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Leveraging implementation science to prevent and reduce musculoskeletal overuse injury in musicians: A proposal for the study of a conceptual framework

      Highlights

      • Proposal for an implementation science conceptual framework to study the factors that influence adoption of musician health education programs to prevent performance related injury.
      • Application of the Consolidated Framework for Investigative Research (CFIR) to study implementation of musician injury prevention programs.
      • Methodology to identify determinants of implementation by engaging key stakeholders, developing strategies for adoption of injury prevention programs and generation of hypotheses for future studies.

      Abstract

      Background

      Musician health and wellness, a fundamental requirement for safe, effective and optimal musical performance, is not guaranteed. Performance related musculoskeletal disorders (PRMD) affect between 60% and 90% of all musicians, and have serious consequences on musculoskeletal health, performance ability and the overall healthcare burden of musculoskeletal injury. The high prevalence of PRMD in musicians can be prevented and reduced via health-education programs designed to address risk factors and practice habits. Multiple studies demonstrate the efficacy of education and instructional exercises in reducing PRMD symptoms in musicians. Despite the awareness of risk and the substantial consequence of non-adherence, implementation of health-education programs is complex and challenging and is rarely offered in music institutions. For successful adoption of musculoskeletal health programs, it is important to identify system level barriers and facilitators and it is important to develop and pilot effective strategies to guide successful implementation of musculoskeletal health programs for musicians.

      Purpose

      This paper proposes a conceptual framework using implementation science methodology to study the factors that influence adoption of musician health education programs to prevent performance related injury. The overall goal of this methodology is to identify determinants of implementation by engaging key stakeholders, developing strategies for adoption of injury prevention programs and generate hypotheses for future studies.

      Methods

      The research plan is designed to accomplish the specific aims of this study. Through a mixed-method study we will use qualitative and quantitative methods to address potential barriers, and design and test implementation feasibility of health-education programs for musicians.

      Results/Conclusions

      Our findings will inform the development of a large-scale participant randomized hybrid trial to assess effectiveness and implementation outcomes of health education programs and ultimately reduce injury and promote musculoskeletal longevity and performance in musicians

      Keywords

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      JHT Read for Credit

      Quiz: # 758

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
      • # 1.
        One important assumption underlying this thesis is that
        • a.
          PRMD is a serious concern in approximately 15% of professional musicians
        • b.
          hand therapists are well trained in the management of PRMD
        • c.
          PRMD may be positively mitigated by an appropriate program of education and exercise
        • d.
          improper shoulder posture is the primary cause of PRMD
      • # 2.
        The author propose using ______________________ to address hurdles which musicians must overcome to lessen the incidence of PRMD
        • a.
          implementation science methodology
        • b.
          wrist stabilizing orthotics
        • c.
          transcendental meditation
        • d.
          biofeedback
      • # 3.
        Historically musicians created barriers to dealing successfully with PRMD by falling back on
        • a.
          playing through the pain
        • b.
          injury concealment
        • c.
          denial of their problem
        • d.
          all of the above
      • # 4.
        The article is
        • a.
          quantitative
        • b.
          qualitative
        • c.
          both qualitative and quantitative
        • d.
          a case series
      • # 5.
        This study sets the table for a randomized investigation into the effectiveness of their proposed intervention
        • a.
          not true
        • b.
          true
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.