#WhatWouldYouDo? A cross-sectional study of sports medicine physicians assessing their competency in managing harassment and abuse in sports.

IF 11.6 1区 医学 Q1 SPORT SCIENCES British Journal of Sports Medicine Pub Date : 2024-10-16 DOI:10.1136/bjsports-2024-108210
Margo Mountjoy, Helena Verhelle, Jonathan T Finnoff, Andrew Murray, Amanda Paynter, Fabio Pigozzi, Camille Tooth, Evert Verhagen, Tine Vertommen
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Abstract

Objectives: To assess the clinical competence of sports medicine physicians to recognise and report harassment and abuse in sports, and to identify barriers to reporting and the need for safeguarding education.

Methods: We implemented a cross-sectional cohort study design recruiting through social media and international sports medicine networks in 2023. The survey captured participant perceptions related to the harmfulness of harassment and abuse. The survey incorporated the reasoned action approach as a theoretical framework to design survey questions to identify attitudes and self-efficacy to detect and report suspicions of harassment and abuse and to identify barriers to reporting.

Results: Sports medicine physicians (n=406) from 115 countries completed the survey. The situations of harassment and abuse presented in the survey were described by sports medicine physicians as having occurred in the 12 months before participating in the survey. Despite recognising the situations as harmful, sports medicine physicians were somewhat uncomfortable being vigilant for the signs and symptoms and reporting suspicions and disclosures of harassment and abuse (M=2.13, SD=0.67). In addition, just over one-quarter (n=101, 26.9%) was unaware of where to report harassment and abuse, and over half did not know (n=114, 28.1%), or were uncertain (n=95, 23.4%) of who the safeguarding officer was in their sports organisation. Participants identified many barriers to reporting harassment and abuse, including concerns regarding confidentiality, misdiagnosis, fear of reprisals, time constraints and lack of knowledge. Over half felt insufficiently trained (n=223, 57.6%), and most respondents (n=324, 84.6%) desired more education in the field.

Conclusions: Educational programmes to better recognise and report harassment and abuse in sports are needed for sports medicine trainees and practising clinicians. An international safeguarding code for sports medicine physicians should be developed.

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#你会怎么做?一项针对运动医学医生的横断面研究,评估他们处理体育运动中的骚扰和虐待行为的能力。
目的评估运动医学医生识别和报告体育运动中的骚扰和虐待行为的临床能力,并确定报告的障碍和保障教育的必要性:我们在 2023 年通过社交媒体和国际运动医学网络进行了一项横断面队列研究。调查收集了参与者对骚扰和虐待危害性的看法。调查将合理行动方法作为设计调查问题的理论框架,以确定发现和报告骚扰和虐待嫌疑的态度和自我效能,并确定报告的障碍:来自 115 个国家的运动医学医生(n=406)完成了调查。调查中出现的骚扰和虐待情况被运动医学医生描述为在参与调查前的 12 个月内发生的。尽管认识到这些情况是有害的,但运动医学医生在警惕骚扰和虐待的征兆和症状以及报告怀疑和披露骚扰和虐待情况方面有些不自在(M=2.13,SD=0.67)。此外,略超过四分之一(n=101,26.9%)的人不知道到哪里举报骚扰和虐待行为,超过一半的人不知道(n=114,28.1%)或不确定(n=95,23.4%)谁是其所在体育组织的保障官员。参与者指出了报告骚扰和虐待行为的许多障碍,包括对保密性的担忧、误诊、害怕报复、时间限制和缺乏知识。一半以上的受访者认为自己没有接受过充分的培训(人数=223,占 57.6%),大多数受访者(人数=324,占 84.6%)希望在该领域接受更多教育:结论:需要为运动医学受训人员和执业临床医生提供教育计划,以更好地识别和报告体育运动中的骚扰和虐待行为。应为运动医学医生制定国际保障守则。
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来源期刊
CiteScore
27.10
自引率
4.90%
发文量
217
审稿时长
3-8 weeks
期刊介绍: The British Journal of Sports Medicine (BJSM) is a dynamic platform that presents groundbreaking research, thought-provoking reviews, and meaningful discussions on sport and exercise medicine. Our focus encompasses various clinically-relevant aspects such as physiotherapy, physical therapy, and rehabilitation. With an aim to foster innovation, education, and knowledge translation, we strive to bridge the gap between research and practical implementation in the field. Our multi-media approach, including web, print, video, and audio resources, along with our active presence on social media, connects a global community of healthcare professionals dedicated to treating active individuals.
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