implementation Flashcards
what are the 5 areas important to assess during implementation
reach
effectiveness
adoption
implementation
maintenance
what is the difference between dissemination practise and research
dissemination practice = sharing information (article, conference, etc)
dissemination research = study of the best way to share that information
what is the difference between implementation practise and research
implementation practice = act of using strategies to support the use of evidence to change practice
implementation research = study of the best way to put the evidence into practice
what is implementation and why do we care
the process of integrating research findings and evidence into policy and practise
no implementation = no effect
what is the importance of TRIPP step 5
need to understand the context and culture of the sport to have effective implementation
what is the importance of TRIPP step 6
need behaviour change to see changes in injury rates
beneficial but not feasible = not effective
what are the aims of implementation research
development of population targeted interventions (following demonstrated efficacy)
development of program components to support the delivery of interventions
evaluations of intervention effectiveness, uptake, adoption, and sustainability
what is efficacy research
preventative effect of the intervention is assessed under ideal and controlled conditions
controlled for everything and eliminated extra variables
what is effectiveness research
preventative effect of the intervention is assessed under everyday circumstances
given everything they need to succeed but not monitored
little to no control over how the intervention is implemented
measure factors, such as “how the intervention was delivered and used”
what is the best injury prevention program
one that can be adopted and sustained by athletes and coaches
what studies are better for implementation
qualitative studies
giving actual feedback and helps understand pros, cons, and context
what is the effect of education in implementation
coaches and players indicated that continuing education and training are vital facilitators of implementation
what is common coach and player feedback on injury prevention
coaches
- injury prevention in its current form considered “boring” and does not fit with their players motivations and thus poses a significant barrier to uptake
players
- found injury prevention program “boring and said that if they could better understand and see the relevance to handball, their motivation could be improved”
what are the keys to successful implementation
education
make it attractive
make it feasible
need to understand context
what are the limitations of evidence based intervention programs
much less injury prevention training relative to S&C and sport specific training
practise or training session can’t stand alone (needs to be connected)
what are the 4 training principles
specificity - specific to activity
overload - make exercise challenging enough to see gains
progression - increasing over time
individualisation - everyone has their own injury risk profile
what does a typical injury prevention program look like
NMT warmup
10-20 minutes
2-3 times/week
2-6 months
Low to moderate level intensity
One size fits all approach
Not hitting individualisation, probably hitting specificity with NMT, overload depends on context, same with progression
what are the limitations of a typical program
lack of sport specific drills
warmup is not challenging enough
minimal progression
lack of variation
one size fits all (not individualised)
how many hours per year do people do warmups and cool downs
150 hours a year
150 hours to implement effective strategies
