MAP for Coaches: Translating Sports Injury Prevention Knowledge to Youth Sport Coaches

Study Overview
=================
Brief Summary
-----------------
The goal of this clinical trial is to test the effectiveness of the MAP for Coaches, a web-based Musculoskeletal Athletic injury Prevention training course, in youth sport coaches. The main question it aims to answer are: Is the MAP for Coaches effective in increasing coaches' sport-specific knowledge of musculoskeletal injuries (types, incidence, risk factors, mechanisms, and best prevention practices, with focus on neuromuscular training warm-up exercise programs)? Is the MAP for Coaches effective in increasing coaches' motivation (self-efficacy and intention) to use sport-specific neuromuscular training warm-up exercise programs? The additional questions it aims to answer are: Are the effects of the MAP for Coaches sustained in the short- and long-term? Is the MAP for Coaches effective in promoting the use of sport-specific neuromuscular training warm-up exercise programs in youth sport coaches? Regardless of group, participants will receive the MAP for Coaches eLearning training course; however, the participants allocated to the control group will have their post-test survey completed right after they review the sport-specific 2-page injury prevention e-book containing an overview of the MAP for Coaches training course, including an infographic summary (Summarized MAP for Coaches eLearning Training Course). The intervention group will complete the post-test survey after the full training including both the course summary and the detailed course modules (the full training). The investigators will compare the two groups to see if an exposure to the (Full) MAP for Coaches eLearning Training Course improves study outcomes compared with the control group.

Official Title
-----------------
MAP for Coaches: A Web-Based Musculoskeletal Athletic Injury Prevention Training Course to Increase the Routine Use of Neuromuscular Training Warm-Up Programs

Conditions
-----------------
Knowledge, Attitudes, Practice

Intervention / Treatment
-----------------
* Behavioral: MAP for Coaches - Complete Course
* Behavioral: Map for Coaches - Overview


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Active and ongoing engagement in team youth sport coaching Member of a youth sport organization in Missouri Must be a team sport coach for one of the following: soccer, basketball, football or volleyball Exclusion Criteria: Additional engagement in adult coaching No email address contact

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Full MAP for Coaches eLearning Training Course<br> | Behavioral: MAP for Coaches - Complete Course<br>* The MAP for Coaches is an eLearning (web-based) knowledge translation training course aimed at providing youth sport coaches with the evidence-based education and motivation they need to reduce the risk of musculoskeletal injuries in young athletes. Course modules include a description of: (1) musculoskeletal injuries in youth sport; (2) the importance of injury prevention, and instructions on: (1) applying best practices for musculoskeletal athletic injury prevention, including neuromuscular training programs; (2) using behavioral strategies to successfully implement neuromuscular training warm-up programs in coaching sessions.<br>|
| Active Comparator: Summarized MAP for Coaches eLearning Training Course<br> | Behavioral: Map for Coaches - Overview<br>* This is a summarized version of the MAP for Coaches. It comprises a 2-page sport-specific injury prevention e-book (reading) containing an overview of the MAP for Coaches training and an infographic summary.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Knowledge Scores on an 11-Point Likert (0-10) Scale | Perceived knowledge regarding sport-specific musculoskeletal injuries and prevention. Minimum value possible is 0 (no knowledge) and maximum value possible is 10 (very high knowledge). Higher scores mean better outcome. | Baseline, Immediately after online training | 
| Change in Knowledge Scores Based on 5 Course-Specific Questions (0-5) | Objective change in knowledge assessment regarding sport-specific musculoskeletal injuries and prevention based on 5 questions related to the lessons in the training course. Minimum value possible is 0 (poor knowledge score) and maximum value possible is 5 (very high knowledge score). Higher scores mean better outcome. | Baseline, Immediately after online training | 
| Change in Self-Efficacy Scores on a 5-Point (1-5) Likert Scale | Perceived confidence regarding their ability to implement sport-specific neuromuscular training warm-up exercises. Minimum value possible is 1 (strongly disagree) and maximum value possible is 5 (strongly agree). Higher scores mean better outcome. | Baseline, Immediately after online training | 
| Change in Intention Scores on a 5-Point (1-5) Likert Scale | Regarding their plan to implement sport-specific neuromuscular training warm-up exercises (self-report). Minimum value possible is 1 (strongly disagree) and maximum value possible is 5 (strongly agree). Higher scores mean better outcome. | Baseline, Immediately after online training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Long-term Change in Knowledge Scores on an 11-Point Likert (0-10) Scale | Perceived knowledge regarding sport-specific musculoskeletal injuries and prevention. Minimum value possible is 0 (no knowledge) and maximum value possible is 10 (very high knowledge). Higher scores mean better outcome. | Immediately after online training, 6 months post-training | 
| Adherence to Neuromuscular Training Warm-up Exercises on a 4-Point (0-3) Likert Scale | Their rate of utilizing sport-specific neuromuscular training warm-up exercises with their team over the past 6 months (self-report). Minimum value possible is 0 (never) and maximum value possible is 3 (always). Higher scores mean better outcome. | 6 months post-training | 
| Sustained Adherence to Neuromuscular Training Warm-up Exercises on a 4-Point (0-3) Likert Scale | Their rate of utilizing sport-specific neuromuscular training warm-up exercises with their team over the past 12 months (self-report). Minimum value possible is 0 (never) and maximum value possible is 3 (always). Higher scores mean better outcome. | 12 months post-training | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Dissemination and Implementation, Neuromuscular Training Exercise Warm-up, Technology-Enabled Knowledge Translation