Relation: http://purl.org/au-research/grants/nhmrc/546282
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  • Description: Background: Falls are a significant threat to the safety, health and independence of older citizens. Despite the now substantial evidence about effective falls prevention interventions, translation into falls reductions has not yet been fully realised. While the hip fracture rate is decreasing, the number and rate of fall-related hospital admissions among older people is increasing. The challenge now is to deliver the most effective interventions efficiently at a population level, and for these interventions to be taken up by older people. Objective: To support the development, and evaluation of, effective falls prevention policy and practice in the state of Victoria, Australia. Methods: The RE-AIM model (Reach, Efficacy, Adoption, Implementation, Maintenance) was used to identify strategies for an effective programme. Research objectives were developed to support the strategies. These include: (1) identification of subgroups of older people most frequently admitted to hospital for falls; (2) examining the acceptability of established falls interventions; (3) identification of factors that encourage and support relevant lifestyle changes; (4) identifying opportunities to incorporate confirmed interventions in existing programmes and services; (5) developing guidelines for sustainability. The research results will subsequently guide strategy details for the falls prevention plan. RE-AIM will provide the framework for the evaluation structure. Outcome measures: Measures to monitor the implementation of the selected interventions will be determined for each intervention, based on the five key factors of the RE-AIM model. The overall effect of the falls prevention plan will be monitored by time series analysis of fall-related hospital admission rates for community-dwelling older people.

Key factors influencing implementation of falls prevention exercise programs in the community

- Day, Lesley, Trotter, Margaret, Donaldson, Alex, Hill, Keith, Finch, Caroline

  • Authors: Day, Lesley , Trotter, Margaret , Donaldson, Alex , Hill, Keith , Finch, Caroline
  • Date: 2016
  • Type: Text , Journal article
  • Relation: Journal of Aging and Physical Activity Vol. 24, no. 1 (2016), p. 45-52
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  • Description: The study aim was to evaluate the implementation of group-and home-based exercise falls prevention programs delivered through community health agencies to community-dwelling older people. Interviews with program staff were guided by the Diffusion of Innovations theory. Highly consistent themes emerged for the two types of programs. Both had high overall compatibility, high relative advantage, good observability and high inherent trialability-all factors known to strengthen implementation. The level of complexity and low financial compatibility emerged as the strongest potential inhibitors to program implementation in the context examined. The two main factors contributing to complexity were the need to challenge balance safely across a broad range of capability, and practical considerations associated with program delivery. A range of strategies to provide more technical support for exercise program leaders to tailor balance challenge for exercise program leaders may enhance implementation of falls prevention exercise programs. © 2016 Human Kinetics, Inc.

Use of field-based tests to identify risk factors for injury to fast bowlers in cricket

- Dennis, Rebecca, Finch, Caroline, McIntosh, Andrew, Elliott, Bruce

  • Authors: Dennis, Rebecca , Finch, Caroline , McIntosh, Andrew , Elliott, Bruce
  • Date: 2008
  • Type: Text , Journal article
  • Relation: British Journal of Sports Medicine Vol. 42, no. 6 (Jun 2008), p. 477-482
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  • Description: Objective: To identify risk factors for injury to cricket fast bowlers using field-based tests. Design: Prospective cohort study. Setting: High performance Australian cricket. Participants: Ninety-one male adolescent and adult fast bowlers (aged 12-33 years). Assessment of risk factors: A field-based pre-participation screening, consisting of musculoskeletal, fitness and anthropometric assessments and analysis of bowling technique was undertaken. Bowlers were prospectively monitored over the 2003-4 season and bowling workload and injuries were recorded. Logistic regression was used to identify injury risk factors. Main outcome measurement: Repetitive microtrauma injury to the trunk, back or lower limb associated with fast bowling. Results: Two variables were identified as independent predictors of injury in the multivariate logistic regression analysis. Bowlers with hip internal rotation of <= 30 degrees on the leg ipsilateral to the bowling arm were at a significantly reduced risk of injury (OR 0.20, 95% CI 0.06 to 0.73) compared with bowlers with >40 degrees of rotation. Bowlers with an ankle dorsiflexion lunge of 12.1-14.0 cm on the leg contralateral to the bowling arm were at a significantly increased risk (OR 4.03, 95% CI 1.07 to 15.21) than bowlers with a lunge of >14 cm. Bowlers with a lunge of (12 cm were also at an increased risk, but not significantly so (OR 1.38, 95% CI 0.40 to 4.84). Conclusions: Biomechanical research is needed to investigate how these two intrinsic risk factors increase injury risk so that appropriate interventions can be developed.

The reliability of musculoskeletal screening tests used in cricket

- Dennis, Rebecca, Finch, Caroline, Elliott, Bruce, Farhart, Patrick

  • Authors: Dennis, Rebecca , Finch, Caroline , Elliott, Bruce , Farhart, Patrick
  • Date: 2008
  • Type: Text , Journal article
  • Relation: Physical Therapy in Sport Vol. 9, no. 1 (2008), p. 25-33
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  • Description: Objectives: To determine the inter- and intra-observer reliability of a field-based musculoskeletal screening protocol used to measure potential injury risk factors in cricket fast bowlers. Design: Test-retest reliability study. Setting: High performance Australian cricket. Participants: Ten volunteers. Two sports physiotherapists conducted the testing. Main outcome measures: Participants completed the following tests: knee extension; modified Thomas test (hip extension and abduction); hip internal and external rotation; combined elevation; ankle dorsiflexion lunge; bridging hold; prone four point hold; and calf heel raises. Methods: For each of the tests, the participants were tested by each physiotherapist twice, and the inter- and intra-observer reliability were concurrently assessed. Results: The inter-observer reliability of the tests was generally poor, with only four of the ten tests having an intraclass correlation coefficient (ICC) greater than 0.80 (range of ICCs 0.27-0.99). The intra-observer reliability of the tests was considerably higher, with nine tests having an ICC greater than 0.80 (range of ICCs 0.56-0.99). Conclusions: With the exception of the bridging hold, all tests would be considered acceptable where only one observer was conducting the testing. However, only the ankle dorsiflexion lunge, combined elevation test, calf heel raise test and prone four point hold have acceptable reliability when there are multiple physiotherapists recording measurements. © 2007 Elsevier Ltd. All rights reserved.
  • Description: C1

Sports injuries

- Dennis, Rebecca, Finch, Caroline

  • Authors: Dennis, Rebecca , Finch, Caroline
  • Date: 2008
  • Type: Text , Book chapter
  • Relation: International Encyclopedia of Public Health p. 206-211
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  • Description: Participation in sport is encouraged by government agencies and physical activity experts because participation provides health, physical, mental, social, and economic benefits to the individual and community. However, an increased level of participation in sport can increase exposure to the hazards and risks associated with injury. This overview of sports injury describes their epidemiology, the types of injuries that can be sustained, the activities most commonly associated with injury, and the potential risk factors. Injury prevention strategies are also described, with examples to demonstrate the range of approaches available to sports participants, coaches, referees, and administrators. © 2008 Copyright © 2008 Elsevier Inc. All rights reserved.

Train the trainers: Maintaining standards to minimise injuries and avoiding legal liability in the fitness industry

- Dietrich, Joachim, Keyzer, Patrick, Jones, Veronica, Norton, Kevin, Sekendiz, Betul, Finch, Caroline

Sport as a setting for promoting health

- Donaldson, Alex, Finch, Caroline

Bridging the gap between content and context : Establishing expert consensus on the content of an exercise training program to prevent lower-limb injuries

- Donaldson, Alex, Cook, Jill, Gabbe, Belinda, Lloyd, David, Young, Warren, Finch, Caroline

  • Authors: Donaldson, Alex , Cook, Jill , Gabbe, Belinda , Lloyd, David , Young, Warren , Finch, Caroline
  • Date: 2015
  • Type: Text , Journal article
  • Relation: Clinical Journal of Sport Medicine Vol.25, no.3, p.221-229
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
  • Relation: http://purl.org/au-research/grants/nhmrc/565907
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  • Description: OBJECTIVE: To achieve expert consensus on the content of an exercise training program (known as FootyFirst) to prevent lower-limb injuries. DESIGN: Three-round online Delphi consultation process. SETTING: Community Australian Football (AF). PARTICIPANTS: Members of the Australian Football Leagues' Medical Officers (n = 94), physiotherapists (n = 50), and Sports Science (n = 19) Associations were invited to participate through e-mail. Five people with more general expertise in sports-related lower-limb injury prevention were also invited to participate. MAIN OUTCOME MEASURES: The primary outcome measure was the level of agreement on the appropriateness of the proposed exercises and progressions for inclusion in FootyFirst. Consensus was reached when ≥75% of experts who responded to each item agreed and strongly agreed, or disagreed and strongly disagreed, that an exercise or its progressions were appropriate to include in FootyFirst. RESULTS: Fifty-five experts participated in at least 1 Delphi round. In round 1, consensus was achieved that the proposed warm-up (run through and dynamic stretches) and the exercises and progressions for hamstring strength and for balance, landing, and changing direction were appropriate to include in FootyFirst. There was also consensus in round 1 that progressions for hip/core strength should be included in FootyFirst. Consensus was reached in round 2 that the revised groin strength and hip strength exercises should be included in FootyFirst. Consensus was reached for the progression of the groin strength exercises in round 3. CONCLUSIONS: The formal consensus development process has resulted in an evidence-informed, researcher-developed, exercise-based sports injury prevention program that is expert endorsed and specific to the context of AF. CLINICAL RELEVANCE: Lower-limb injuries are common in running, kicking, and contact sports like AF. These injuries are often costly to treat, and many have high rates of recurrence, making them challenging to treat clinically. Reducing these injuries is a high priority for players, teams, and medical staff. Exercise programs provide a method for primary prevention of lower-limb injuries, but they have to be evidence based, have currency with sports practitioners/clinicians, and utility for the context in which they are to be used. However, the comprehensive methods and clinical engagement processes used to develop injury prevention exercise programs have not previously been described in detail. This study describes the results of engaging clinicians and sport scientists in the development of a lower-limb sports injury prevention program for community AF, enabling the development of a program that is both evidence informed and considerate of expert clinical opinion.

Sports policy development and implementation in context : Researching and understanding the perceptions of community end-users

- Donaldson, Alex, Leggett, Susan, Finch, Caroline

  • Authors: Donaldson, Alex , Leggett, Susan , Finch, Caroline
  • Date: 2012
  • Type: Text , Journal article
  • Relation: International Review for the Sociology of Sport Vol. 47, no. 6 (2012), p. 743-760
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
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  • Description: Ensuring community clubs implement centrally developed sports policy is a challenge for most sports. One hundred and eighty four (70% male, 68% aged 40 to 59 years) community Australian football club representatives (first-aid providers, administrators, parents, coaches, etc.) from across the country provided their perceptions of an Australian Football League-developed sports trainer policy and associated workforce training structure (jointly referred to hereafter as 'the policy') via an online survey. This article presents a qualitative analysis of the open-ended questions within the survey using the analytical lens of symbolic interactionism. Respondents generally supported the intent of the policy and identified many potential benefits of the policy, if adopted. They also provided insight into the organization and operation of community sports clubs and stressed that the volunteer intensive nature of community sport needs to be accommodated in the policy to enhance the likelihood of community-level acceptance and implementation. Successful community club implementation of this type of centrally developed micro-level sport policy requires that policy-makers understand and address the implementation context-related perspectives raised in this study. © The Author(s) 2011.
  • Description: 2003010571

Translating Guidelines for the Diagnosis and Management of Sports-Related Concussion Into Practice

- Donaldson, Alex, Newton, Joshua, McCrory, Paul, White, Peta, Davis, Gavin, Makdissi, Michael, Finch, Caroline

  • Authors: Donaldson, Alex , Newton, Joshua , McCrory, Paul , White, Peta , Davis, Gavin , Makdissi, Michael , Finch, Caroline
  • Type: Text , Journal article
  • Relation: American Journal of Lifestyle Medicine, Volume 10, Issue 2, (2016) p.120-135
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
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  • Description: Sports injuries are a significant clinical and public health concern. There is a growing call to improve the translation of available evidence-based and expert-informed sports injury prevention interventions into sustained use in practice by physicians and others (eg, athletic trainers, coaches, and parents) who care for injured athletes. This article provides a brief overview of the current sport injury prevention implementation literature before focusing specifically on the translation of guidelines (including consensus and position statements) developed to assist physicians and others diagnose and manage athletes with sport-related concussion and the associated return-to-play decisions. The outcomes of more than 20 published studies indicate that physician, athletic trainer, coach, parent, and athlete knowledge, use of, and compliance with sport-related concussion guidelines are limited. More concerted, coordinated, and theory-informed efforts are required to facilitate the widespread dissemination, translation, and implementation of such guidelines. An example is provided of how implementation drivers could be used to inform the development of a comprehensive, multilevel implementation strategy targeting the individual, organizational, and system-level changes necessary to support the translation of available sport-related concussion guidelines in both the clinical and sports settings.

Identifying context-specific competencies required by community Australian Football sports trainers

- Donaldson, Alex, Finch, Caroline

  • Authors: Donaldson, Alex , Finch, Caroline
  • Date: 2012
  • Type: Text , Journal article
  • Relation: British Journal of Sports Medicine Vol. 46, no. 10 (August 2012 2012), p. 759-765
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
  • Relation: http://purl.org/au-research/grants/nhmrc/565907
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  • Description: Background: First-aid is a recommended injury prevention and risk management strategy in community sport; however, little is known about the sport-specific competencies required by first-aid providers. Objective: To achieve expert consensus on the competencies required by community Australian Football (community-AF) sports trainers. Study design: A three-round online Delphi process. Setting: Community-AF. Participants: 16 Australian sports first-aid and community-AF experts. Outcome measures: Rating of competencies as either ‘essential’, ‘expected’, ‘ideal’ or ‘not required’. Results: After Round 3, 47 of the 77 (61%) competencies were endorsed as ‘essential’ or ‘expected’ for a sports trainer to effectively perform the activities required to the standards expected at a community-AF club by ≥75% of experts. These competencies covered: the role of the sports trainer; the responsibilities of the sports trainer; emergency management; injury and illness assessment and immediate management; taping; and injury prevention and risk management. Four competencies (5%) were endorsed as ‘ideal’ or ‘not required’ by ≥85% of experts and were excluded from further consideration. The 26 competencies where consensus was not reached were retained as second-tier, optional competencies. Conclusions: Sports trainers are important members of on-field first-aid teams, providing support to both injured players and other sports medicine professionals. The competencies identified in this study provide the basis of a proposed two-tiered community-AF–specific sports trainer education structure that can be implemented by the peak sports body. This includes six mandatory modules, relating to the ‘required’ competencies, and a further six optional modules covering competencies on which consensus was not reached.

Applying implementation science to sports injury prevention

- Donaldson, Alex, Finch, Caroline

  • Authors: Donaldson, Alex , Finch, Caroline
  • Date: 2013
  • Type: Text , Editorial , Journal article
  • Relation: British Journal of Sports Medicine Vol. 47, no. 8 (2013), p. 473-475
  • Relation: http://purl.org/au-research/grants/nhmrc/565900
  • Relation: http://purl.org/au-research/grants/nhmrc/565907
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  • Description: Recent commentary in the BJSM has argued that a key challenge for future sports injury prevention is to reduce the ‘research to practice’ gap. Unfortunately, very few examples of this type of research actually exist. In this issue, Myklebust et al 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. 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.
  • Description: Editorial
  • Description: 2003011041

Understanding safety management system applicability in community sport

- Donaldson, Alex, Borys, David, Finch, Caroline

  • Authors: Donaldson, Alex , Borys, David , Finch, Caroline
  • Date: 2013
  • Type: Text , Journal article
  • Relation: Safety Science Vol. 60, no. (2013), p. 95-104
  • Relation: http://purl.org/au-research/grants/nhmrc/565907
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  • Description: Despite recent interest in understanding the implementation context for sports injury prevention interventions, little research attention has been paid to the management structures and processes of community sporting organisations. This study developed expert consensus about the importance of Occupational Health and Safety (OHS) setting-related safety management system (SMS) principles and performance indicators in the context of Australian community sporting organizations, and the feasibility of these organisations meeting the requirements for the SMS performance indicators. Twenty-nine sports injury prevention, community sports administration and OHS SMS experts participated in a three-round online Delphi study by rating the importance of 64 SMS performance indicators categorised under the five principles of Commitment and Policy; Planning; Implementation; Measurement and Evaluation; and Review and Improvement. Overall, consensus agreement - define as rated 'essential' or 'very important' on a five-point scale by ≥75% of the participants in Round 3 - was reached for 57 performance indicators. Ten (15%) performance indicators were rated as 'very difficult' or 'relatively difficult', and six (9%) were rated as 'very easy' or 'relatively easy' on a four-point scale, by ≥75% of participants. This research suggests that the guiding principles and associated performance indicators that underpin OHS safety management systems in the workplace are very relevant and applicable to community sporting organisations in Australia. However, considerable work is required to build organisational capacity to be able to develop and implement meaningfully and useful SMSs to prevent sports injuries in the most common setting in which they occur. © 2013 Elsevier Ltd. Funded by NHMRC.
  • Description: 2003011206

Sports injury prevention; Maximising the public health benefit

- Donaldson, Alex, Gabbe, Belinda, Young, Warren, Finch, Caroline