Article Text

Cocreating injury prevention training for youth team handball: bridging theory and practice
  1. Eva Ageberg1,
  2. Eva M Brodin2,3,
  3. Jennie Linnéll1,
  4. Karin Moesch4,
  5. Alex Donaldson5,
  6. Emme Adébo6,
  7. Anne Benjaminse7,8,
  8. Johan Ekengren9,
  9. Simon Granér4,
  10. Urban Johnson9,
  11. Karolina Lucander1,
  12. Grethe Myklebust10,
  13. Merete Møller10,11,
  14. Ulrika Tranaeus12,13,
  15. Sofia Bunke4
  1. 1Department of Health Sciences, Lund University, Lund, Sweden
  2. 2Department of Educational Sciences, Lund University, Lund, Sweden
  3. 3Centre for Higher and Adult Education (CHAE), Stellenbosch University, Stellenbosch, South Africa
  4. 4Department of Psychology, Lund University, Lund, Sweden
  5. 5Centre for Sport and Social Impact (CSSI), La Trobe University, Melbourne, Victoria, Australia
  6. 6Regional Handball Federation in South Sweden, Lund, Sweden
  7. 7Center for Human Movement Sciences, University of Groningen, Groningen, The Netherlands
  8. 8School of Sport Studies, Hanze University Groningen School of Social Studies, Groningen, The Netherlands
  9. 9School of Health and Welfare, Halmstad University, Halmstad, Sweden
  10. 10Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway
  11. 11Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  12. 12Department of physiology, nutrition and biomechanics, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
  13. 13Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
  1. Correspondence to Dr Eva Ageberg; eva.ageberg{at}


Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts. Employing action evaluation within participatory action research, the cyclical development process included three phases: research team preparation, handball expert-based preparation and end-user evaluation to develop injury prevention training incorporating both physical and psychological perspectives. To grow the knowledge of the interdisciplinary research team, rethinking was conducted within and between phases based on participants’ contributions. Researchers and end-users cocreated examples of handball-specific exercises, including injury prevention physical principles (movement technique for upper and lower extremities, respectively, and muscle strength) combined with psychological aspects (increase end-user motivation, task focus and body awareness) to integrate into warm-up and skills training within handball practice. A cyclical development process that engaged researchers/handball experts and end-users to cocreate evidence-based, theory-informed and context-specific injury prevention training specifically for youth handball players generated a first pilot version of exercises including physical principles combined with psychological aspects to be integrated within handball practice.

  • Adolescent
  • Ecological
  • Handball
  • Implementation
  • Prevention

Data availability statement

Data are available from the authors on reasonable request.

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Data availability statement

Data are available from the authors on reasonable request.

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  • Contributors EA, SB and EMB designed the study, and AD and JL contributed to this process. EA and SB were responsible for data collection, and JL assisted in this process. JL, KM, EAd, AB, JE, SG, UJ, KL, GM, MM and UT participated in workshops in the handball expert-based development phase and provided feedback on syntheses from the workshops. EA and SB analysed and interpreted data, and EMB, KM and JL provided feedback. EA drafted the manuscript. SB contributed to the writing about psychological perspectives, and EMB about participatory action research methodology. SB, EMB, KM and JL provided feedback on early versions of this manuscript. AD, EAd, AB, JE, SG, UJ, KL, GM, MM and UT provided feedback on later versions of the manuscript. All authors read and approved the final version of the manuscript, and agreed with the order of presentation of the authors. EA is responsible for the overall content as guarantor.

  • Funding This work was mainly supported by the Swedish Research Council for Sport Science and the Crafoord Foundation. Grants were also received from Anna-Greta Crafoord’s foundation, Kock’s foundation, Magnus Bergvall’s foundation, Alfred Österlund’s foundation and Sten K Johnson’s foundation. No funding bodies were active in study design, data collection, analysis or interpretation, nor in preparation of the manuscript.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.