- OBJECTIVES: Despite documented efficacy of injury prevention programs (IPPs) to reduce sport-related
lower extremity injury risk, there is evidence of a lack of widespread IPP adoption by high school
coaches. This study identified factors related to non-adoption of IPPs by assessing coaches’ knowledge,
attitudes, and behaviors related to prevention programs and comparing attitudes between adopter and non-adopter
METHODS: Head soccer and basketball coaches (n=141) from 15 Oregon high schools were invited to
complete a web-based survey assessing their IPP-related knowledge, attitudes, and behaviors.
RESULTS: Of the 66 coach respondents, 52% reported being aware of IPPs; 21% reported using an IPP with
their team; and 9% reported having their student-athletes perform the IPP exactly as designed. No
apparent differences in the attitudes towards the importance of injury prevention or the effectiveness of
IPPs were identified between coaches that did and did not adopt an IPP. Perceptions that efficacious IPPs
do not offer a relative advantage over coaches’ existing practices, do not align with coaches’ needs
(compatibility), and are difficult to implement in their setting (complexity) emerged as key factors
underlying coaches’ decisions not to adopt a program. Of those that did report adopting an IPP, just 43%
(6/14) reported implementing the program as designed.
CONCLUSIONS: Improving preventative practices of high school coaches requires more than improved
dissemination to increase coach awareness. To improve the rate of IPP adoption and implementation
fidelity, coach education should directly address issues related to relative advantage, compatibility, and
- This is an author's peer-reviewed final manuscript, as accepted by the publisher. The article is published in the Journal of Science and Medicine in Sport and available at: https://doi.org/10.1016/j.jsams.2015.03.009
- Norcross, M.F., Johnson, S.T., Bovbjerg, V.E., Koester, M.C., Hoffman, M.A., 2016. Factors influencing high school coaches’ adoption of injury prevention programs. Journal of Science and Medicine in Sport 19, 299–304. https://doi.org/10.1016/j.jsams.2015.03.009
|Funding Statement (additional comments about funding)
- This study was funded by the Oregon School Activities Association (OSAA) Foundation.
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