Making junior cricket safer for Sri Lanka : Creating opportunities for injury prevention
- Authors: Gamage, Prasanna
- Date: 2019
- Type: Text , Thesis , PhD
- Full Text:
- Description: With the immense popularity of the game of cricket in Sri Lanka, school level cricket is played competitively and socially by a large number of participants. As in many other sports, musculoskeletal injuries are a common occurrence in cricket. Exposure to hot and humid environments in Sri Lankan conditions during outdoor cricket play can also pose a risk for junior cricketers. To date, there has been no attempt to examine injury or illness among Sri Lankan junior cricketers, which hinders opportunities for injury prevention. The first aim of this thesis was to examine musculoskeletal injuries with a view to identifying injury incidence and associated risks during competitions. Specific injuries among different groups of cricketers were identified including 46.0% in fielders, 25.4% in bowlers and 20.3% in batters. Injury risk perceptions of junior cricketers recognised that these injuries were common, and highlighted the role of coaches and school cricket teachers in supporting junior cricketers. The second aim of the thesis was to study the potential impact of exertional heat illnesses (EHI) during cricket play. A considerable variation in heat stress risk parameters (climate, duration, and intensity of play) were observed among cricketers during test-cricket play. Study of risk perceptions related to EHI showed the importance of understanding EHI risks such as humidity and use of helmets. The results of this PhD have been provided to Sri Lankan Cricket and school cricket authorities with recommendation to develop and implement injury preventive measures such as use of helmets during batting to minimise the high number of match-time-loss facial injuries, and educating junior cricketers in modifying their perceived risk attitudes and beliefs related to musculoskeletal and EHI risks. Overall, this PhD has met the aim of completing the first large-scale scientific contribution towards promoting safety and preventing injuries among Sri Lankan junior cricketers.
- Description: Doctor of Philosophy
- Authors: Gamage, Prasanna
- Date: 2019
- Type: Text , Thesis , PhD
- Full Text:
- Description: With the immense popularity of the game of cricket in Sri Lanka, school level cricket is played competitively and socially by a large number of participants. As in many other sports, musculoskeletal injuries are a common occurrence in cricket. Exposure to hot and humid environments in Sri Lankan conditions during outdoor cricket play can also pose a risk for junior cricketers. To date, there has been no attempt to examine injury or illness among Sri Lankan junior cricketers, which hinders opportunities for injury prevention. The first aim of this thesis was to examine musculoskeletal injuries with a view to identifying injury incidence and associated risks during competitions. Specific injuries among different groups of cricketers were identified including 46.0% in fielders, 25.4% in bowlers and 20.3% in batters. Injury risk perceptions of junior cricketers recognised that these injuries were common, and highlighted the role of coaches and school cricket teachers in supporting junior cricketers. The second aim of the thesis was to study the potential impact of exertional heat illnesses (EHI) during cricket play. A considerable variation in heat stress risk parameters (climate, duration, and intensity of play) were observed among cricketers during test-cricket play. Study of risk perceptions related to EHI showed the importance of understanding EHI risks such as humidity and use of helmets. The results of this PhD have been provided to Sri Lankan Cricket and school cricket authorities with recommendation to develop and implement injury preventive measures such as use of helmets during batting to minimise the high number of match-time-loss facial injuries, and educating junior cricketers in modifying their perceived risk attitudes and beliefs related to musculoskeletal and EHI risks. Overall, this PhD has met the aim of completing the first large-scale scientific contribution towards promoting safety and preventing injuries among Sri Lankan junior cricketers.
- Description: Doctor of Philosophy
Epidemiology, injury and illness prevention in Olympic combat sports
- Authors: Bromley, Sally
- Date: 2018
- Type: Text , Thesis , PhD
- Full Text:
- Description: Background: Olympic combat sports are commonly considered dangerous, however injury rates for these sports are not well understood. Isolated studies in combat sports have investigated injury, however these are mainly during competition, and therefore are unlikely to include significant or persistent injury which prevents athletes competing and participating in data collection. This thesis was undertaken as a series of linked studies, to provide further detail into the types, mechanisms and aetiology of injuries in combat sports. Methods: Study 1 was a systematic review that utilised the PRISMA guidelines to investigate the current evidence. Study 2 was a repeated measures study to examine the reliability of training load measures. Study 3 employed a longitudinal study design to assess the feasibility of injury, illness and training load monitoring. Finally, Study 4 was a cross-sectional cohort study that gathered perspectives of combat sport coaches and managers before and after an injury and illness prevention workshop. Results: Study 1 found one high-quality epidemiological study with low risk of bias in Judo. Variation in injury and illness definitions prevented cross-sport comparisons, however the injury incidence was comparable to other sports. In Study 2, rating of perceived exertion (RPE) was shown to have good stability across sessions (ICC=0.84), and no significant differences were found between coach (observed) and athlete (experienced) RPE (ordered logistic regression coefficient = 0.47 [1.51–0.57 95%CI]). Study 3 found that athlete engagement with the monitoring system was low, with only 13% of athletes entering data across a 12-week period. Irrespective of low engagement, 62 injuries and illnesses were recorded. In Study 4, combat sport coaches and managers were found to be generally well informed of the risk and seriousness of injury and illness, however, illness risk perceptions changed after the workshop (p=0.048). Discussion and Conclusion: Currently, cross-sport comparisons are not possible due to varying data methodology and study quality. Based upon the results presented in this thesis, RPE can be used as a tool to quantify training load in the sport of judo. Longitudinal surveillance of training load, injury and illness in combat sport is not currently feasible within the Australian system, due to low uptake and engagement. However, the collection of data on a large number of injuries and illnesses indicates that athletes are experiencing multiple, repeated health problems. Coaches and managers are well informed about injury and illness risk and seriousness, indicating that injury and illness prevention education alone may not translate to a decrease in injury and illness incidence in combat sport.
- Description: Doctor of Philosophy
- Authors: Bromley, Sally
- Date: 2018
- Type: Text , Thesis , PhD
- Full Text:
- Description: Background: Olympic combat sports are commonly considered dangerous, however injury rates for these sports are not well understood. Isolated studies in combat sports have investigated injury, however these are mainly during competition, and therefore are unlikely to include significant or persistent injury which prevents athletes competing and participating in data collection. This thesis was undertaken as a series of linked studies, to provide further detail into the types, mechanisms and aetiology of injuries in combat sports. Methods: Study 1 was a systematic review that utilised the PRISMA guidelines to investigate the current evidence. Study 2 was a repeated measures study to examine the reliability of training load measures. Study 3 employed a longitudinal study design to assess the feasibility of injury, illness and training load monitoring. Finally, Study 4 was a cross-sectional cohort study that gathered perspectives of combat sport coaches and managers before and after an injury and illness prevention workshop. Results: Study 1 found one high-quality epidemiological study with low risk of bias in Judo. Variation in injury and illness definitions prevented cross-sport comparisons, however the injury incidence was comparable to other sports. In Study 2, rating of perceived exertion (RPE) was shown to have good stability across sessions (ICC=0.84), and no significant differences were found between coach (observed) and athlete (experienced) RPE (ordered logistic regression coefficient = 0.47 [1.51–0.57 95%CI]). Study 3 found that athlete engagement with the monitoring system was low, with only 13% of athletes entering data across a 12-week period. Irrespective of low engagement, 62 injuries and illnesses were recorded. In Study 4, combat sport coaches and managers were found to be generally well informed of the risk and seriousness of injury and illness, however, illness risk perceptions changed after the workshop (p=0.048). Discussion and Conclusion: Currently, cross-sport comparisons are not possible due to varying data methodology and study quality. Based upon the results presented in this thesis, RPE can be used as a tool to quantify training load in the sport of judo. Longitudinal surveillance of training load, injury and illness in combat sport is not currently feasible within the Australian system, due to low uptake and engagement. However, the collection of data on a large number of injuries and illnesses indicates that athletes are experiencing multiple, repeated health problems. Coaches and managers are well informed about injury and illness risk and seriousness, indicating that injury and illness prevention education alone may not translate to a decrease in injury and illness incidence in combat sport.
- Description: Doctor of Philosophy
Spatial epidemiological investigation of sport and leisure injuries in Victoria, Australia
- Authors: Singh, Himalaya
- Date: 2018
- Type: Text , Thesis , PhD
- Full Text:
- Description: Sport and leisure injuries are recognised as a public health issue in Australia. Despite the many health benefits associated with sport and leisure participation, there is a risk of sustaining injury during participation. To keep Australia active, there is a critical need to prevent injury occurrence. Epidemiological investigations in sport and leisure injuries have been largely examined by grouping of sports, age groups, sex and level of play. In addition, intrinsic (person-level) factors have been considered, such as strength, flexibility or previous injury history. These factors may not be sufficient to identify injury burden or prevent an increase in injury incidences. In the broader injury literature (e.g., road traffic crashes or drowning), it is known that injuries often cluster within specific places (i.e., road intersections or bodies of water). These specific geographic locations may also relate to sport and leisure injuries (e.g., sports grounds or facilities). Similarly, population-level factors such as socio-economic status or cultural groups within an area could influence the types of sports and leisure activities people participate in and consequently, the injuries that occur. A review presented in this PhD thesis revealed that there is very limited sport and leisure injury epidemiological information from a geographical perspective. To address this gap, and determine whether there is a spatial pattern in sport/leisure injuries, the aim of this PhD was to examine the geospatial distribution of sport/leisure injury hospitalisations and their association with a broad range of social and economic characteristics. This thesis uses spatial epidemiological methods to answer questions such as ‘Where do sports and leisure injuries occur?’ and ‘In whom do sports/leisure injuries occur?’ The main chapters present the results of the application of spatial epidemiological methods to describe the problem, to test hypotheses and to explore associations with possible explanatory variables. The findings showed a significant variation across metropolitan, regional and rural areas in the pattern and clustering of injuries when examining different sports, age groups and other variables such as education level. A secondary aim of this thesis was to consider the dissemination of sport and injury epidemiological data. As emphasised in the literature, there is limited spatial epidemiological information available to decision-makers and key stakeholders. At best, descriptive maps might be included in a report or research paper. However, these are static and limited to the results that the author chooses to present. Therefore, an important output from this PhD is a web-GIS application that has been specifically built to enable the exploratory analysis of sport/leisure injuries in Victoria. Sport and leisure injury prevention strategies and policy development relies on information about where, when, to whom and how sport/leisure injuries occur. This thesis demonstrates that a spatial epidemiological approach is an important and novel way to address epidemiological questions from a geographical perspective.
- Description: Doctor of Philosophy
- Authors: Singh, Himalaya
- Date: 2018
- Type: Text , Thesis , PhD
- Full Text:
- Description: Sport and leisure injuries are recognised as a public health issue in Australia. Despite the many health benefits associated with sport and leisure participation, there is a risk of sustaining injury during participation. To keep Australia active, there is a critical need to prevent injury occurrence. Epidemiological investigations in sport and leisure injuries have been largely examined by grouping of sports, age groups, sex and level of play. In addition, intrinsic (person-level) factors have been considered, such as strength, flexibility or previous injury history. These factors may not be sufficient to identify injury burden or prevent an increase in injury incidences. In the broader injury literature (e.g., road traffic crashes or drowning), it is known that injuries often cluster within specific places (i.e., road intersections or bodies of water). These specific geographic locations may also relate to sport and leisure injuries (e.g., sports grounds or facilities). Similarly, population-level factors such as socio-economic status or cultural groups within an area could influence the types of sports and leisure activities people participate in and consequently, the injuries that occur. A review presented in this PhD thesis revealed that there is very limited sport and leisure injury epidemiological information from a geographical perspective. To address this gap, and determine whether there is a spatial pattern in sport/leisure injuries, the aim of this PhD was to examine the geospatial distribution of sport/leisure injury hospitalisations and their association with a broad range of social and economic characteristics. This thesis uses spatial epidemiological methods to answer questions such as ‘Where do sports and leisure injuries occur?’ and ‘In whom do sports/leisure injuries occur?’ The main chapters present the results of the application of spatial epidemiological methods to describe the problem, to test hypotheses and to explore associations with possible explanatory variables. The findings showed a significant variation across metropolitan, regional and rural areas in the pattern and clustering of injuries when examining different sports, age groups and other variables such as education level. A secondary aim of this thesis was to consider the dissemination of sport and injury epidemiological data. As emphasised in the literature, there is limited spatial epidemiological information available to decision-makers and key stakeholders. At best, descriptive maps might be included in a report or research paper. However, these are static and limited to the results that the author chooses to present. Therefore, an important output from this PhD is a web-GIS application that has been specifically built to enable the exploratory analysis of sport/leisure injuries in Victoria. Sport and leisure injury prevention strategies and policy development relies on information about where, when, to whom and how sport/leisure injuries occur. This thesis demonstrates that a spatial epidemiological approach is an important and novel way to address epidemiological questions from a geographical perspective.
- Description: Doctor of Philosophy
Theoretical perspectives on using epidemiology and systems thinking to better understand the aetiology and prevention of distance running-related injury
- Authors: Hulme, Adam
- Date: 2017
- Type: Text , Thesis , PhD
- Full Text:
- Description: On a global scale, the sporting activity of distance running has increased in popularity. This is likely attributable to a growing societal concern for the documented rise in several lifestyle-related chronic diseases. As a form of exercise, running provides significant beneficial effects on a range of biomedical health indices, and is the preferred physical activity of choice for many people given its high accessibility and relatively low financial cost. Notwithstanding the many health-related benefits associated with running, the risk of sustaining a distance running-related injury (RRI) can be high. Therefore, from an injury prevention perspective, understanding why runners sustain RRI is of primary scientific importance. Over the last fifty years, the science behind RRI causation and prevention has attracted considerable interest amongst sports injury prevention researchers. During that time, there has been a concerted scholarly effort to understand the aetiology of RRI from an epidemiological and clinical research-based standpoint. Traditional scientific approaches have attempted to identify the effect of discrete trainingrelated, behavioural, and/or biomechanical exposures on the risk of developing either general or specific RRI. Despite what is now a considerable body of work, several descriptive and systematic reviews have found a history of previous injury to be the only definitive risk factor for subsequent RRI development. Alongside the continuing application of traditional scientific approaches, this PhD thesis promotes the use of a complementary ‘systems thinking’ theoretical perspective for better understanding the development and prevention of RRI. There are several contained chapters, the first of which is a systematic review of the RRI aetiological literature. After examining in closer detail the causal mechanism underpinning RRI development, a series of papers urge injury prevention scientists to consider drawing on alternative philosophical perspectives when planning and designing research. In building on the preceding arguments, the final chapters involve the construction of a systems ergonomics control structure model of the Australian distance running system, including the way RRI is managed and controlled.
- Description: Doctor of Philosophy
- Authors: Hulme, Adam
- Date: 2017
- Type: Text , Thesis , PhD
- Full Text:
- Description: On a global scale, the sporting activity of distance running has increased in popularity. This is likely attributable to a growing societal concern for the documented rise in several lifestyle-related chronic diseases. As a form of exercise, running provides significant beneficial effects on a range of biomedical health indices, and is the preferred physical activity of choice for many people given its high accessibility and relatively low financial cost. Notwithstanding the many health-related benefits associated with running, the risk of sustaining a distance running-related injury (RRI) can be high. Therefore, from an injury prevention perspective, understanding why runners sustain RRI is of primary scientific importance. Over the last fifty years, the science behind RRI causation and prevention has attracted considerable interest amongst sports injury prevention researchers. During that time, there has been a concerted scholarly effort to understand the aetiology of RRI from an epidemiological and clinical research-based standpoint. Traditional scientific approaches have attempted to identify the effect of discrete trainingrelated, behavioural, and/or biomechanical exposures on the risk of developing either general or specific RRI. Despite what is now a considerable body of work, several descriptive and systematic reviews have found a history of previous injury to be the only definitive risk factor for subsequent RRI development. Alongside the continuing application of traditional scientific approaches, this PhD thesis promotes the use of a complementary ‘systems thinking’ theoretical perspective for better understanding the development and prevention of RRI. There are several contained chapters, the first of which is a systematic review of the RRI aetiological literature. After examining in closer detail the causal mechanism underpinning RRI development, a series of papers urge injury prevention scientists to consider drawing on alternative philosophical perspectives when planning and designing research. In building on the preceding arguments, the final chapters involve the construction of a systems ergonomics control structure model of the Australian distance running system, including the way RRI is managed and controlled.
- Description: Doctor of Philosophy
Enhancing the implementation of injury prevention exercise programs in professional soccer
- Authors: O’Brien, James
- Date: 2016
- Type: Text , Thesis , PhD
- Full Text:
- Description: Recently, injury prevention exercise programs (IPEPs) for soccer have received considerable attention and their efficacy has been demonstrated in large-scale trials. However, the ultimate impact of IPEPs will depend not only on their efficacy under controlled conditions, but also on the extent to which they are successfully implemented under real-world conditions. Despite increasing recognition of the challenges involved in successfully implementing IPEPs, there is a paucity of research addressing these challenges. The first aim of this thesis was to systematically review published IPEP trial reports, from an implementation perspective, in both soccer and other team ball sports. To achieve this, an established health-promotion framework, called the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, was employed. The subsequent phases of the thesis aimed to identify IPEP implementation barriers and facilitators in the specific context of professional soccer. Two cross-sectional surveys explored the perceptions of IPEP users in professional teams and a prospective observational study assessed IPEP use, over one playing season, in a professional youth soccer academy. Evaluation of the published literature against the RE-AIM framework revealed major gaps in the reporting of specific IPEP implementation aspects, particularly relating to program adoption and maintenance. In professional soccer teams, multiple IPEP implementation barriers and facilitators were identified. These factors related either to the content and nature of the IPEPs themselves (e.g. variation, progression and soccer-specificity), or the delivery and support of programs (e.g. communication and team work) at different levels of the professional soccer ecology. In summary, there are major gaps in the reporting of implementation aspects in team ball sport trials. To enhance the implementation of IPEPs in professional soccer settings, the content and delivery of programs require significant tailoring to the specific implementation context.
- Description: Doctor of Philosophy
- Authors: O’Brien, James
- Date: 2016
- Type: Text , Thesis , PhD
- Full Text:
- Description: Recently, injury prevention exercise programs (IPEPs) for soccer have received considerable attention and their efficacy has been demonstrated in large-scale trials. However, the ultimate impact of IPEPs will depend not only on their efficacy under controlled conditions, but also on the extent to which they are successfully implemented under real-world conditions. Despite increasing recognition of the challenges involved in successfully implementing IPEPs, there is a paucity of research addressing these challenges. The first aim of this thesis was to systematically review published IPEP trial reports, from an implementation perspective, in both soccer and other team ball sports. To achieve this, an established health-promotion framework, called the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, was employed. The subsequent phases of the thesis aimed to identify IPEP implementation barriers and facilitators in the specific context of professional soccer. Two cross-sectional surveys explored the perceptions of IPEP users in professional teams and a prospective observational study assessed IPEP use, over one playing season, in a professional youth soccer academy. Evaluation of the published literature against the RE-AIM framework revealed major gaps in the reporting of specific IPEP implementation aspects, particularly relating to program adoption and maintenance. In professional soccer teams, multiple IPEP implementation barriers and facilitators were identified. These factors related either to the content and nature of the IPEPs themselves (e.g. variation, progression and soccer-specificity), or the delivery and support of programs (e.g. communication and team work) at different levels of the professional soccer ecology. In summary, there are major gaps in the reporting of implementation aspects in team ball sport trials. To enhance the implementation of IPEPs in professional soccer settings, the content and delivery of programs require significant tailoring to the specific implementation context.
- Description: Doctor of Philosophy
Enhancing integration of specialised exercise training into coach practice to prevent lower-limb injury : Using theory and exploring coaches' salient beliefs
- Authors: McGlashan, Angela
- Date: 2015
- Type: Text , Thesis , PhD
- Full Text:
- Description: Lower limb injuries (LLIs) are common in community-Australian football (CAF) and specialised exercise training (SET) programs can reduce their incidence. Despite the protection SET programs afford, the use of SET by coaches in CAF contexts, who play a key role in the preparation of players, is largely unknown. The overall purpose of this thesis research was to explore and describe: (1) the contextual and specific nature of CAF coaching practices, and, (2) the factors central to understanding whether or not coaches will make changes in their training practices in the future. Thereby, assisting to devise effective behaviour change and implementation strategies that maximise future integration (adoption and maintainence) of SET programs in CAF contexts to reduce the risk of LLIs for players. This mixed methods research was underpinned by a combination of behavioural and social science theories and models (BSSTM). Coaches’ were sampled from CAF clubs in Victoria and Western Australia. Eligible coaches completed cross-sectional questionnaires pre (n=31) and post (n=28) season in 2007/08. Three coaches engaged in semi-structured, in-depth interviews, 12-18 months later. At preseason, 58% of coaches used injury prevention strategies with their team. Only 69% of them had a formal training plan for the entire season, and most did not explicitly incorporate SET programs, despite their views being favourable towards the latter. Coaches believed their players had a high chance of sustaining a LLI and that LLI could have serious consequences. They believed it was important to have current knowledge of SET programs, but many lacked the behavioural capability and self-efficacy to implement SET programs. They also reported that player attendance at training could also impact on SET program outcomes. Postseason findings were similar with generally positive SET outcome expectancies; many coaches reported they intended to modify SET program implementation in future seasons. Suggested improvements related to collaboration, feedback/reinforcement approaches, education and other sociocultural themes. Coaches reported divergent views about their self-efficacy in relation to SET program implementation but were motivated by what their players thought. Qualitative analysis of the in-depth interviews identified four main themes (and associated coach salient beliefs) that supported and extended quantitative findings. These included: (1) the development of coach behavioural capability/self-efficacy (including informal and formal learning sources), (2) biopsychosocial risk perceptions regarding players’ injury susceptibility, (3) facilitators and hindrances to adopting/maintaining SET, and (4) cues to action/planning. The promotion of SET programs to reduce the susceptibility of LLIs and ensure safe and sustainable participation in AF is important. This thesis has captured a complexity of factors that can be used to enhance and facilitate CAF coaches’ adoption and maintenance of SET, alongside wider-prevention efforts. Future research should continue to use a range of BSSTM and methodological approaches, and devise and evaluate the efficacy of a comprehensive taxonomy of cognitive-behavioural strategies, to provide more insight into effective translation of SET programs into practice. Coaches and their players will be safer if such work continues.
- Description: Doctor of Philosophy
- Authors: McGlashan, Angela
- Date: 2015
- Type: Text , Thesis , PhD
- Full Text:
- Description: Lower limb injuries (LLIs) are common in community-Australian football (CAF) and specialised exercise training (SET) programs can reduce their incidence. Despite the protection SET programs afford, the use of SET by coaches in CAF contexts, who play a key role in the preparation of players, is largely unknown. The overall purpose of this thesis research was to explore and describe: (1) the contextual and specific nature of CAF coaching practices, and, (2) the factors central to understanding whether or not coaches will make changes in their training practices in the future. Thereby, assisting to devise effective behaviour change and implementation strategies that maximise future integration (adoption and maintainence) of SET programs in CAF contexts to reduce the risk of LLIs for players. This mixed methods research was underpinned by a combination of behavioural and social science theories and models (BSSTM). Coaches’ were sampled from CAF clubs in Victoria and Western Australia. Eligible coaches completed cross-sectional questionnaires pre (n=31) and post (n=28) season in 2007/08. Three coaches engaged in semi-structured, in-depth interviews, 12-18 months later. At preseason, 58% of coaches used injury prevention strategies with their team. Only 69% of them had a formal training plan for the entire season, and most did not explicitly incorporate SET programs, despite their views being favourable towards the latter. Coaches believed their players had a high chance of sustaining a LLI and that LLI could have serious consequences. They believed it was important to have current knowledge of SET programs, but many lacked the behavioural capability and self-efficacy to implement SET programs. They also reported that player attendance at training could also impact on SET program outcomes. Postseason findings were similar with generally positive SET outcome expectancies; many coaches reported they intended to modify SET program implementation in future seasons. Suggested improvements related to collaboration, feedback/reinforcement approaches, education and other sociocultural themes. Coaches reported divergent views about their self-efficacy in relation to SET program implementation but were motivated by what their players thought. Qualitative analysis of the in-depth interviews identified four main themes (and associated coach salient beliefs) that supported and extended quantitative findings. These included: (1) the development of coach behavioural capability/self-efficacy (including informal and formal learning sources), (2) biopsychosocial risk perceptions regarding players’ injury susceptibility, (3) facilitators and hindrances to adopting/maintaining SET, and (4) cues to action/planning. The promotion of SET programs to reduce the susceptibility of LLIs and ensure safe and sustainable participation in AF is important. This thesis has captured a complexity of factors that can be used to enhance and facilitate CAF coaches’ adoption and maintenance of SET, alongside wider-prevention efforts. Future research should continue to use a range of BSSTM and methodological approaches, and devise and evaluate the efficacy of a comprehensive taxonomy of cognitive-behavioural strategies, to provide more insight into effective translation of SET programs into practice. Coaches and their players will be safer if such work continues.
- Description: Doctor of Philosophy
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