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This qualitative, cross-sectional study aims at describing the experience of Italian dancers with injury.
Dancers face a high risk of sustaining one or more injuries during their career (87-94%), which may lead to physical, psychological, and socioeconomic consequences affecting dancer's lives and careers both short and long-term.
Dancers report fearing injury and its consequences and believing in the existence of a stigma around injury and injured colleagues; many of them also try to self-manage pain and delay reporting injuries to healthcare professionals, possibly making its outcomes worse.
This study will collect data from dancers via focus groups and individual interviews, investigating dancers' experiences, thoughts, and beliefs about injury. Records from the interviews will be transcribed ad verbatim and analyzed using the framework method to synthetize the data and highlight the most meaningful content.
Understanding dancers' thoughts and behaviors regarding past or possible future injuries may be beneficial in improving treatment efficacy and designing adequate education and prevention strategies. It may also help raise awareness of dancers' complex and unique needs, and the importance of having accessible, specialized professionals around dance companies and schools.
The dance world is a complex setting characterized by high injury risk, high competitivity, high prevalence of risk-taking behaviors, low socio-economic support and a cultural exaltation of sacrifice and pushing through pain and injury to go dancing. With the rapid development of dance medicine and science in the last few decades, it has been highlithed that dancers face a high risk of sustaining one or more injuries during their career, which often come with harsh physical, psychological and economic consequences.
Recent studies show that a great number of dancers are afraid of injury and believe in the existence of a "stigma" surrounding injury and injured colleagues; those who stop dancing report feelings of isolation, insecurity and low confidence in full recovery.
In addition to this, dancers often delay seeking medical attention and treatment when they suspect an injury and try to keep dancing through pain (ignoring symptoms, modifying their activity and/or using painkillers) or relay on non-medical specialist, possibly worsening the outcomes of said injury.
There seems to be a negative halo surrounding injury, and also a mismatch between the high medical needs of the dance population and their healthcare-seeking behaviors.
Research shows trends are slowly getting better in context where dance medicine is well developed and easily available to dancers, especially in larger dance companies, but there is still much to be done.
This research aims to describe the experience of dancers with injury to understand the reasons behind their thoughts and behaviors. Untangling the complex dancer-injury-context relationship will help in in improving care delivery efficacy and designing adequate and specific education and prevention strategies.
Collecting data from questionaires and semi-structured interviews, this study will investigate:
Volounteer participants will be recruited from dance schools and companies in different locations around Italy.
Focus group interviews will be arranged within small groups of dancers (4-8 at a time), accommodating participants in individual interviews if logistical or personal challenges arise. Anagraphic data and the DFOS will be collected by questionnaires prior to the interviews.
The interviews will be sistematically recorded and transcribed ad verbatim to undergo the process of qualitative analysis using the framework method, allowing to extract the most recurrent themes and highlight meaningful insights.
Results from this research may help in improving care delivery efficacy and designing adequate and specific education and prevention strategies, promoting dancers' physical and psychological well-being.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dancers | Dancers or dance students who pracitce at least 8 hours/week |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Focus group or interview | Other | Focus groups and qualitative interview will be conducted with dancers investigating thoughts, beliefs and behaviors related to injury. Individual interviews (in presence or online) will be hold as alternative if it will not be possible (due to logistical or personal problems) to participate in a focus group or if the number of people who would have agreed to participate in that focus group is less than 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Experience and perception of injury amongst dancers | Evaluation of dancers' experience and perception of injury, including the meaning of the term "injury", description of injury-related behaviors that happend in the past or may be applied in the future, description of injury-related emotions (such as fear), and thoughts. Information will be collected via semi-structured interviews and then undergo qualitative analisys | 120 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Understanding of injury prevention and pain management amongst dancers | Evaluation of what dancers believe to be injury prevention and how they manage pain in their activity. Information will be collected via semi-structured interviews and then undergo qualitative analisys | 120 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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Dancers and pre-professional dance students who train 8 hours/week or more
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elisabetta Bigi, BA | Contact | +393703205690 | elisabetta.bigi@studenti.unisi.it | |
| Angela Contri, MA | Contact | +393478824741 | angela.contri@unimore.it |
| Name | Affiliation | Role |
|---|---|---|
| Elisabetta Bigi, BA | University of Siena | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | McEwen K, Young K. Ballet and pain: reflections on a risk-dance culture. Qualitative Research in Sport, Exercise and Health (2011) 3:2, 152-173 | ||
| 31497323 | Result | Vassallo AJ, Pappas E, Stamatakis E, Hiller CE. Injury Fear, Stigma, and Reporting in Professional Dancers. Saf Health Work. 2019 Sep;10(3):260-264. doi: 10.1016/j.shaw.2019.03.001. Epub 2019 Mar 23. | |
| 19508808 |
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Recording will be anonymised and transcripted verbatim. This anonimised material could be shared with other researchers on request
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D001265 | Athletic Injuries |
| D013315 | Stress, Psychological |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D017144 | Focus Groups |
| D007407 | Interviews as Topic |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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|
| Result |
| Air M. Health care seeking behavior and perceptions of the medical profession among pre- and post-retirement age Dutch dancers. J Dance Med Sci. 2009;13(2):42-50. |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |