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Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.

Publication ,  Journal Article
Bullock, GS; Dartt, CE; Ricker, EA; Fallowfield, JL; Arden, N; Clifton, D; Danelson, K; Fraser, JJ; Gomez, C; Greenlee, TA; Gregory, A ...
Published in: Inj Prev
November 27, 2023

INTRODUCTION: Musculoskeletal injury (MSK-I) mitigation and prevention programmes (MSK-IMPPs) have been developed and implemented across militaries worldwide. Although programme efficacy is often reported, development and implementation details are often overlooked, limiting their scalability, sustainability and effectiveness. This scoping review aimed to identify the following in military populations: (1) barriers and facilitators to implementing and scaling MSK-IMPPs; (2) gaps in MSK-IMPP research and (3) future research priorities. METHODS: A scoping review assessed literature from inception to April 2022 that included studies on MSK-IMPP implementation and/or effectiveness in military populations. Barriers and facilitators to implementing these programmes were identified. RESULTS: From 132 articles, most were primary research studies (90; 68.2%); the remainder were review papers (42; 31.8%). Among primary studies, 3 (3.3%) investigated only women, 62 (69%) only men and 25 (27.8%) both. Barriers included limited resources, lack of stakeholder engagement, competing military priorities and equipment-related factors. Facilitators included strong stakeholder engagement, targeted programme design, involvement/proximity of MSK-I experts, providing MSK-I mitigation education, low burden on resources and emphasising end-user acceptability. Research gaps included variability in reported MSK-I outcomes and no consensus on relevant surveillance metrics and definitions. CONCLUSION: Despite a robust body of literature, there is a dearth of information about programme implementation; specifically, barriers or facilitators to success. Additionally, variability in outcomes and lack of consensus on MSK-I definitions may affect the development, implementation evaluation and comparison of MSK-IMPPs. There is a need for international consensus on definitions and optimal data reporting elements when conducting injury risk mitigation research in the military.

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Published In

Inj Prev

DOI

EISSN

1475-5785

Publication Date

November 27, 2023

Volume

29

Issue

6

Start / End Page

461 / 473

Location

England

Related Subject Headings

  • Public Health
  • Program Evaluation
  • Musculoskeletal Diseases
  • Military Personnel
  • Male
  • Humans
  • Female
  • 4206 Public health
  • 4202 Epidemiology
  • 1701 Psychology
 

Citation

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Bullock, G. S., Dartt, C. E., Ricker, E. A., Fallowfield, J. L., Arden, N., Clifton, D., … Rhon, D. I. (2023). Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review. Inj Prev, 29(6), 461–473. https://doi.org/10.1136/ip-2023-044905
Bullock, Garrett S., Carolyn E. Dartt, Emily A. Ricker, Joanne L. Fallowfield, Nigel Arden, Daniel Clifton, Kerry Danelson, et al. “Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.Inj Prev 29, no. 6 (November 27, 2023): 461–73. https://doi.org/10.1136/ip-2023-044905.
Bullock GS, Dartt CE, Ricker EA, Fallowfield JL, Arden N, Clifton D, et al. Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review. Inj Prev. 2023 Nov 27;29(6):461–73.
Bullock, Garrett S., et al. “Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.Inj Prev, vol. 29, no. 6, Nov. 2023, pp. 461–73. Pubmed, doi:10.1136/ip-2023-044905.
Bullock GS, Dartt CE, Ricker EA, Fallowfield JL, Arden N, Clifton D, Danelson K, Fraser JJ, Gomez C, Greenlee TA, Gregory A, Gribbin T, Losciale J, Molloy JM, Nicholson KF, Polich J-G, Räisänen A, Shah K, Smuda M, Teyhen DS, Allard RJ, Collins GS, de la Motte SJ, Rhon DI. Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review. Inj Prev. 2023 Nov 27;29(6):461–473.

Published In

Inj Prev

DOI

EISSN

1475-5785

Publication Date

November 27, 2023

Volume

29

Issue

6

Start / End Page

461 / 473

Location

England

Related Subject Headings

  • Public Health
  • Program Evaluation
  • Musculoskeletal Diseases
  • Military Personnel
  • Male
  • Humans
  • Female
  • 4206 Public health
  • 4202 Epidemiology
  • 1701 Psychology