Implementation of an app-based neuromuscular training programme to prevent ankle sprains: a process evaluation using...

Area of Science:

• Sports Medicine
• Digital Health
• Injury Prevention

Background:

• Electronic media offers practical dissemination of preventive health interventions.
• An app, 'Versterk je Enkel', was developed for preventing recurrent ankle sprains.
• This study assessed the implementation effectiveness of this eHealth app.

Purpose of the Study:

• To evaluate the implementation effectiveness of the 'Versterk je Enkel' app.
• To assess the app's reach, adoption, and usage within its practical context.
• To understand user demographics, motivations, and experiences with the app.

Main Methods:

• The Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) Framework was used for evaluation.
• Data were collected via Google Analytics and user questionnaires (n=82).
• The app was promoted through press releases, online, and offline advertisements.

Main Results:

• The app reached only 2.6% of the projected target population.
• Users rated the app highly for relevancy, clarity, usefulness, appeal, information, and reliability.
• Despite positive ratings, compliance with the app's embedded prevention program was low.

Conclusions:

• The 'Versterk je Enkel' app was positively received but requires targeted efforts for better uptake and usage.
• Effective implementation of eHealth and mHealth interventions for athlete care and injury prevention necessitates strategic approaches.
• Further research is needed to optimize digital health tools for injury prevention.