A Systematic Process to Prioritize Prevention Activities

Canham-Chervak, Michelle; Hooper, Tomoko I.; Brennan, Fred H.; Craig, Stephen C.; Girasek, Deborah C.; Schaefer, Richard A.; Barbour, Galen L.; Yew, Kenneth; Jones, Bruce H.

doi:10.1016/j.amepre.2009.10.003

Cited by 31 publications

(5 citation statements)

References 27 publications

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“…Outcome data were abstracted from 14 administrative databases through December 2013 (13–33 follow-up months after NSS completion) to operationalize 12 high-priority outcomes involving mental-physical disorders (Canham-Chervak et al 2010; Department of the US Army, 2010; Institute of Medicine, 2010), violent crime perpetration-victimization (Institute of Medicine, 2010; Department of the US Army, 2012), and career problems (Kubisiak et al 2009; Kapp, 2013). Dichotomous dependent variables were defined for first occurrence of each of the following outcomes:…”

Section: Methodsmentioning

confidence: 99%

Using self-report surveys at the beginning of service to develop multi-outcome risk models for new soldiers in the U.S. Army

et al. 2017

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Background The U.S. Army uses universal preventives interventions for several negative outcomes (e.g., suicide, violence, sexual assault) with especially high risks in the early years of service. More intensive interventions exist, but would be cost-effective only if targeted at high-risk soldiers. We report results of efforts to develop models for such targeting from self-report surveys administered at the beginning of Army service. Methods 21,832 new soldiers completed a self-administered questionnaire (SAQ) in 2011–2012 and consented to link administrative data to SAQ responses. Penalized regression models were developed for 12 administratively-recorded outcomes occurring by December 2013: suicide attempt, mental hospitalization, positive drug test, traumatic brain injury (TBI), other severe injury, several types of violence perpetration and victimization, demotion, and attrition. Results The best-performing models were for TBI (AUC=0.80), major physical violence perpetration (AUC=0.78), sexual assault perpetration (AUC=0.78), and suicide attempt (AUC=0.74). Although predicted risk scores were significantly correlated across outcomes, prediction was not improved by including risk scores for other outcomes in models. Of particular note: 40.5% of suicide attempts occurred among the 10% of new soldiers with highest predicted risk, 57.2% of male sexual assault perpetrations among the 15% with highest predicted risk, and 35.5% of female sexual assault victimizations among the 10% with highest predicted risk. Conclusions Data collected at the beginning of service in self-report surveys could be used to develop risk models that define small proportions of new soldiers accounting for high proportions of negative outcomes over the first few years of service.

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Section: Methodsmentioning

confidence: 99%

Using self-report surveys at the beginning of service to develop multi-outcome risk models for new soldiers in the U.S. Army

et al. 2017

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“…MSK-IMPP implementation context, strategy and/or outcomes were not often formally evaluated or reported; MSK-I outcomes varied widely across all studies. Future MSK-IMPP research should systematically evaluate 84 and formally report details about implementation context (including barriers, facilitators and implementation strategies). Reporting both implementation outcomes and effectiveness outcomes will improve MSK-I mitigation and prevention efforts in the military.…”

Section: Discussionmentioning

confidence: 99%

“…Future MSK-IMPP research should systematically evaluate 84 and formally report details about implementation context (including barriers, facilitators and implementation strategies). Reporting both implementation outcomes and effectiveness outcomes will improve MSK-I mitigation and prevention efforts in the military.…”

Section: Original Researchmentioning

confidence: 99%

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

Bullock,

Dartt,

Ricker

et al. 2023

Inj Prev

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IntroductionMusculoskeletal 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.MethodsA 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.ResultsFrom 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.ConclusionDespite 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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“…Mostly, all military activities and training are robust and may cause serious injuries. According to [1], parachute landing is the second-highest activity with a high risk of injury in the military. There are various factors that can cause injury while doing parachute landing which are: applying the wrong technique during landing, landing on uneven terrain, problems when opening a parachute and the wind factor.…”

Section: Introductionmentioning

confidence: 99%

Kinetics Study in Parachute Landing Fall Technique by Comparing Professional and Amateur Malaysian Army Parachutists Using Kane’s Method

et al. 2020

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This paper discusses the torque data during Parachute Landing Fall (PLF) activity on the sagittal plane by applying Kane’s method. The value of torque is determined in order to identify the movement of extension and flexion at every joint-segment on the parachutist during landing. Data were obtained from three professional and eighteen amateur parachutists, each with three consecutive landings. Quintic Biomechanics Software v26 was selected to capture motion analysis. The mathematical model for the PLF technique was presented based on a two-link kinematics open chain in a two-dimensional space using Kane’s method. The t-test result showed the p-value of torque at each joint between professionals and amateurs (p ≤ 0.05). According to the torque result, the professional parachutists extended their arm then flexion their elbow, shoulder, hip, knee and the ankle plantar flexion during the foot strike phase. The professional demonstrated a perfect PLF technique by identifying the flexion and extension on each joint segment that was involved during landing activity. The value of torque at each joint segment from professional parachutists may be used as a guideline for amateurs to perform optimal landing and minimise the injury.

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A Systematic Process to Prioritize Prevention Activities

Cited by 31 publications

References 27 publications

Using self-report surveys at the beginning of service to develop multi-outcome risk models for new soldiers in the U.S. Army

Using self-report surveys at the beginning of service to develop multi-outcome risk models for new soldiers in the U.S. Army

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

Kinetics Study in Parachute Landing Fall Technique by Comparing Professional and Amateur Malaysian Army Parachutists Using Kane’s Method

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