title: Factors Affecting Ankle Support Device Usage in Young Basketball Players.
abstract: This cross-sectional study explores factors affecting the decision of basketball players to wear ankle support devices (ASDs). A questionnaire regarding attitudes towards ASD usage was developed based on the Health Belief Model (HBM). The questionnaire assessed HBM perceptions (susceptibility, severity, benefits, and barriers) and modifying factors (demographic, personal history of ankle injury, influence of coach to preventive action) that may affect an athlete's decision to wear ASDs. One hundred forty basketball players competing at the recreational, high school, or university levels completed the questionnaire, with the questionnaires being completed at the basketball gymnasium or at home. It was found that athletes whose coaches enforced ASD use were significantly more likely to wear them (OR: 35.71; 95% CI: 10.01, 127.36), as were athletes who perceived ankle injuries to be severe (OR: 2.77; 95% CI: 1.04, 7.37). Previous injury did not significantly increase the odds of using an ASD. The combined influence of coach enforcement and previous injury had the greatest effect on increasing ASD use. The largest barrier to ASD use was a lack of aesthetic appeal. Strategies aimed at increasing players' willingness to wear ankle protection should be emphasized among coaches and parents as this may increase use of ASDs.
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. injuryprevention@smh.ca.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Cusimano
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. a.faress@utoronto.ca.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Faress
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. wilson.p.luong@gmail.com.
authors.forename: Wilson P
authors.initials: WP
authors.lastname: Luong
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. khizeramin@gmail.com.
authors.forename: Khizer
authors.initials: K
authors.lastname: Amin
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. joanne.eid@hotmail.com.
authors.forename: Joanne
authors.initials: J
authors.lastname: Eid
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. tamer.abdelshaheed@utoronto.ca.
authors.forename: Tamer
authors.initials: T
authors.lastname: Abdelshaheed
authors.affiliation: Injury Prevention Research Office, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto M5B 1W8, Canada. krussell@ualberta.ca.
authors.forename: Kelly
authors.initials: K
authors.lastname: Russell
keywords: Health Belief Model; ankle injury; ankle protection; basketball, injury prevention