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Use of Social or Behavioral Theories in Exercise-Related Injury Prevention Program Research: A Systematic Review

  • Emily H. GabrielEmail author
  • Ryan S. McCann
  • Matthew C. Hoch
Systematic Review

Abstract

Background

The use of social or behavioral theories within exercise-related injury prevention program (ERIPP) research may lead to a better understanding of why adherence to the programs is low and inform the development of interventions to improve program adherence. There is a need to determine which theories have been used within the literature and at what level theory was used to further the field.

Objective

To determine which social or behavioral science theories have been incorporated within ERIPP research and assess the level at which the theories were used. The key question guiding the search was “What social or behavioral theories have been used within ERIPP research?”

Methods

A systematic review of the literature was completed with an appraisal of bias risk using a custom critical appraisal tool. An electronic search of EBSCOhost (Academic Search Complete, CINAHL, Medline, Psychology and Behavioral Sciences Collection) and PubMed was completed from inception to October 2018. Studies investigating attitudes towards ERIPP participation with the use of a social or behavioral theoretical model or framework were eligible for inclusion.

Results

The electronic search returned 7482 results and two articles were identified though a hand search, which resulted in ten articles meeting inclusion criteria. Four different behavioral or social theoretical models or frameworks were identified including the health action process approach model, health belief model, self-determination theory, and theory of planned behavior. Six studies utilized the theory at a B level meaning a theoretical construct was measured while four utilized the theory at the C level meaning the theory was tested. The mean critical appraisal score was 78%, indicating a majority of the studies were higher quality.

Conclusion

There has been an increase in the use of theory within literature that is specific to ERIPP participation. Additionally, the use of theory has shifted from guiding program design to the measurement of theoretical constructs and testing of the theoretical models.

Notes

Compliance with Ethical Standards

Funding

No sources of funding were used to assist in the preparation of this article.

Conflict of interest

Emily Gabriel, Ryan McCann, and Matthew Hoch declare that they have no conflicts of interest relevant to the content of this article.

References

  1. 1.
    Fernandez WG, Yard EE, Comstock RD. Epidemiology of lower extremity injuries among U.S. high school athletes. Acad Emerg Med. 2007;14(7):641–5.CrossRefGoogle Scholar
  2. 2.
    Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311–9.Google Scholar
  3. 3.
    Possley DR, Johnson AE. Musculoskeletal injuries sustained in modern army combatives. Mil Med. 2012;177(1):60–3.CrossRefGoogle Scholar
  4. 4.
    Akinbola M, Logerstedt D, Hunter-Giordano A, Snyder-Mackler L. Ultimate frisbee injuries in a collegiate setting. Int J Sports Phys Ther. 2015;10(1):75.Google Scholar
  5. 5.
    Shah S, Thomas AC, Noone JM, Blanchette CM, Wikstrom EA. Incidence and cost of ankle sprains in united states emergency departments. Sports Health. 2016;8(6):547–52.CrossRefGoogle Scholar
  6. 6.
    Knowles SB, Marshall SW, Miller T, Spicer R, Bowling JM, Loomis D, et al. Cost of injuries from a prospective cohort study of North Carolina high school athletes. Inj Prev. 2007;13(6):416–21.CrossRefGoogle Scholar
  7. 7.
    Houston MN, Van Lunen BL, Hoch MC. Health-related quality of life in individuals with chronic ankle instability. J Athl Train. 2014;49(6):758–63.CrossRefGoogle Scholar
  8. 8.
    Lohmander LS, Östenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum. 2004;50(10):3145–52.CrossRefGoogle Scholar
  9. 9.
    Cameron KL, Hsiao MS, Owens BD, Burks R, Svoboda SJ. Incidence of physician-diagnosed osteoarthritis among active duty United States military service members. Arthritis Rheum. 2011;63(10):2974–82.CrossRefGoogle Scholar
  10. 10.
    Hübscher M, Zech A, Pfeifer K, Hänsel F, Vogt L, Banzer W. Neuromuscular training for sports injury prevention: a systematic review. Med Sci Sports Exerc. 2010;42(3):413–21.CrossRefGoogle Scholar
  11. 11.
    Sugimoto D, Myer GD, Bush HM, Klugman MF, McKeon JMM, Hewett TE. Compliance with neuromuscular training and anterior cruciate ligament injury risk reduction in female athletes: a meta-analysis. J Athl Train. 2012;47(6):714–23.CrossRefGoogle Scholar
  12. 12.
    Finch CF. No longer lost in translation: the art and science of sports injury prevention implementation research. Br J Sports Med. 2011;45(16):1253–7.CrossRefGoogle Scholar
  13. 13.
    Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008.Google Scholar
  14. 14.
    Gerend MA, Shepherd JE. Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior. Ann Behav Med. 2012;44(2):171–80.CrossRefGoogle Scholar
  15. 15.
    Champion VL. Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health. 1999;22(4):341–8.CrossRefGoogle Scholar
  16. 16.
    Lajunen T, Räsänen M. Can social psychological models be used to promote bicycle helmet use among teenagers? A comparison of the health belief model, theory of planned behavior and the locus of control. J Saf Res. 2004;35(1):115.CrossRefGoogle Scholar
  17. 17.
    McGlashan AJ, Finch CF. The extent to which behavioural and social sciences theories and models are used in sport injury prevention research. Sports Med. 2010;40(10):841–58.CrossRefGoogle Scholar
  18. 18.
    Verhagen EALM, van Stralen MM, van Mechelen W. Behaviour, the key factor for sports injury prevention. Sports Med. 2010;40(11):899–906.CrossRefGoogle Scholar
  19. 19.
    Hartley EM, Hoch MC, Cramer RJ. Health belief model and theory of planned behavior: a theoretical approach for enhancing lower extremity injury prevention program participation. Int J Athl Ther Train. 2018;23(1):16–20.CrossRefGoogle Scholar
  20. 20.
    Keats MR, Emery CA, Finch CF. Are we having fun yet? Fostering adherence to injury preventive exercise recommendations in young athletes. Sports Med. 2012;42(3):175–84.CrossRefGoogle Scholar
  21. 21.
    King-Chung Chan D, Hagger MS. Theoretical integration and the psychology of sport injury prevention. Sports Med. 2012;42(9):725–32.Google Scholar
  22. 22.
    Trifiletti LB, Gielen AC, Sleet DA, Hopkins K. Behavioral and social sciences theories and models: are they used in unintentional injury prevention research? Health Educ Res. 2005;20(3):298–307.CrossRefGoogle Scholar
  23. 23.
    Hoch MC, Russell DM. Plantar cooling does not affect standing balance: a systematic review and meta-analysis. Gait Posture. 2016;43:1–8.CrossRefGoogle Scholar
  24. 24.
    Quality assessment tool for before-after (pre-post) studies with no control group. 2014 March 2014 [cited 10/23/2017]; Available from: https://www.nhlbi.nih.gov/health-pro/guidelines/in-develop/cardiovascular-risk-reduction/tools/before-after.
  25. 25.
    Powden CJ, Hoch JM, Hoch MC. Reliability and minimal detectable change of the weight-bearing lunge test: a systematic review. Man Ther. 2015;20(4):524–32.CrossRefGoogle Scholar
  26. 26.
    May S, Littlewood C, Bishop A. Reliability of procedures used in the physical examination of non-specific low back pain: a systematic review. Aust J Physiother. 2006;52(2):91–102.CrossRefGoogle Scholar
  27. 27.
    van der Wurff P, Hagmeijer RHM, Meyne W. Clinical tests of the sacroiliac joint: a systematic methodological review. Part 1: reliability. Man Ther. 2000;5(1):30–6.CrossRefGoogle Scholar
  28. 28.
    Aerts I, Cumps E, Verhagen E, Mathieu N, Van Schuerbeeck S, Meeusen R. A 3-month jump-landing training program: a feasibility study using the RE-AIM framework. J Athl Train. 2013;48(3):296–305.CrossRefGoogle Scholar
  29. 29.
    Donaldson A, Lloyd DG, Gabbe BJ, Cook J, Finch CF. We have the programme, what next? Planning the implementation of an injury prevention programme. Inj Prev. 2017;23(4):273–80.CrossRefGoogle Scholar
  30. 30.
    Donaldson A, Poulos RG. Planning the diffusion of a neck-injury prevention programme among community rugby union coaches. Br J Sports Med. 2014;48(2):151–9.CrossRefGoogle Scholar
  31. 31.
    Koh LH, Hagger MS, Goh VH, Hart WG, Gucciardi DF. Effects of a brief action and coping planning intervention on completion of preventive exercises prescribed by a physiotherapist among people with knee pain. J Sci Med Sport. 2017;20(8):723–8.CrossRefGoogle Scholar
  32. 32.
    Sewry N, Verhagen E, Lambert M, Van Mechelen W, Brown J. Players’ and coaches’ knowledge and awareness of the BokSmart Safe Six injury prevention programme: an ecological cross-sectional questionnaire study. BMJ. 2017;7(11):e018575.Google Scholar
  33. 33.
    Sewry N, Verhagen E, Lambert M, Van Mechelen W, Brown J. Evaluation of the effectiveness and implementation of the BokSmart safe six injury prevention Programme: a study protocol. Inj Prev. 2017;23(6):428.CrossRefGoogle Scholar
  34. 34.
    Emery AC, Hagel AB, Morrongiello AB. Injury prevention in child and adolescent sport: whose responsibility is it? Clin J Sport Med. 2006;16(6):514–21.CrossRefGoogle Scholar
  35. 35.
    Jönhagen S, Ackermann P, Saartok T. Forward lunge: a training study of eccentric exercises of the lower limbs. J Strength Cond Res. 2009;23(3):972–8.CrossRefGoogle Scholar
  36. 36.
    Timpka T, Ekstrand J, Svanström L. From sports injury prevention to safety promotion in sports. Sports Med. 2006;36(9):733–45.CrossRefGoogle Scholar
  37. 37.
    Kristiansen JB, Larsson I. Elite professional soccer players’ experience of injury prevention. Cogent Med. 2017;4(1):1389257.CrossRefGoogle Scholar
  38. 38.
    Lindblom H, Carlfjord S, Hägglund M. Adoption and use of an injury prevention exercise program in female football: a qualitative study among coaches. Scand J Med Sci Sports. 2018;28(3):1295–303.CrossRefGoogle Scholar
  39. 39.
    Elphinston J, Hardman SL. Effect of an integrated functional stability program on injury rates in an international netball squad. J Sci Med Sport. 2006;9(1):169–76.CrossRefGoogle Scholar
  40. 40.
    Otago L, Brown L. Risk management models in netball. J Sci Med Sport. 2003;6(2):216–25.CrossRefGoogle Scholar
  41. 41.
    Donnelly C, Elliott B, Ackland T, Doyle T, Beiser T, Finch C, et al. An anterior cruciate ligament injury prevention framework: incorporating the recent evidence. Res Sports Med. 2012;20(3–4):239–62.CrossRefGoogle Scholar
  42. 42.
    White P, Ullah S, Romiti M, Finch C. Can the theory of planned behaviour predict coach intentions to implement a safe landing program during netball training sessions? Inj Prev. 2010;16(Suppl 1):A31-A.Google Scholar
  43. 43.
    Collard DC, Chinapaw MJ, Verhagen EA, Bakker I, Van Mechelen W. Effectiveness of a school-based physical activity-related injury prevention program on risk behavior and neuromotor fitness a cluster randomized controlled trial. Int J Beh Nutr Phys Act. 2010;7(1):9.CrossRefGoogle Scholar
  44. 44.
    Chan DKC, Hagger MS. Self-determined forms of motivation predict sport injury prevention and rehabilitation intentions. J Sci Med Sport. 2012;15(5):398–406.CrossRefGoogle Scholar
  45. 45.
    Chan DK, Hagger MS. Transcontextual development of motivation in sport injury prevention among elite athletes. J Sport Exerc Psychol. 2012;34(5):661–82.CrossRefGoogle Scholar
  46. 46.
    Finch CF, Doyle TLA, Dempsey AR, Elliott BC, Twomey DM, White PE, et al. What do community football players think about different exercise-training programmes? Implications for the delivery of lower limb injury prevention programmes. Br J Sports Med. 2014;48(8):702–7.CrossRefGoogle Scholar
  47. 47.
    Finch CF, White P, Twomey D, Ullah S. Implementing an exercise-training programme to prevent lower-limb injuries: considerations for the development of a randomised controlled trial intervention delivery plan. Br J Sports Med. 2011;45(10):791–6.CrossRefGoogle Scholar
  48. 48.
    White PE, Ullah S, Donaldson A, Otago L, Saunders N, Romiti M, et al. Encouraging junior community netball players to learn correct safe landing technique. J Sci Med Sport. 2012;15(1):19–24.CrossRefGoogle Scholar
  49. 49.
    McKay CD, Merrett C, Emery C. Predictors of FIFA 11+ implementation intention in female adolescent soccer: an application of the health action process approach (HAPA) model. Int J Environ Res Public Health. 2016;13(7):657.CrossRefGoogle Scholar
  50. 50.
    Iversen MD, Friden C. Pilot study of female high school basketball players’ anterior cruciate ligament injury knowledge, attitudes, and practices. Scand J Med Sci Sports. 2009;19(4):595–602.CrossRefGoogle Scholar
  51. 51.
    Martinez JC, Mazerolle SM, Denegar CR, Joseph MF, Pagnotta KD, Trojian TH, et al. Female adolescent athletes’ attitudes and perspectives on injury prevention programs. J Sci Med Sport. 2017;20(2):146–51.CrossRefGoogle Scholar
  52. 52.
    Frank BS, Register-Mihalik J, Padua DA. High levels of coach intent to integrate a ACL injury prevention program into training does not translate to effective implementation. J Sci Med Sport. 2015;18(4):400–6.CrossRefGoogle Scholar
  53. 53.
    O’Brien J, Finch M, Finch C. Injury prevention exercise programs for professional soccer: understanding the perceptions of the end-users. Clin J Sport Med. 2016;27:1–9.CrossRefGoogle Scholar
  54. 54.
    Jang S, Liller K, Baldwin J, Zhu Y, VandeWeerd C. The relationship between high school coaches’ injury beliefs and practices. Health Behav Policy Rev. 2018;5(4):39–49.CrossRefGoogle Scholar
  55. 55.
    Iversen MD, Friden C. Pilot study of female high school basketball players’ anterior cruciate ligament injury knowledge, attitudes, and practices. Scand J Med Sci Sports. 2009;19(4):595–602.CrossRefGoogle Scholar
  56. 56.
    McGuine TA, Keene JS. Do proprioceptive training programmes reduce the risk of ankle sprains in athletes? Int SportMed J. 2003;4(5):1–8.Google Scholar
  57. 57.
    McLeod TCV. The Effectiveness of balance training programs on reducing the incidence of ankle sprains in adolescent athletes. J Sport Rehabil. 2008;17(3):316–23.CrossRefGoogle Scholar
  58. 58.
    Distefano LJ, Distefano MJ, Frank BS, Clark MA, Padua DA. Comparison of integrated and isolated training on performance measures and neuromuscular control. J Strength Cond Res. 2013;27(4):1083–90.CrossRefGoogle Scholar
  59. 59.
    Noyes FR, Barber Westin SD. Anterior cruciate ligament injury prevention training in female athletes: a systematic review of injury reduction and results of athletic performance tests. Sports Health. 2012;4(1):36–46.CrossRefGoogle Scholar
  60. 60.
    Reis I, Rebelo A, Krustrup P, Brito J. Performance enhancement effects of fédération internationale de football association’s “The 11+” injury prevention training program in youth futbal players. Clin J Sport Med. 2013;23(4):318–20.CrossRefGoogle Scholar
  61. 61.
    Steffen K, Emery CA, Romiti M, Kang J, Bizzini M, Dvorak J, et al. High adherence to a neuromuscular injury prevention programme (FIFA 11+) improves functional balance and reduces injury risk in Canadian youth female football players: a cluster randomised trial. Br J Sports Med. 2013;47(12):794.CrossRefGoogle Scholar
  62. 62.
    Gabriel EH, Hoch MC, Cramer RJ. Health belief model scale and theory of planned behavior scale to assess attitudes and perceptions of injury prevention program participation: an exploratory factor analysis. J Sci Med Sport. 2019;22(5):544–9.CrossRefGoogle Scholar
  63. 63.
    Gabriel EH, Cramer R. The development of the theory of planned behavior and health belief model scales: assessing behavioral determinants of exercise-related injury prevention program participation. Athl Train Sports Health Care. 2018.Google Scholar
  64. 64.
    Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175–83.CrossRefGoogle Scholar
  65. 65.
    Ajzen I. From intentions to actions: a theory of planned behavior. In: Beckmann JKAJ, editor. Action control: from cognition to behavior. Heidelberg: Springer; 1985. p. 11–39.CrossRefGoogle Scholar
  66. 66.
    McGlashan A, Verrinder G, Verhagen E. Working towards more effective implementation, dissemination and scale-up of lower-limb injury-prevention programs: insights from community Australian football coaches. Int J Environ Res Public Health. 2018;15(2):351.CrossRefGoogle Scholar
  67. 67.
    McGlashan A. Enhancing integration of specialised exercise training into coach practice to prevent lower-limb injury: using theory and exploring coaches’ salient beliefs. Federation University Australia; 2015.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.College of Health ProfessionsMercer UniversityMaconUSA
  2. 2.School of Physical Therapy and Athletic TrainingOld Dominion UniversityNorfolkUSA
  3. 3.Department of Athletic Training and Clinical NutritionUniversity of KentuckyLexingtonUSA

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