Seven steps for developing and implementing a preventive training program: lessons learned from JUMP-ACL and beyond

Clin Sports Med. 2014 Oct;33(4):615-32. doi: 10.1016/j.csm.2014.06.012. Epub 2014 Aug 1.


Musculoskeletal injuries during military and sport-related training are common, costly and potentially debilitating. Thus, there is a great need to develop and implement evidence-based injury prevention strategies to reduce the burden of musculoskeletal injury. The lack of attention to implementation issues is a major factor limiting the ability to successfully reduce musculoskeletal injury rates using evidence-based injury prevention programs. We propose 7 steps that can be used to facilitate successful design and implementation of evidence-based injury prevention programs within the logical constraints of a real-world setting by identifying implementation barriers and associated solutions. Incorporating these 7 steps along with other models for behavioral health interventions may improve the overall efficacy of military and sport-related injury prevention programs.

Keywords: Implementation; Injury prevention; Military; Program design; Research framework; Sports.

Publication types

  • Review

MeSH terms

  • Anterior Cruciate Ligament Injuries
  • Athletic Injuries / prevention & control*
  • Humans
  • Knee Injuries / prevention & control
  • Military Personnel*
  • Physical Education and Training / methods*
  • Physical Education and Training / organization & administration
  • Program Development*