Effect of Animated Video on Comprehension and Implementation Feasibility

Study Overview
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Brief Summary
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The aim of this study is to evaluate the effects of a brief web-based educational intervention on improving Anterior Cruciate Ligament (ACL) injury prevention comprehension and implementation feasibility among coaches of athletes participating in landing and cutting sports (e.g., soccer, basketball, football, etc.). The two main hypotheses are that, compared to both an active and placebo control group, the brief animated video will produce greater improvements in: Overall comprehension of ACL injury risk and mitigation: placebo control group < active control group < intervention group. Feasibility of utilizing ACL injury prevention strategies: placebo control group < active control group < intervention group. Exploratory hypothesis: The brief animated video will produce greater improvements in various subcomponents of comprehension-specifically: basic ACL knowledge, risk knowledge, prevention knowledge and severity knowledge compared to both active and placebo control group conditions.

Detailed Description
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This study is a computer-based, three-arm pre-post randomized control design trial. Participants were randomized into an intervention group, active control group or passive control group on a 1:1:1 ratio by a computer-generated algorithm embedded within the Qualtrics software (Qualtrics, Provo, UT). Sports coaches of youth and adolescent athletes in various landing and cutting sports (e.g., soccer, basketball, volleyball, etc.) in the United States were recruited and invited through Qualtrics' panelists. The intervention group was shown a three-minute animated video consisting of various information components aimed at improving capability, motivation and opportunity to implement ACL injury prevention strategies. The active control group received commonly accessed information from a WebMD web-based article on ACL injury prevention. The placebo control group intervention received an educational video from the CDC about concussions that is comparable in duration to that of the ACL video. Overall ACL comprehension-composed of basic ACL knowledge, risk knowledge, prevention knowledge, and severity knowledge-as well as implementation feasibility were all measured prior to and immediately following the interventions.

Official Title
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The Effect of a Brief, Web-Based Animated Video for Improving Comprehension and Implementation Feasibility for Reducing Anterior Cruciate Ligament Injury: A Three-Arm Randomized Controlled Trial

Conditions
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Knowledge, Attitudes, Practice

Intervention / Treatment
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* Behavioral: Animated Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sports coaches of youth and adolescent athletes in various landing and cutting sports (e.g., soccer, basketball, volleyball, etc.) in the United States. Exclusion Criteria: Non sport coach or coach of non-landing and cutting sport (e.g., golf, swimming).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Animated Video<br>The information in the ACL animated video (https://vimeo.com/281721823) was displayed as a story of a typical athlete who sustained an injury and how this could be prevented through evidence-based prevention strategies. | Behavioral: Animated Video<br>* Animated video to improve learning and motivation<br>* Other names: Multimedia video;|
| Active Comparator: Web-based Article<br>The active control group received commonly accessed information from a WebMD web-based article on ACL injury prevention. | Behavioral: Animated Video<br>* Animated video to improve learning and motivation<br>* Other names: Multimedia video;|
| Placebo Comparator: Placebo control<br>The placebo control group intervention received an educational video from the CDC about concussions that is comparable in duration to that of the ACL video (https://youtu.be/fSRWF44wgn8). | Behavioral: Animated Video<br>* Animated video to improve learning and motivation<br>* Other names: Multimedia video;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall anterior cruciate ligament injury comprehension percent correct | Items that measure ACL knowledge were gathered from peer reviewed, published articles. The scale consisted of 15 multiple choice items that assessed individuals knowledge about diverse issues with ACL injury such as risk, prevention, and consequences of the injury. | Immediately following intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Average implementation feasibility measured by the feasibility of the intervention scale | The feasibility of the intervention measure was used to assess the likelihood that the coach would successfully implement evidence-based prevention strategies. The 4 items consisted of the root phrase: An ACL injury prevention program seems followed by (1) implementable, (2) possible, (3) doable and (4) easy to use. The items were rated on a 5-point Likert scale ranging from completely disagree to completely agree. The average of the 4 items was used for the analysis. | Immediately following intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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multimedia, education, information, knee, coach, learning