Risk management framework for competitive alpine skiing—co-developed with stakeholders
Authors:
- Oriol Bonell MonsonísOMOriol Bonell Monsonís
- Evert VerhagenEVEvert Verhagen
- Vincent GouttebargeVGVincent Gouttebarge
- Marine AlhammoudMAMarine Alhammoud
- Dave CollinsDCDave Collins
- Lynn EllenbergerLELynn Ellenberger
- Matthias GilgienMGMatthias Gilgien
- Matt JordanMatt Jordan
- Michael LasshoferMLMichael Lasshofer
- Abi OkellAOAbi Okell
- Kati PasanenKPKati Pasanen
Open Access
- 1 July 2025
- journal article
- Published by BMJ in BMJ Open Sport & Exercise Medicine
- Vol. 11 (3) , e002507
Abstract
Previous research has shown that stakeholders in the competitive alpine skiing communities consider risk management to be crucial in sports injury prevention. However, to date, there is a lack of a publicly available systematic and structured risk management approach for the competitive alpine skiing context. This work describes the codevelopment process of a risk management framework with stakeholders in the field of competitive alpine skiing. A panel of international experts invited through personal requests and with expertise in health protection and performance enhancement in competitive alpine skiing convened three times through online group meetings to co-develop a risk management framework through different activities. The underlying discussions focused on the fundamental questions of ‘why’, ‘what’, ‘who’, ‘how’ and ‘for whom’ and included the debate on specific examples from sports practice. The outcome after three meetings was a risk management framework. This framework includes a competitive alpine skiing-specific prevention wheel that integrates different stakeholder views relevant to different levels, their risk priorities, the main five domains and intervention areas identified from the literature, the graded and progressive timescale to intervene and the potential targets for risk management interventions. Moreover, the framework includes a decision-making tree, which operationalises the prevention wheel into a step-by-step sequence for risk management, including risk identification, risk assessment and risk mitigation. It should help stakeholders recognise their responsibilities and the potential actions they can take. Practical examples are provided to demonstrate how to apply the framework and to illustrate the complexity and dynamic interaction of the various factors in the competitive alpine skiing setting. The risk management framework developed lays a strong foundation for creating a safer environment for alpine skiers. It likewise contributes to providing overall awareness of the complexity and inter-relations of risks and prevention measures in the sport. By doing so, this framework has the potential to initiate further processes and on-field translation to sustainably and long-term improve athlete health and safety in competitive alpine skiing.Keywords
Funding Information
- The International Ski and Snowboard Federation
- Government of Andorra (ATC028 - AND - Year 2021)
This publication has 58 references indexed in Scilit:
- The HAPPY concept mapping study: “To prevent injuries in young handball players it's important to…” – Perceptions among stakeholdersJournal of Science and Medicine in Sport, 2024
- “Health is Just the Basic Requirement for Optimal Performance and Winning”: Stakeholders’ Perceptions on Testing and Training in Competitive Alpine Skiing, Snowboarding and Freestyle SkiingSports Medicine, 2024
- Did injury incidence in alpine ski racing change after equipment regulations? An evaluation based on the injury surveillance system of the Austrian Ski FederationJournal of Science and Medicine in Sport, 2021
- Injury prevention in Super-G alpine ski racing through course designScientific Reports, 2021
- Systems thinking-based risk assessment methods applied to sports performance: A comparison of STPA, EAST-BL, and Net-HARMS in the context of elite women's road cyclingApplied Ergonomics, 2021
- More than a Metric: How Training Load is Used in Elite Sport for Athlete ManagementInternational Journal of Sports Medicine, 2020
- Injury risks among elite competitive alpine skiers are underestimated if not registered prospectively, over the entire season and regardless of whether requiring medical attentionKnee Surgery, Sports Traumatology, Arthroscopy, 2020
- Context Matters: Revisiting the First Step of the ‘Sequence of Prevention’ of Sports InjuriesSports Medicine, 2018
- How to Prevent Injuries in Alpine Ski Racing: What Do We Know and Where Do We Go from Here?Sports Medicine, 2016
- Risk management in a dynamic society: a modelling problemSafety Science, 1997