{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T21:02:36Z","timestamp":1785186156444,"version":"3.55.0"},"reference-count":84,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical and Public Health Guidelines"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sports pre\u2010participation evaluations (PPEs) aim to identify people at increased risk of acute adverse events during physical activity. Little is known about their acceptability and feasibility among physicians and participants (\u2018interest holders\u2019). During the development of a consensus\u2010based PPE guideline in Germany targeted at healthy adults who plan to take up or resume intense physical activity, we used surveys to assess interest holder perceptions of the acceptability and feasibility of the PPE, and to obtain their feedback on draft guideline recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional online surveys were conducted separately in two interest holder groups. Acceptability was evaluated among adults (\u2265\u200918 years) in Germany (\u2018consumers\u2019), the target population of the PPE guideline. Feasibility was investigated among potential guideline users, which included sports medicine specialists and general practitioners practising in Germany (\u2018sports physicians\u2019). Agreement with nine acceptability and feasibility statements was analysed descriptively. Comments on draft recommendations were collected and grouped thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 144 consumers and 204 physicians (186 with certification in sports medicine) completed the survey. Among the consumers, 82% would consider making use of a PPE, 8% were neutral, and 10% would not. Only 1% had \u2018concerns or reservations\u2019. The main barrier was a potential non\u2010reimbursement of the PPE by their health insurance (61%). Of the 186 certified sports physicians, 83% would offer or already offer a PPE, 12% were neutral, and 5% would not offer a PPE. Potential barriers were non\u2010reimbursement by health insurers (20%), the required time and effort (13%), and qualification issues (14%). About half of the draft recommendations (11\/23, 48%) were modified based on interest holder feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Conducting consumer and end\u2010user surveys as part of the guideline development process increased awareness of the main acceptability and feasibility issues, provided relevant suggestions to the draft recommendations, and identified considerations for guideline implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gin2.70032","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T21:40:03Z","timestamp":1755726003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sports Pre\u2010Participation Evaluation in Healthy Adults\u2014A Survey\u2010Based Assessment of Guideline Acceptability and Feasibility 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Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2455-8901","authenticated-orcid":false,"given":"Christine","family":"Joisten","sequence":"additional","affiliation":[{"name":"Department for Physical Activity in Public Health, Institute of Movement and Neurosciences German Sport University Cologne Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4537-1757","authenticated-orcid":false,"given":"Sandra","family":"Jaax","sequence":"additional","affiliation":[{"name":"Institute for Research in Operative Medicine (IFOM) Witten\/Herdecke University Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Kreutz","sequence":"additional","affiliation":[{"name":"German Federation of Sports Medicine and Prevention Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5387-7119","authenticated-orcid":false,"given":"Nadja","family":"Koensgen","sequence":"additional","affiliation":[{"name":"Institute for Research in Operative Medicine (IFOM) Witten\/Herdecke University Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3433-6464","authenticated-orcid":false,"given":"Jessica","family":"Breuing","sequence":"additional","affiliation":[{"name":"Institute for Research in Operative Medicine (IFOM) Witten\/Herdecke University Cologne 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