Co-creation of injury prevention measures for competitive adolescent distance runners: knowledge, behavior, and needs of athletes and coaches enrolled on England Athletics' Youth Talent Programme

Ann Med. 2024 Dec;56(1):2334907. doi: 10.1080/07853890.2024.2334907. Epub 2024 Apr 10.

Abstract

This study assessed the knowledge, behavior, and needs of competitive adolescent (16-18 years) distance runners and distance running coaches enrolled as part of England Athletics' Youth Talent Programme in relation to the prevention of running-related injury (RRI). Two online surveys were developed and distributed to the distance runners (survey one) and coaches (survey two). Both surveys included sections related to: (1) current knowledge; (2) current behavior; (3) need and support for RRI prevention measures; and (4) possible content and form of RRI prevention measures. A total of 39 distance runners (36% of total possible sample) completed survey 1, and 29 coaches (32% of total possible sample) completed survey 2. Key findings included that the majority of distance runners and coaches: (1) agreed that it is 'very important' to try to prevent RRI; (2) are currently implementing something in practice (e.g., strength training) to prevent RRI; and (3) view the creation of RRI prevention measures as an important initiative. Differences between distance runners and coaches were identified in relation to their understanding of the most common causes of RRI. Interestingly, distance runners identified a modifiable cause of RRI (i.e., too much training) as the most common cause of RRI, while coaches selected a non-modifiable cause of RRI (i.e., growth and maturation). These key findings were supplemented by competitive adolescent runners and distance running coaches detailing their delivery preferences for such RRI prevention measures. Results from this study will help inform subsequent steps of the larger co-creation process, with an emphasis on developing multifaceted and context-specific RRI prevention measures that are deemed to be feasible and acceptable for real-world implementation.

Keywords: Athletics; athlete health protection; co-production; track and field; youth sport.

Plain language summary

The majority of competitive adolescent distance runners and distance running coaches who took part in this study agreed that it is ‘very important’ to try to prevent RRI and view the creation of RRI prevention measures as an important initiative.Alongside this support, interesting differences between the distance runners and coaches were also identified, including, for example: (1) their understanding of the most common causes of RRI and (2) their preferences about where and when to complete RRI prevention measures.Results from this study will help inform subsequent steps of the larger co-creation process, with an emphasis on developing multifaceted and context-specific RRI prevention measures that are deemed to be feasible and acceptable for real-world implementation.

MeSH terms

  • Adolescent
  • Athletes*
  • England
  • Humans
  • Running* / injuries
  • Surveys and Questionnaires

Grants and funding

This work was supported by two Economic and Social Research Council (ESRC) Impact Accelerator Account Funds (ECM_906171), awarded by the University of Exeter. For the purpose of open access, the authors have applied a Creative Commons Attribution (CC BY) license to any Author Accepted Manuscript version arising. This work was also supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South West Peninsula.