May 6, 2026 · British journal of sports medicine · DOI: 10.1136/bjsports-2025-110894

Supported implementation enhances injury prevention programme (Prep-to-Play) use in women and girls playing Australian Football: a pragmatic type III hybrid implementation-effectiveness stepped wedge cluster randomised trial

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The authors aimed to evaluate the impact of supported implementation on the use of the Prep-to-Play injury prevention program and its effect on injury incidence among women and girls playing Australian Football. The study found that supported implementation significantly increased program use and that higher adherence to the program was linked to fewer injuries, although the effect on specific injury rates was less clear. Overall, in-person workshops and support visits were more effective than online resources alone in promoting program adherence.

Brooke E Patterson, Nicole M White, Sallie M Cowan, Matthew G King, Alex Donaldson, Melissa J Haberfield, Andrea B Mosler, Andrea M Bruder, Christian J Barton, Steven M McPhail, Adam G Culvenor, Karla Hemming, Martin Hägglund, Natasha A Lannin, Ilana N Ackerman, Michelle M Dowsey, Michael Makdissi, Shona Sundaraj, Nicole Livingstone, Jane Fitzpatrick, Jamie Crain, Sarah J Lampard, Karina L Chilman, Libby J Gracias, Elizabeth Birch, Christian Bonello, Kay M Crossley

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