Applying the trans-contextual model to promote sport injury prevention behaviors among secondary school students

Alfred S Y Lee, Martyn Standage, Martin S. Hagger, Derwin C. K. Chan

Research output: Contribution to journalArticlepeer-review

Abstract

The current study tested the effects of an intervention based on the trans-contextual model (TCM) on secondary school PE students’ sport injury prevention behavior and on theory-based motivational and social cognition mediators. Participants were PE students (N = 1168; M age = 13.322 ± 1.045, range = 12–16; female = 51.721%) who participated in a 3-month cluster-randomized controlled trial. Schools were randomly assigned to a treatment group, in which PE teachers received training to be more supportive of psychological needs in teaching sport injury prevention, or a control group, in which PE teachers received no training. Participants completed survey measures of TCM variables and self-reported sport injury prevention behavior at baseline and at 3-month post-intervention follow-up. The proposed TCM model exhibited adequate fit with the data, χ 2 = 143.080 (df = 19), CFI = 0.956, TLI = 0.916, RMSEA = 0.078 (90% CI = 0.066–0.090), and SRMR = 0.058. We found positive, statistically significant direct intervention effects on changes in perceived psychological need support (β = 0.064, p = 0.020). We also found positive, significant direct (β = 0.086–0.599, p < 0.001) and indirect (β = 0.002–0.027, p = 0.020–0.032) intervention effects on changes in TCM variables and behaviors to prevent sport injuries. Our findings support the TCM as a useful framework for building an intervention for promoting sport injury prevention behaviors among secondary school students.

Original languageEnglish
Pages (from-to)1840-1852
Number of pages13
JournalScandinavian Journal of Medicine and Science in Sports
Volume31
Issue number9
Early online date26 Jun 2021
DOIs
Publication statusPublished - Sep 2021

Keywords

  • digital health intervention
  • mobile health
  • self-determination theory
  • sport injury
  • theory of planned behavior

ASJC Scopus subject areas

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

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