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  • 17 The health and performance promotion in youth (HAPPY) trial: effect of an onsite implementation strategy on handball coaches’ behavioral factors

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Athlete Health and Prevention
17 The health and performance promotion in youth (HAPPY) trial: effect of an onsite implementation strategy on handball coaches’ behavioral factors
  1. Therese Bruhn1,
  2. Carsten Juhl1,2,
  3. Sören Möller3,4,
  4. Lotte Nygaard Andersen5,
  5. Alice Kongsted6,
  6. Ewa Roos1,
  7. Merete Møller1,7
  1. 1Research Unit of Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, The Faculty of Health Sciences, University of Southern Denmark, Denmark
  2. 2Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte, Denmark
  3. 3Research Unit of OPEN, Department of Clinical Research, University of Southern Denmark, Denmark
  4. 4Open Patient data Explorative Network, Odense University Hospital, Denmark
  5. 5Research Unit of Physical Activity and Health in Working life, Department of Sports Science and Clinical Biomechanics, The Faculty of Health Sciences, University of Southern Denmark, Denmark
  6. 6Research Unit of Clinical Biomechanics, Department of Sports Science and Clinical Biomechanics, The Faculty of Health Sciences, University of Southern Denmark, Denmark
  7. 7Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sports Sciences, Norway

Abstract

Introduction Behavioral factors (BFs) are associated with adherence to injury prevention exercise programs (IPEPs). We investigated the effect of adding an onsite implementation strategy to an online-only strategy of an IPEP on handball coachers’ BFs.

Materials and Methods In a one-season randomized controlled trial, 20 youth handball clubs were assigned to an online and onsite strategy (intervention group, IG) including a workshop at season start, utilizing the Health Action Process Approach (HAPA) behavior change model, and health service provider support, or online-only strategy (control group, CG). Coaches’ BF were assessed on a 7-point Likert scale using a web-based HAPA-questionnaire at season start, after workshop (IG only), and midseason. We measured changes in six BFs: intention, action self-efficacy, coping self-efficacy, outcome expectancies, action planning, coping planning. Likert scale responses were aggregated into BF-scores ranging from 0.14-1, worst-best, for each domain, and analyzed using t-test.

Results Fifty-eight handball coaches were included; IG: n = 35, mean age 42.6 years, 34.3% female, CG: n = 23, mean age 42.3 years, 26.1% female. The IG improved significantly (p<0.05) in all BFs from season start to immediately after workshop (mean difference range of BF-scores 0.6 to 0.11). At midseason both groups had deteriorated in all BFs compared to season start (mean difference range of BF-scores 0.01 to 0.09), with no significant between-group differences.

Conclusion Adding an onsite strategy to an online implementation strategy of an IPEP had no additional effect on handball coachers’ behavioral factors from baseline to midseason, compared to an online-only strategy.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjsem-2024-sportskongres2024.17

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