Safe and Healthy Para sport project (SHAPE): a study protocol of a complex intervention within Para sport

Kristina Fagher*, Lovemore Kunorozva, Marelise Badenhorst, Wayne Derman, James Kissick, Evert Verhagen, Osman Hassan Ahmed, Moa Jederström, Neil Heron, Ardavan M. Khoshnood, Andressa Silva, Göran Kenttä, Jan Lexell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
41 Downloads (Pure)

Abstract

Elite Para athletes report a high incidence of sports injuries, illnesses and other health issues. Despite this, there are few prevention programmes in Para sport, and many of the existing prevention programmes are not adapted to Para athletes. To improve the success of preventive measures, it has been suggested that sports safety work should facilitate health promotion, including athlete health education. Therefore, the overarching aim of this project is to evaluate an accessible health promotion web platform as part of a complex intervention that aims to improve knowledge of athlete health in Para sport. In this protocol, the development, future implementation and evaluation of the intervention are described. To inform the implementation and use of such interventions, it is recommended to involve end users in the development and implementation process. Therefore, a participatory design process, including athletes and the sports organisation, was used to develop an accessible health promotion web platform. To evaluate this complex intervention, a process evaluation combining quantitative evaluation assessing causal pathways with qualitative methods assessing multifaceted pathways will be used. The primary outcomes are injury/illness incidence, athlete health parameters, health literacy and user behaviour. A cohort of elite Para athletes (n=150) from Sweden and South Africa will be invited to participate. This project will be the first that aims to improve athlete health in Para sport through pragmatic and accessible health promotion. It is a boundary-crossing project that will be conducted in a real-world sport setting, including athletes with different socioeconomic backgrounds.
Original languageEnglish
Article numbere001392
Number of pages10
JournalBMJ Open Sport & Exercise Medicine
Volume8
Issue number3
DOIs
Publication statusPublished - 25 Aug 2022

Bibliographical note

Funding Information:
The discovery process, which is the second step of the PD design, enables researchers to try to understand and clarify the users’ expectations, values and desired effect of the intervention through participant engagement. Participant engagement has also been shown to improve study design, promote recruitment and make the participants more amenable for uptake of the intervention. This step is often conducted through interviews, which is supported by current research in SEM. Hence, participant engagement interviews using a qualitative thematic analysis was conducted in 2021. Thematic analysis is a flexible method for identifying and analysing patterns and needs when developing interventions.

Publisher Copyright:
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Keywords

  • prevention
  • sporting injuries
  • disability
  • health promotion

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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