Abstract
Objectives
To determine if an intervention based on the Health Belief Model (HBM) could improve
attitudes towards exercise-related injury prevention program (ERIPP) participation
and functional performance in club sport participants.
Design
Repeated measures
Methods
Participants completed the HBM Scale (HBMS) and Theory of Planned Behavior Scale (TPBS)
to assess attitudes towards ERIPP participation at three time points (pre-measure,
post-measure, follow-up measure). The HBM based intervention was delivered immediately
following the pre-measure containing: 1) education on ERIPPs, benefits and barriers
to participating, strategies to overcome barriers, risk factors and consequences for
lower extremity injuries, and strategies to prevent lower extremity injuries 2) individualized
feedback on functional performance 3) demonstration and participation in the 11 + . Attitudes towards injury prevention were compared using the subscales of the HBMS
and TPBS at all three time points. Functional performance was compared at the pre-measure
and follow-up measure.
Results
Significant improvements with large effect sizes were detected in individual self-efficacy
from pre-test (0.73 ± 4.48) to post-test (2.93 ± 4.30; P = 0.05; ƞ2 = 0.18) and pre-test to follow-up (3.20 ± 3.49; P = 0.04; ƞ2 = 0.20) and community led self-efficacy from pre-test (4.40 ± 2.75) to post-test (6.07 ± 3.43; P = 0.02; ƞ2 = 0.24) and pre-test to follow-up (7.07 ± 2.05; P = 0.001; ƞ2 = 0.44). Additionally, significant improvements were found in the LESS-RT following
the intervention.
Conclusions
The intervention based on the HBM led to improvements in individual and community
led self-efficacy indicating an enhancement in the participants’ confidence in their
ability to participate in an ERIPP. Future research should investigate the effectiveness
of individualized interventions to improve attitudes towards and adherence to ERIPPs.
Keywords
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Article info
Publication history
Published online: May 03, 2020
Accepted:
April 3,
2020
Received in revised form:
March 23,
2020
Received:
August 2,
2019
Identification
Copyright
© 2020 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.
