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Jacobsson, Jenny
Publications (10 of 15) Show all publications
Fagher, K., Jacobsson, J., Dahlström, Ö., Timpka, T. & Lexell, J. (2017). An eHealth Application of Self-Reported Sports-Related Injuries and Illnesses in Paralympic Sport: Pilot Feasibility and Usability Study. JMIR Human Factors, 4(4), Article ID e30.
Open this publication in new window or tab >>An eHealth Application of Self-Reported Sports-Related Injuries and Illnesses in Paralympic Sport: Pilot Feasibility and Usability Study
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2017 (English)In: JMIR Human Factors, E-ISSN 2292-9495, Vol. 4, no 4, article id e30Article in journal (Refereed) Published
Abstract [en]

Sport participation is associated with a risk of sports-related injuries and illnesses, and Paralympic athletes additional medical issues can be a challenge to health care providers and medical staff. However, few prospective studies have assessed sports-related injuries and illnesses in Paralympic sport (SRIIPS) over time. Advances in mobile phone technology and networking systems offer novel opportunities to develop innovative eHealth applications for collection of athletes self-reports. Using eHealth applications for collection of self-reported SRIIPS is an unexplored area, and before initiation of full-scale research of SRIIPS, the feasibility and usability of such an approach needs to be ascertained.

Place, publisher, year, edition, pages
Toronto, Canada: JMIR Publications, 2017
Keywords
epidemiology; feasibility studies; sports for persons with disabilities; sports medicine; telemedicine
National Category
Other Health Sciences
Identifiers
urn:nbn:se:liu:diva-146351 (URN)10.2196/humanfactors.8117 (DOI)29187343 (PubMedID)
Available from: 2018-04-07 Created: 2018-04-07 Last updated: 2018-04-25Bibliographically approved
Jacobsson, J. & Timpka, T. (2015). Classification of Prevention in Sports Medicine and Epidemiology [Letter to the editor]. Sports Medicine, 45(11), 1483-1487
Open this publication in new window or tab >>Classification of Prevention in Sports Medicine and Epidemiology
2015 (English)In: Sports Medicine, ISSN 0112-1642, E-ISSN 1179-2035, Vol. 45, no 11, p. 1483-1487Article in journal, Letter (Refereed) Published
Abstract [en]

It is today recognized that a large share of manifestations of ill health associated with sports participation is preventable and that a focus should be on implementation of effective prevention programs. One hindrance for implementation of effective preventive measures in sports medicine may be that an update of preventive frameworks to the current health challenges has not been performed. We introduce classifications of prevention that are adjusted to the health challenges faced by sports participants in the present day. To enable more precise characterizations of preventive measures, we find it necessary to describe them in two dimensions. In one dimension, pathological developments in the body are used as a basis for classification of preventive measures, while the other dimension classifies prevention on the grounds of epidemiological risk indicators. We conclude that longitudinal research combining diagnostic procedures, surveillance, and targeted interventions is needed to enable the introduction of prevention programs for athletes in the beginning of their sporting career at the pre-diagnostic stage, as well as suitable prevention measures for the adult elite athletes. A more distinct classification of prevention supports a specific and cost-effective planning and translation of sports injury prevention and safety promotion adjusted to the delivery settings, various injury types, and different groups of athletes. The present classifications constitute an additional conceptual foundation for such efforts.

Place, publisher, year, edition, pages
ADIS INT LTD, 2015
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-123816 (URN)10.1007/s40279-015-0368-x (DOI)000366829300001 ()26245875 (PubMedID)
Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2019-01-14
Edouard, P., Jacobsson, J., Timpka, T., Alonso, J.-M., Kowalski, J., Nilsson, S., . . . Branco, P. (2015). Extending in-competition Athletics injury and illness surveillance with pre-participation risk factor screening: A pilot study. Physical Therapy in Sport, 16(2), 98-106
Open this publication in new window or tab >>Extending in-competition Athletics injury and illness surveillance with pre-participation risk factor screening: A pilot study
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2015 (English)In: Physical Therapy in Sport, ISSN 1466-853X, E-ISSN 1873-1600, Vol. 16, no 2, p. 98-106Article in journal (Refereed) Published
Abstract [en]

Objectives: To explore the performance of retrospective health data collected from athletes before Athletics championships for the analysis of risk factors for in-competition injury and illness (IandI). Methods: For the 2013 European Athletics Indoor Championships, a self-report questionnaire (PHQ) was developed to record the health status of 127 athletes during the 4 weeks prior to the championship. Physician-based surveillance of in-competition IandI among all 577 athletes registered to compete was pursued during the championships. Results: 74 athletes (58.3%) from the sample submitted a complete PHQ, 21 (28%) of these athletes sustained at least one injury and/or illness during the championships. Training more than 12 h/week predisposed for sustaining an in-competition injury, and a recent health problem for in-competition illness. Among the 577 registered athletes, 60 injuries (104/1000 registered athletes) were reported. 31% of injuries were caused by the track, and 29% by overuse. 29 illnesses were reported (50/1000 registered athletes); upper respiratory tract infection and gastro-enteritis/diarrhoea were the most reported diagnoses. Conclusions: Pre-participation screening using athletes self-report PHQ showed promising results with regard to identification of individuals at risk. Indoor injury types could be attributed to extrinsic factors, such as small track size, track inclination, and race tactics. (C) 2014 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Sports injury prevention; Pre-competition medical assessment; Injury/illness surveillance; Epidemiology
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-119592 (URN)10.1016/j.ptsp.2014.05.003 (DOI)000355026600003 ()25168228 (PubMedID)
Available from: 2015-06-23 Created: 2015-06-22 Last updated: 2018-04-07
Timpka, T., Jacobsson, J., Ekberg, J., Finch, C. F., Bichenbach, J., Edouard, P., . . . Manuel Alonso, J. (2015). Meta-narrative analysis of sports injury reporting practices based on the Injury Definitions Concept Framework (IDCF): A review of consensus statements and epidemiological studies in athletics (track and field). Journal of Science and Medicine in Sport, 18(6), 643-650
Open this publication in new window or tab >>Meta-narrative analysis of sports injury reporting practices based on the Injury Definitions Concept Framework (IDCF): A review of consensus statements and epidemiological studies in athletics (track and field)
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2015 (English)In: Journal of Science and Medicine in Sport, ISSN 1440-2440, E-ISSN 1878-1861, Vol. 18, no 6, p. 643-650Article, review/survey (Refereed) Published
Abstract [en]

Objectives: Consistency in routines for reporting injury has been a focus of development efforts in sports epidemiology for a long time. To gain an improved understanding of current reporting practices, we applied the Injury Definitions Concept Framework (IDCF) in a review of injury reporting in a subset of the field. Design: Meta-narrative review. Methods: An analysis of injury definitions reported in consensus statements for different sports and studies of injury epidemiology in athletics (track and field) published in PubMed between 1980 and 2013 was performed. Separate narratives for each of the three reporting contexts in the IDCF were constructed from the data. Results: Six consensus statements and 14 studies reporting on athletics injury epidemiology fulfilled the selection criteria. The narratives on sports performance, clinical examination, and athlete self-report contexts were evenly represented in the eligible studies. The sports performance and athlete self-report narratives covered both professional and community athletes as well as training and competition settings. In the clinical examination narrative, data collection by health service professionals was linked to studies of professional athletes at international championships. Conclusions: From an application of the IDCF in a review of injury reporting in sports epidemiology we observed a parallel usage of reporting contexts in this field of research. The co-existence of reporting methodologies does not necessarily reflect a problematic situation, but only provided that firm precautions are taken when comparing studies performed in the different contexts. (C) 2014 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD, 2015
Keywords
Sports epidemiology; Terminology; Sports injury; Overuse injuries; Qualitative methods
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-122652 (URN)10.1016/j.jsams.2014.11.393 (DOI)000363599000005 ()25620458 (PubMedID)
Available from: 2015-11-16 Created: 2015-11-13 Last updated: 2018-04-07
Dahlström, Ö., Jacobsson, J. & Timpka, T. (2015). Overcoming the organization-practice barrier in sports injury prevention: A nonhierarchical organizational model. Scandinavian Journal of Medicine and Science in Sports, 25(4), e414-e422
Open this publication in new window or tab >>Overcoming the organization-practice barrier in sports injury prevention: A nonhierarchical organizational model
2015 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 25, no 4, p. e414-e422Article in journal (Refereed) Published
Abstract [en]

The organization of sports at the national level has seldom been included in scientific discussions of sports injury prevention. The aim of this study was to develop a model for organization of sports that supports prevention of overuse injuries. The quality function deployment technique was applied in seminars over a two-season period to develop a national organizational structure for athletics in Sweden that facilitates prevention of overuse injuries. Three central features of the resulting model for organization of sports at the national level are (a) diminishment of the organizational hierarchy: participatory safety policy design is introduced through annual meetings where actors from different sectors of the sporting community discuss training, injury prevention, and sports safety policy; (b) introduction of a safety surveillance system: a ubiquitous system for routine collection of injury and illness data; and (c) an open forum for discussion of safety issues: maintenance of a safety forum for participants from different sectors of the sport. A nonhierarchical model for organization of sports at the national level - facilitated by modern information technology - adapted for the prevention of overuse injuries has been developed. Further research is warranted to evaluate the new organizational model in prospective effectiveness studies.

Place, publisher, year, edition, pages
Wiley: 12 months, 2015
Keywords
Safe sports; implementation; safety policy; athletics; sports bodies; sports organization
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-120446 (URN)10.1111/sms.12327 (DOI)000357831300010 ()25430864 (PubMedID)
Note

Funding Agencies|Swedish Centre for Sports Research [P2014-167, P2014-0048]

Available from: 2015-08-12 Created: 2015-08-11 Last updated: 2018-04-07
Alonso, J.-M., Jacobsson, J., Timpka, T., Ronsen, O., Kajenienne, A., Dahlström, Ö., . . . Edouard, P. (2015). Preparticipation injury complaint is a risk factor for injury: a prospective study of the Moscow 2013 IAAF Championships.. British Journal of Sports Medicine, 49(17), 1118-U45
Open this publication in new window or tab >>Preparticipation injury complaint is a risk factor for injury: a prospective study of the Moscow 2013 IAAF Championships.
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2015 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 49, no 17, p. 1118-U45Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To determine the health status of athletes before the start of an international athletics championship and to determine whether preparticipation risk factors predicted in-championship injuries.

METHODS: At the beginning of the 2013 International Association of Athletics Federations (IAAF) World Championships, all registered athletes (n=1784) were invited to complete a preparticipation health questionnaire (PHQ) on health status during the month preceding the championships. New injuries that occurred at the championships were prospectively recorded.

RESULTS: The PHQ was completed by 698 (39%) athletes; 204 (29.2%) reported an injury complaint during the month before the championships. The most common mode of onset of preparticipation injury complaints was gradual (43.6%). Forty-nine athletes in the study reported at least one injury during the championships. Athletes who reported a preparticipation injury complaint were at twofold increased risk for an in-championship injury (OR=2.09; 95% CI 1.16 to 3.77); p=0.014). Those who reported a preparticipation gradual-onset injury complaint were at an almost fourfold increased risk for an in-championship time-loss injury (OR=3.92; 95% CI 1.69 to 9.08); p=0.001). Importantly, the preparticipation injury complaint severity score was associated with the risk of sustaining an in-championship injury (OR=1.14; 95% CI 1.06 to 1.22); p=0.001).

SUMMARY AND CONCLUSIONS: About one-third of the athletes participating in the study reported an injury complaint during the month before the championships, which represented a risk factor for sustaining an injury during the championship. This study emphasises the importance of the PHQ as a screening tool to identify athletes at risk of injuries before international championships.

Place, publisher, year, edition, pages
BMJ Publishing Group, 2015
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-114617 (URN)10.1136/bjsports-2014-094359 (DOI)000359750200007 ()25716152 (PubMedID)
Available from: 2015-02-27 Created: 2015-02-27 Last updated: 2018-04-07
Timpka, T., Janson, S., Jacobsson, J., Ekberg, J., Dahlström, Ö., Kowalski, J., . . . Svedin, C. G. (2015). Protocol Design for Large-Scale Cross-Sectional Studies of Sexual Abuse and Associated Factors in Individual Sports: Feasibility Study in Swedish Athletics. Journal of Sports Science and Medicine (JSSM), 14(1), 179-187
Open this publication in new window or tab >>Protocol Design for Large-Scale Cross-Sectional Studies of Sexual Abuse and Associated Factors in Individual Sports: Feasibility Study in Swedish Athletics
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2015 (English)In: Journal of Sports Science and Medicine (JSSM), ISSN 1303-2968, Vol. 14, no 1, p. 179-187Article in journal (Refereed) Published
Abstract [en]

To ensure health and well-being for their athletes, sports organizations must offer preventive measures against sexual abuse. The aim of this study was to design and evaluate feasibility of a research protocol for cross-sectional epidemiological studies of sexual abuse in athletics. Examination of the requirements on the study of sexual abuse in athletics was followed by iterated drafting of protocol specifications and formative evaluations. The feasibility of the resulting protocol was evaluated in a national-level study among elite athletics athletes (n = 507) in Sweden. The definition of sexual abuse, the ethical soundness of the protocol, reference populations and study of co-morbidity, and the means for athlete-level data collection were identified as particularly complex issues in the requirements analyses. The web-based survey defined by the protocol facilitates anonymous athlete self-reporting of data on exposure to sexual abuse. 198 athletes (39%) fully completed the feasibility survey. 89% (n = 177) reported that they agreed with that the questions in the survey were important, and 95% (n = 189) reported that they answered truthfully to all questions. Similarly, 91% (n = 180) reported that they did not agree with that the questions were unpleasant for them. However, 16% (n = 32) reported that they did not find the survey to be of personal value, and 12% (n = 23) reported that the survey had caused them to think about issues that they did not want to think about. Responding that participation was not personally gratifying was associated with training more hours (p = 0.01). There is a scarcity of research on the prevention of sexual abuse in individual sports. The present protocol should be regarded as a means to overcome this shortcoming in athletics. When implementing the protocol, it is necessary to encourage athlete compliance and to adapt the web-based survey to the particular infrastructural conditions in the sports setting at hand.

Place, publisher, year, edition, pages
JOURNAL SPORTS SCIENCE and MEDICINE, 2015
Keywords
Sports epidemiology; sexual abuse; survey methods; gender issues; research ethics
National Category
Basic Medicine Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-115815 (URN)000350048900024 ()
Note

Funding Agencies|Swedish Center for Sports Research (CIF) [P2014-0167]

Available from: 2015-03-20 Created: 2015-03-20 Last updated: 2018-04-07
Timpka, T., Jacobsson, J., Dahlström, Ö., Kowalski, J., Bargoria, V., Ekberg, J., . . . Renström, P. (2015). The psychological factor self-blame predicts overuse injury among top-level Swedish track and field athletes: a 12-month cohort study. British Journal of Sports Medicine, 49(22), 1472-1477
Open this publication in new window or tab >>The psychological factor self-blame predicts overuse injury among top-level Swedish track and field athletes: a 12-month cohort study
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2015 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 49, no 22, p. 1472-1477Article in journal (Refereed) Published
Abstract [en]

Background Athletes psychological characteristics are important for understanding sports injury mechanisms. We examined the relevance of psychological factors in an integrated model of overuse injury risk in athletics/track and field. Methods Swedish track and field athletes (n=278) entering a 12-month injury surveillance in March 2009 were also invited to complete a psychological survey. Simple Cox proportional hazards models were compiled for single explanatory variables. We also tested multiple models for 3 explanatory variable groupings: an epidemiological model without psychological variables, a psychological model excluding epidemiological variables and an integrated (combined) model. Results The integrated multiple model included the maladaptive coping behaviour self-blame (p=0.007; HR 1.32; 95% CI 1.08 to 1.61), and an interaction between athlete category and injury history (p<0.001). Youth female (p=0.034; HR 0.51; 95% CI 0.27 to 0.95) and youth male (p=0.047; HR 0.49; 95% CI 0.24 to 0.99) athletes with no severe injury the previous year were at half the risk of sustaining a new injury compared with the reference group. A training load index entered the epidemiological multiple model, but not the integrated model. Conclusions The coping behaviour self-blame replaced training load in an integrated explanatory model of overuse injury risk in athletes. What seemed to be more strongly related to the likelihood of overuse injury was not the athletics load per se, but, rather, the load applied in situations when the athletes body was in need of rest.

Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2015
National Category
Basic Medicine
Identifiers
urn:nbn:se:liu:diva-123828 (URN)10.1136/bjsports-2015-094622 (DOI)000365796900014 ()26373585 (PubMedID)
Note

Funding Agencies|Swedish Center for Sports Research (CIF) [P2014-0167]

Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2018-04-07Bibliographically approved
Timpka, T., Alonso, J.-M., Jacobsson, J., Junge, A., Branco, P., Clarsen, B., . . . Edouard, P. (2014). Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement. British Journal of Sports Medicine, 48(7), 483-490
Open this publication in new window or tab >>Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement
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2014 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 48, no 7, p. 483-490Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Movement towards sport safety in Athletics through the introduction of preventive strategies requires consensus on definitions and methods for reporting epidemiological data in the various populations of athletes.

OBJECTIVE:

To define health-related incidents (injuries and illnesses) that should be recorded in epidemiological studies in Athletics, and the criteria for recording their nature, cause and severity, as well as standards for data collection and analysis procedures.

METHODS:

A 1-day meeting of 14 experts from eight countries representing a range of Athletics stakeholders and sport science researchers was facilitated. Definitions of injuries and illnesses, study design and data collection for epidemiological studies in Athletics were discussed during the meeting. Two members of the group produced a draft statement after this meeting, and distributed to the group members for their input. A revision was prepared, and the procedure was repeated to finalise the consensus statement.

RESULTS:

Definitions of injuries and illnesses and categories for recording of their nature, cause and severity were provided. Essential baseline information was listed. Guidelines on the recording of exposure data during competition and training and the calculation of prevalence and incidences were given. Finally, methodological guidance for consistent recording and reporting on injury and illness in athletics was described.

CONCLUSIONS:

This consensus statement provides definitions and methodological guidance for epidemiological studies in Athletics. Consistent use of the definitions and methodological guidance would lead to more reliable and comparable evidence.

Place, publisher, year, edition, pages
BMJ Publishing Group, 2014
Keywords
Athletics; Epidemiology; Injury Prevention; Sporting injuries
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:liu:diva-106860 (URN)10.1136/bjsports-2013-093241 (DOI)000334280000002 ()24620036 (PubMedID)
Available from: 2014-05-28 Created: 2014-05-23 Last updated: 2018-04-07Bibliographically approved
Timpka, T., Jacobsson, J., Bickenbach, J., Finch, C. F., Ekberg, J. & Nordenfelt, L. (2014). What is a Sports Injury?. Sports Medicine, 44(4), 423-428
Open this publication in new window or tab >>What is a Sports Injury?
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2014 (English)In: Sports Medicine, ISSN 0112-1642, E-ISSN 1179-2035, Vol. 44, no 4, p. 423-428Article in journal (Refereed) Published
Abstract [en]

Current sports injury reporting systems lack a common conceptual basis. We propose a conceptual foundation as a basis for the recording of health problems associated with participation in sports, based on the notion of impairment used by the World Health Organization. We provide definitions of sports impairment concepts to represent the perspectives of health services, the participants in sports and physical exercise themselves, and sports institutions. For each perspective, the duration of the causative event is used as the norm for separating concepts into those denoting impairment conditions sustained instantly and those developing gradually over time. Regarding sports impairment sustained in isolated events, sports injury denotes the loss of bodily function or structure that is the object of observations in clinical examinations; sports trauma is defined as an immediate sensation of pain, discomfort or loss of functioning that is the object of athlete self-evaluations; and sports incapacity is the sidelining of an athlete because of a health evaluation made by a legitimate sports authority that is the object of time loss observations. Correspondingly, sports impairment caused by excessive bouts of physical exercise is denoted as sports disease (overuse syndrome) when observed by health service professionals during clinical examinations, sports illness when observed by the athlete in self-evaluations, and sports sickness when recorded as time loss from sports participation by a sports body representative. We propose a concerted development effort in this area that takes advantage of concurrent ontology management resources and involves the international sporting community in building terminology systems that have broad relevance.

Place, publisher, year, edition, pages
Springer Verlag (Germany), 2014
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-106283 (URN)10.1007/s40279-014-0143-4 (DOI)000333528400001 ()
Available from: 2014-05-06 Created: 2014-05-05 Last updated: 2018-04-07Bibliographically approved
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