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Applying the trans‐contextual model to promote sport injury prevention behaviors among secondary school students
Author(s) -
Lee Alfred S. Y.,
Standage Martyn,
Hagger Martin S.,
Chan Derwin K. C.
Publication year - 2021
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.14002
Subject(s) - intervention (counseling) , physical therapy , randomized controlled trial , medicine , structural equation modeling , social cognitive theory , injury prevention , clinical psychology , psychology , poison control , developmental psychology , nursing , environmental health , statistics , mathematics
The current study tested the effects of an intervention based on the trans‐contextual model (TCM) on secondary school PE students’ sport injury prevention behavior and on theory‐based motivational and social cognition mediators. Participants were PE students ( N = 1168; M age = 13.322 ± 1.045, range = 12–16; female = 51.721%) who participated in a 3‐month cluster‐randomized controlled trial. Schools were randomly assigned to a treatment group, in which PE teachers received training to be more supportive of psychological needs in teaching sport injury prevention, or a control group, in which PE teachers received no training. Participants completed survey measures of TCM variables and self‐reported sport injury prevention behavior at baseline and at 3‐month post‐intervention follow‐up. The proposed TCM model exhibited adequate fit with the data, χ 2 = 143.080 (df = 19), CFI = 0.956, TLI = 0.916, RMSEA = 0.078 (90% CI = 0.066–0.090), and SRMR = 0.058. We found positive, statistically significant direct intervention effects on changes in perceived psychological need support (β = 0.064, p = 0.020). We also found positive, significant direct (β = 0.086–0.599, p < 0.001) and indirect (β = 0.002–0.027, p = 0.020–0.032) intervention effects on changes in TCM variables and behaviors to prevent sport injuries. Our findings support the TCM as a useful framework for building an intervention for promoting sport injury prevention behaviors among secondary school students.