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Psychological interventions used to reduce sports injuries: A systematic review of real-world effectiveness.

Gledhill, Adam and Forsdyke, Dale and Murray, Eliot (2018) Psychological interventions used to reduce sports injuries: A systematic review of real-world effectiveness. British Journal of Sports Medicine.

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Abstract

Objective: To systematically review studies examining the role of psychological interventions in injury prevention. The primary research question was: (1) What is the real-world effectiveness of psychological intervention in preventing sports injuries?
Design: Mixed method systematic review with best evidence synthesis
Data sources: CINAHL, MEDLINE, PsycARTICLES, PsycINFO, SPORTDiscus, Science Direct and PubMed
Eligibility criteria for selecting studies: Randomised control trials (RCTs), non-RCTs that included a comparison group, before and after study designs and qualitative methods. Studies were required to outline specific unimodal or multimodal psychological interventions used in relation to injury prevention in the real-world setting.
Outcome measure: Studies were independently appraised with the Mixed-Methods Appraisal Tool (MMAT).
• Results: Thirteen papers (incorporating 14 studies) met the eligibility criteria, of which 93% (13/14) reported a decrease in injury rates (effect size range = 0.2 – 1.21). There was an overall moderate risk of bias in reporting (52%). There is a dominance of stress management-based interventions in literature due to the prominence of the Model of Stress and Athletic Injury within the area.
Summary/conclusions: Psychological interventions demonstrate small (0.2) to large (1.21) effects on sports injury rates. The research area demonstrates a cumulative moderate risk in reporting bias (52%).
PROSPERO registration: CRD42016035879

Item Type: Article
Status: Published
DOI: 10.1136/bjsports-2017-097694
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
School/Department: School of Sport
URI: http://ray.yorksj.ac.uk/id/eprint/2775

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