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

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. 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. 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.

本研究针对参与英格兰田径协会（England Athletics）青年人才计划的16至18岁竞技性青少年中长跑运动员与中长跑教练，围绕跑步相关损伤（running-related injury, RRI）的预防展开知识水平、实践行为与需求意愿的评估。研究设计并发放两份线上问卷，问卷一面向中长跑运动员，问卷二面向教练。两份问卷均涵盖四大模块：（1）当前认知水平；（2）现有实践行为；（3）对RRI预防措施的需求与支持意愿；（4）RRI预防措施的潜在内容与呈现形式。最终共有39名中长跑运动员完成问卷一，占潜在样本总量的36%；29名教练完成问卷二，占潜在样本总量的32%。核心研究结果显示，多数受访运动员与教练均认同“预防RRI极为重要”，目前均在实践中采取诸如力量训练等RRI预防措施，且认为制定RRI预防措施是一项重要举措。研究发现，运动员与教练在RRI最常见诱因的认知上存在显著差异：青少年运动员将可干预诱因（即训练量过大）视为RRI最常见成因，而教练则选择了不可干预诱因（即生长发育与成熟）。此外，受访运动员与教练还详细阐述了其对RRI预防措施的交付偏好，进一步补充了上述核心结论。本研究结果将为更大规模协同创造流程的后续步骤提供决策参考，重点在于开发多维度、适配具体场景的RRI预防措施，确保此类措施具备现实落地的可行性与接受度。多数参与本研究的竞技性青少年中长跑运动员与中长跑教练均认同“预防RRI极为重要”，且认为制定RRI预防措施是一项重要举措。除普遍的支持态度外，研究还发现运动员与教练间存在多项有趣差异，例如：（1）对RRI最常见诱因的认知；（2）对完成RRI预防措施的时间与地点的偏好。本研究结果将为更大规模协同创造流程的后续步骤提供决策参考，重点在于开发多维度、适配具体场景的RRI预防措施，确保此类措施具备现实落地的可行性与接受度。多数参与本研究的竞技性青少年中长跑运动员与中长跑教练均认同“预防RRI极为重要”，且认为制定RRI预防措施是一项重要举措。除普遍的支持态度外，研究还发现运动员与教练间存在多项有趣差异，例如：（1）对RRI最常见诱因的认知；（2）对完成RRI预防措施的时间与地点的偏好。本研究结果将为更大规模协同创造流程的后续步骤提供决策参考，重点在于开发多维度、适配具体场景的RRI预防措施，确保此类措施具备现实落地的可行性与接受度。