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Dissemination and implementation of injury prevention interventions: a scoping review for the Female, woman and girl Athlete Injury pRevention (FAIR) consensus

  • Brooke E. Patterson
  • , Carly D. McKay
  • , Meghan L. Critchley
  • , Destiny Lutz
  • , Sallie M. Cowan
  • , Nicholas Kolesky
  • , Vanda White
  • , Allison M. Ezzat
  • , Andrew G. Ross
  • , William M. Adams
  • , Eva Ageberg
  • , Clare L. Ardern
  • , Marelise Badenhorst
  • , Molly Coventry
  • , Marc Olivier Dubé
  • , Stacey Emmonds
  • , Libby J. Gracias
  • , K. Alix Hayden
  • , Hanna Lindblom
  • , Merete Møller
  • Christine Holm Moseid, Nancy Harrington, Dai Sugimoto, Evert Verhagen, Kate K. Yung, Phathokuhle C. Zondi, Carolyn A. Emery, Kay M. Crossley, Oluwatoyosi B.A. Owoeye
  • La Trobe University
  • University of Calgary
  • St. Louis University
  • University of British Columbia
  • British Columbia Children's Hospital Research Institute
  • Victoria University Melbourne, Institute for Health and Sport
  • Michigan State University
  • University of North Carolina
  • Loughborough University
  • Lund University
  • Auckland University of Technology
  • Edith Cowan University
  • Leeds Beckett University
  • Linköping University
  • University of Southern Denmark
  • Norwegian School of Sport Sciences
  • Western University
  • The Micheli Center for Sports Injury Prevention
  • Boston Children’s Hospital
  • Union of European Football Associations (UEFA)
  • The Chinese University of Hong Kong–Prince of Wales Hospital
  • Hong Kong Sports Institute
  • University of KwaZulu-Natal

Research output: Contribution to journalReview articlepeer-review

4   Link opens in a new tab Citations (SciVal)

Abstract

Objective To synthesise evidence related to the dissemination and implementation (D&I) of injury prevention interventions for female, woman and/or girl (female/woman/girl) athletes. Design Scoping review. Data sources MEDLINE, APA PsycInfo, Cochrane Databases for Systematic Review, Cochrane Central Register for Controlled Trials Registry, EMBASE, CINAHL, SPORTDiscus, ERIC, ProQuest Dissertation and Theses Global. Eligibility Primary research including ≥25% female/woman/girl athletes of any age or people working with them (eg, coaches), participating in sports competition and/or performance, were eligible. Papers reporting D&I outcomes (eg, coach knowledge, adoption and maintenance) related to an injury prevention intervention and/or a factor (eg, coach beliefs) associated with D&I outcomes were included. Results 220 papers with 419494 participants (96790 athletes (49% female/woman/girl), 277923 coaches (59% working with females/women/girls) and 44781 others) across 81 sports were included. 89% of the papers were from Europe, Oceania and North America. Papers included amateur (n=175), sub-elite (n=10), elite (n=63) and Para sport (n=2) athletes. Interventions were training strategies (n=113), personal protective equipment (PPE, n=41), policy/rules/laws (n=5) or other (n=61, eg, multimodal). There were >650 D&I outcomes; adoption was the most common, followed by athlete and coach perceptions and attitudes about injury prevention. Key facilitators of D&I were previous injury experience, higher competition levels and positive perceptions and attitudes. Conclusion Most studies on D&I of injury prevention interventions for female/woman/girl athletes were descriptive and related to athletes and coaches. Engaging people across the socio-ecological system (eg, parents, health professionals and administrators) and prioritising under-represented regions, populations and D&I-focused trials may enhance D&I outcomes and ultimately reduce injury risk in female/woman/girl athletes.

Original languageEnglish
Number of pages15
JournalBritish Journal of Sports Medicine
Early online date4 Nov 2025
DOIs
Publication statusE-pub ahead of print - 4 Nov 2025

Data Availability Statement

Data are available upon reasonable request.
Data can be made available upon reasonable request to the corresponding author.
Please email the corresponding author with a written proposal outlining the specific
research aims and analysis plan and why these specific data are needed. A formal
data-sharing agreement between institutions will be required

Acknowledgements

We thank James Fern (University of Bath) for his assistance
in developing Figure 4 and Jackie Whittaker and Linda Truong for their assistance
with the Mixed Methods Assessment Tool training guide. WA acknowledges that this
work is the author’s own and not that of the United States Olympic & Paralympic
Committee, or any of its members or affiliates

Funding

A grant from the International Olympic Committee (IOC) partially covered the administrative and operational costs associated with all the FAIR consensus reviews.

Keywords

  • Athletic Injuries
  • Female
  • Implementation
  • Sporting injuries
  • Women in sport

ASJC Scopus subject areas

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

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