Article Text

Download PDFPDF
Effective prevention of sports injuries: a model integrating efficacy, efficiency, compliance and risk-taking behaviour
  1. D Van Tiggelen1,
  2. S Wickes2,
  3. V Stevens1,
  4. P Roosen3,
  5. E Witvrouw3
  1. 1
    Military Hospital of Base Queen Astrid, Belgian Defense, Brussels, Belgium
  2. 2
    Centre for Human Sciences, QinetiQ Ltd, Farnborough, UK
  3. 3
    Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
  1. Mr D Van Tiggelen, Military Hospital of Base Queen Astrid, Belgian Defense, Brussels 1120, Belgium; damien.vantiggelen{at}


In 1992 van Mechelen et al published a “sequence of prevention model” based on a four-step process. This model has been widely used to implement preventive measures in response to sports injuries. However, the execution of this model has been shown to lack validity in determining the success of a preventive measure. A modified model has therefore been proposed which incorporates additional steps that enable the inclusion of external factors with a significant effect on the outcome of a prevention intervention. This expansion of van Mechelen’s model leads to a more global model in which the compliance level and risk-taking behaviour of the individual and the assessment of efficiency of the stakeholders have a key influence on the preventive measure. This model gives a better insight into the different processes in injury prevention that can be used by clinicians, coaches and managers to decide whether to implement a preventive measure programme.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: None.