Introduction:
In many countries football is the sport with the highest absolute number of injuries. Many effective injury prevention programs have been developed, such as the FIFA 11+ (kids) program. Nevertheless, lower extremity injuries remain a problem in football. Unsuccessful implementation might be a reason.

Objectives:
The project’s aim was to implement an injury prevention warm-up program in amateur football (FIFA 11+) suiting the Dutch context. Methods Interviews with trainers and expert meetings were organized to optimize 11+ (kids) for the Dutch national context. An implementation plan was developed with stakeholders’ input. A pilot implementation was evaluated among trainers via questionnaires and interviews using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) model and national promotion was initiated.

Results:
Due to a lack of ball- and game-like exercises trainers would generally not use 11+ (kids). Based on 11+ (kids), experts developed VoetbalFit: 94 age-specific exercises focused on injury prevention and motor development. Actions in the implementation plan were integrating VoetbalFit exercises with videos in an online trainers platform (Rinus), the football association developing a vision on injury prevention / motor development for youth and promoting VoetbalFit. Pilot implementation in 2020 among 63 trainers (reach) showed trainers evaluated VoetbalFit on average with a 7.8 (effectiveness), 80% at least regularly used VoetbalFit (adoption) and 57% would keep using VoetbalFit (maintenance). Lack of time hindered using the prescribed two exercises per training (implementation). Videos at www.knvb.nl providing background information were used for promotion.

Conclusions:
The 11+ program was not fully suitable for the Dutch context, therefore VoetbalFit was developed. Trainers appreciated VoetbalFit, but structural use could be improved by shortening the duration and linking exercises in Rinus to training sessions. Implementing VoetbalFit in Rinus, an already existing platform for the target group, and collaborating with partners seemed valuable during implementation. When implementing injury prevention programs, other sports associations could also consider this approach.

Keywords: Implementation injury sports football

Other info: Maaike Cornelissen, Victor Zuidema: VeiligheidNL Joeri Houniet, Edwin Goedhart: KNVB Yordi Vermaat, Geert Savelsbergh: Athletic Skills Model Joske Nauta, Evert Verhagen, Femke van Nassau: Amsterdam UMC Frank Backx, Sander van de Hoef: UMC Utrecht

Introduction:
In Norway the program Si ifra! (developed by Bjørn Smith-Hald A.S. and translated as “You decide!”) has been successful for many years in order to prevent dangerous driving under youngsters in the age of 17-18. This age group is in Norway most at risk of being involved in traffic accidents. The results of the evaluation of Si ifra! in Norway (n=3.000) show that changes have been made in a positive direction for the road safety of youth behaviour in the case of falling asleep behind the wheel, driving under influence of drugs and car belt use.   In the Netherlands young car drivers are also at risk for crashes and fatal car accidents.

Objectives:
The objective of this project was to implement the Norwegian behaviour changing program Si ifra! to the Dutch situation, and more specific to the local province of Fryslân. Methods First of all an exploration was conducted on traffic accidents and injuries and a comparison was made, on different topics (demography, school systems, accidents, existing programs), of the Norwegian situation to the Netherlands and Fryslân. A pilot session and focus group were successfully performed, after which the implementation of the program started. The implementation was conducted on province level, since provinces (and municipalities) are responsible for traffic education in the Netherlands.

Results:
The exploration and different studies that were executed resulted in the adoption of the program. Small changes had to be made, such as the adjustment of the program name from Si ifra to “Stand up for your ride” and the translation of the program. Dutch session leaders were trained by the Norwegian developers. After Fryslân other provinces were approached and pilots on local level were conducted, resulting in 7 (of a total of 12) active provinces in the Netherlands in 2023.

Conclusions:
Our project shows that it is possible to implement a foreign behaviour changing program. Working principals of behaviour change are without boundaries, especially in those situations were countries are more or less equal.

Keywords: behavioural change, youngsters, car drivers, car passengers, accidents, implementation, focus group. 

Other info:  VeiligheidNL - Amsterdam - Noord Holland - The Netherlands

Introduction:
In order to prevent road traffic accidents, policy makers in the Netherlands have access to unique data that provide information on traffic injuries and accidents and circumstances of those accidents. Until recently, road safety policy makers in the Netherlands used police registration of road traffic accidents for information on victims and accidents. However, the police registration is not complete, because police officers are not present at all road traffic accidents, especially not at accidents without a collision. A pilot in the province of Fryslân showed that medical registration systems from emergency departments and ambulance services provide a solution to this problem: because they treat many road traffic victims and can give insight in information on victims, accidents and circumstances.

Objectives:
The objective of this project is to make medical information from Emergency Departments and ambulance services available for prevention purposes for the local policy makers in the province of Fryslân, the Netherlands. Methods In 2019 we started a pilot with one regional Emergency Department in Fryslân. After this pilot appeared to be successful, we expanded the registration to all four ED’s and the regional ambulance service. This registration with five medical institutions is still ongoing and provides anonymous information on victims of traffic accidents. VeiligheidNL has developed a dashboard for the province of Fryslân in which crucial information on traffic accidents is shared quarterly with policy makers of the province. Results A community-based registration of road traffic accidents, based on medical records, proves to be successful. From the medical records it is possible to obtain characteristics of victims (age, sex and type of traffic participation) and accidents (like injury mechanism and location). In some cases information is available on road user behaviour and/or infrastructure. This information is summarized and published quarterly in a dashboard available to the province.

Conclusions:
Medical records provide valuable information for prevention of traffic injuries for policy makers. Since the start of the registration in Fryslân, the province has used the results from the local dashboard for different purposes, such as infrastructural adaptations, but also to make decisions on implementing behavioural interventions, especially on vulnerable road users such as cyclists. Fryslân was the first province to use this valuable information, many other provinces in the Netherlands are following this example.

Keywords: Research methods, registration, vulnerable road users, accidents, injuries, community-based, dashboard, prevention

Other info: VeiligheidNL - Amsterdam - Noord Holland - The Netherlands:  Susanne Asscheman, VeiligheidNL - Sipke van der Meulen, Regionaal Orgaan Verkeersveiligheid Fryslân - Susanne Nijman, VeiligheidNL.