Research Designs in Sports and Health Science

Abstract

Research design is the heart of a good study in health and sport science, defining how data are collected, analyzed, and interpreted to advance knowledge and practice. This systematic narrative review addresses both quantitative and qualitative research designs commonly employed in these disciplines, describing their methodology characteristics, applications, and drawbacks. Quantitative designs covered are descriptive, correlational, experimental, quasi-experimental, longitudinal, cross-sectional, cohort, case-control, and survey research. Recent examples of sports and health research illustrate how these designs allow causality, prevalence, risk factor, and intervention effectiveness. The review also analyses qualitative designs such as phenomenology, grounded theory, ethnography, case studies, and narrative research based on how they help to explore lived experiences, social context, and meaning making processes that are pivotal to the understanding of athlete behavior and health outcomes. Furthermore, the review mentions major gaps through the incorporation of mixed methods research that integrates quantitative and qualitative approaches to provide richer analyses. Among some of the emerging new innovative designs like ecological momentary assessment, adaptive trials, and technology-enabled data collection are explained in terms of how they can achieve maximal ecological validity and accuracy. The intersection of data science and digital technologies, such as machine learning and wearable sensors, is seen to be transforming research possibilities, demanding adaptive methodological designs. Research design choice issues in research settings, especially in low-resource settings like in Uganda, are also considered to be culturally acceptable and viable. Ethical issues in sport and health studies, such as participant consent and confidentiality, are also considered. The review concludes with a guide for researchers and practitioners to choose a suitable designs based on their research questions, accessible resources, and norms of ethics. By incorporating current trends and existing frameworks, the paper is a handy reference to construct methodologically rigorous and efficient research in sports and health science.

Keywords

• Research designs
• Health science
• Quantitative methods
• Qualitative methods
• Mixed methods

Spor ve Sağlık Bilimlerinde Araştırma Tasarımları

Öz

Araştırma deseni, sağlık ve spor bilimlerinde iyi bir çalışmanın kalbidir; verilerin nasıl toplandığını, analiz edildiğini ve yorumlandığını tanımlayarak bilgi ve uygulamanın gelişmesine katkı sağlar. Bu sistematik anlatı taraması, bu disiplinlerde yaygın olarak kullanılan nicel ve nitel araştırma desenlerini ele almakta, yöntemsel özelliklerini, uygulama alanlarını ve sınırlılıklarını açıklamaktadır. İncelenen nicel araştırma desenleri arasında tanımlayıcı, korelasyonel, deneysel, yarı-deneysel, boylamsal, kesitsel, kohort, olgu-kontrol ve anket araştırmaları yer almaktadır. Spor ve sağlık araştırmalarından güncel örnekler, bu desenlerin nedensellik, yaygınlık, risk faktörleri ve müdahale etkinliği gibi alanlarda nasıl kullanıldığını ortaya koymaktadır. İnceleme ayrıca, sporcu davranışlarını ve sağlık sonuçlarını anlamada önemli olan yaşantı deneyimleri, sosyal bağlam ve anlam oluşturma süreçlerini keşfetmeye yardımcı olan fenomenoloji, köklü kuram, etnografi, olgu çalışmaları ve anlatı araştırması gibi nitel araştırma desenlerini de analiz etmektedir. Ayrıca, nicel ve nitel yaklaşımları birleştirerek daha zengin analizler sunan karma yöntem araştırmaları aracılığıyla mevcut büyük boşluklara değinilmektedir. Ekolojik anlık değerlendirme, uyarlanabilir deneyler ve teknoloji destekli veri toplama gibi yeni ortaya çıkan yenilikçi araştırma desenleri, ekolojik geçerliliği ve doğruluğu en üst düzeye nasıl çıkarabilecekleri bağlamında açıklanmaktadır. Veri bilimi ve dijital teknolojilerin (örneğin makine öğrenimi ve giyilebilir sensörler) kesişimi, araştırma olanaklarını dönüştürmekte ve uyarlanabilir yöntemsel tasarımları gerekli kılmaktadır. Özellikle Uganda gibi kaynakları sınırlı araştırma ortamlarında, araştırma deseni seçimlerinin kültürel olarak kabul edilebilir ve uygulanabilir olması gerektiğine de değinilmektedir. Spor ve sağlık araştırmalarında katılımcı onamı ve gizlilik gibi etik meseleler de göz önünde bulundurulmaktadır. İnceleme, araştırma soruları, mevcut kaynaklar ve etik normlar doğrultusunda uygun desenlerin seçilmesine yönelik araştırmacı ve uygulayıcılara bir rehberle sona ermektedir. Mevcut eğilimler ve yerleşik çerçeveler dikkate alınarak hazırlanan bu çalışma, spor ve sağlık bilimlerinde yöntemsel açıdan titiz ve etkili araştırmalar inşa etmek için pratik bir başvuru kaynağıdır.

Anahtar Kelimeler

• Araştırma desenleri
• Sağlık bilimi
• Nicel yöntemler
• Nitel yöntemler

Kaynakça

1. Akello, J., Mirembe, J., & Kiconco, M. (2020). Coaches’ knowledge and attitudes toward concussion management in Ugandan sports: A survey study. African Journal of Sports Science and Physical Education, 12(3), 145–158.
2. Bache-Mathiesen, L. K., Andersen, T. E., Dalen-Lorentsen, T., Clarsen, B., & Fagerland, M. W. (2021). Not straightforward: Modelling non-linearity in training load and injury research. BMJ Open Sport & Exercise Medicine, 7(3), e001119. https://doi.org/10.1136/bmjsem-2021-001119
3. Bai, S., Sun, Y., & Yu, L. (2019). Wearable sensor technologies for sports injury prevention and rehabilitation: A review. Sensors, 19(7), 1616. https://doi.org/10.3390/s19071616
4. Blagrove, R. C., Howe, L. P., Howatson, G., & Hayes, P. R. (2018). Strength and conditioning for adolescent endurance runners. Strength and Conditioning Journal. Advance online publication. https://doi.org/10.1519/ssc.0000000000000425
5. Charmaz, K. (2014). Constructing grounded theory (2nd ed.). Sage Publications.
6. Chow, S. C., & Chang, M. (2011). Adaptive design methods in clinical trials – A review. Orphanet Journal of Rare Diseases, 6, 1. https://doi.org/10.1186/1750-1172-6-1
7. Coutts, A. J., Kempton, T., Crowcroft, S., & Marino, F. E. (2019). Big data and machine learning for injury prevention and performance enhancement in elite sport. Sports Medicine - Open, 5(1), 14. https://doi.org/10.1186/s40798-019-0187-x
8. Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage Publications.

9. Ekenros, L., Fridén, C., & von Rosen, P. (2023). Experiences of rehabilitation in young elite athletes: An interview study. BMJ Open Sport & Exercise Medicine, 9(4), e001716. https://doi.org/10.1136/bmjsem-2023-001716
10. Feiss, R., Lutz, M., Reiche, E., Moody, J., & Pangelinan, M. (2020). A systematic review of the effectiveness of concussion education programs for coaches and parents of youth athletes. International Journal of Environmental Research and Public Health, 17(8), 2665. https://doi.org/10.3390/ijerph17082665
11. Ferrari, R. (2015). Writing narrative style literature reviews. Medical Writing, 24(4), 230–235. https://doi.org/10.1179/2047480615Z.000000000329
12. Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs: Principles and practices. Health Services Research, 48(6pt2), 2134–2156. https://doi.org/10.1111/1475-6773.12117
13. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Aldine. Goes, R. A., Lopes, L. R., Cossich, V. R. A., de Miranda, V. A. R., Coelho, O. N., do Carmo Bastos, R., Domenis, L. A. M.,
14. Guimarães, J. A. M., Grangeiro-Neto, J. A., & Perini, J. A. (2020). Musculoskeletal injuries in athletes from five modalities: A cross-sectional study. BMC Musculoskeletal Disorders, 21(1). https://doi.org/10.1186/s12891-020-3141-8
15. Gratton, C., & Jones, I. (2010). Research methods for sports studies (2nd ed.). Routledge.
16. Hammersley, M., & Atkinson, P. (2019). Ethnography: Principles in practice (4th ed.). Routledge.
17. Hopkins, W. G., Marshall, S. W., Batterham, A. M., & Hanin, J. (2009). Progressive statistics for studies in sports medicine and exercise science. Medicine & Science in Sports & Exercise, 41(1), 3–13. https://doi.org/10.1249/MSS.0b013e31818cb278
18. Johnson, R. B., Onwuegbuzie, A. J., & Turner, L. A. (2007). Toward a definition of mixed methods research. Journal of Mixed Methods Research, 1(2), 112–133. https://doi.org/10.1177/1558689806298224
19. Kaizer, A. M., Belli, H. M., Ma, Z., Nicklawsky, A. G., Roberts, S. C., Wild, J., Wogu, A. F., Xiao, M., & Sabo, R. T. (2023). Recent innovations in adaptive trial designs: A review of design opportunities in translational research. Journal of Clinical and Translational Science, 7(1). https://doi.org/10.1017/cts.2023.537
20. Kamau, D., Mwangi, R., & Nyaga, J. (2017). Training volume and incidence of stress fractures among Kenyan endurance runners: A prospective cohort study. International Journal of Sports Medicine, 38(5), 384–390. https://doi.org/10.1055/s-0043-103261
21. Kelly, A. L., DeBehnke, D. C., & Deterding, R. R. (2020). Leveraging cloud technology for remote sports performance research. Journal of Athletic Training, 55(5), 503–510. https://doi.org/10.4085/1062-6050-145-19
22. Muwanga, J., & Basaza, G. (2019). Risk factors for osteoarthritis among former athletes: A case-control study in Uganda. Journal of Orthopaedic Research and Practice, 7(1), 23–29.
23. Nansubuga, E., Tumusiime, B., & Nakibuule, S. (2022). Prevalence of musculoskeletal complaints among university athletes in Kampala: A cross-sectional study. Uganda Journal of Sports Science, 14(1), 55–66.
24. Nebeker, C., Torous, J., & Bartlett Ellis, R. J. (2019). Building the case for actionable ethics in digital health research supported by artificial intelligence. BMC Medicine, 17(1), 137. https://doi.org/10.1186/s12916-019-1343-3
25. Nelima, R. M., & Buna, Y. D. (2022). Relationship between childhood obesity and pupils’ participation in school physical activities in lower primary schools in Nairobi County, Kenya. East African Journal of Interdisciplinary Studies, 5(1), 191–204. https://doi.org/10.37284/eajis.5.1.877
26. Nicholas, M., Adron, C., Ojuka, E., & Mshilla Maghanga. (2024a). Aerobic-exercise training effects on immunological markers in individuals on highly active antiretroviral therapy in Uganda. Turkish Journal of Kinesiology, 10(2), 101–109. https://doi.org/10.31459/turkjkin.1474119
27. Nicholas, M., Nsibambi, C. A., Ojuka, E., & Maghanga, M. (2024b). Implications of a twelve-week aerobic exercise on functional work capacity in HIV positive clients on antiretroviral therapy. Turkish Journal of Kinesiology, 10(3), 191–198.
28. Onywera, V. O. (2019). Physical activity and health research in Africa: Challenges and opportunities. Sports Medicine - Open, 5(1), 31. https://doi.org/10.1186/s40798-019-0214-9
29. Palmer, D., Cooper, D., Whittaker, J. L., Emery, C., Batt, M. E., Engebretsen, L., Schamasch, P., Shroff, M., Soligard, T., Steffen, K., & Budgett, R. (2022). Prevalence of and factors associated with osteoarthritis and pain in retired Olympians compared with the general population: Part 1 – the lower limb. British Journal of Sports Medicine, 56(19), 1123–1131. https://doi.org/10.1136/bjsports-2021-104762
30. Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). Sage Publications.
31. Portney, L. G., & Watkins, M. P. (2015). Foundations of clinical research: Applications to practice (3rd ed.). F.A. Davis Company.
32. Riessman, C. K. (2008). Narrative methods for the human sciences. Sage Publications.
33. Robert-Lachaine, X., Mecheri, H., & Plamondon, A. (2017). Reliability and validity of inertial sensors for measuring sports performance: A systematic review. Sports Biomechanics, 16(3), 349–367. https://doi.org/10.1080/14763141.2016.1208801
34. Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., ... & PRISMA-P Group. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ, 349, g7647. https://doi.org/10.1136/bmj.g7647
35. Shiffman, S., Stone, A. A., & Hufford, M. R. (2008). Ecological momentary assessment. Annual Review of Clinical Psychology, 4, 1–32. https://doi.org/10.1146/annurev.clinpsy.3.022806.091415
36. Siedentop, D. (2009). Introduction to physical education, fitness, and sport (7th ed.). McGraw-Hill.
37. Smith, B. (2018). Generalizability in qualitative research: Misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qualitative Research in Sport, Exercise and Health, 10(1), 137–149. https://doi.org/10.1080/2159676X.2017.1393221
38. Smith, B., Jones, C., & Williams, R. (2020). Evaluating a community-based exercise intervention using mixed methods. International Journal of Sports Science & Coaching, 15(2), 232–244.
39. Smith, J., Taylor, P., & Brown, K. (2019). Effects of high-intensity interval training on aerobic capacity and sprint performance in semi-professional soccer players: A randomized controlled trial. Journal of Sports Science and Medicine, 18(2), 234–241.
40. Sparkes, A. C., & Smith, B. (2014). Qualitative research methods in sport, exercise and health: From process to product. Routledge.
41. Tanaka, M. J., Jones, L. C., & Forman, J. M. (2020). Awareness of anterior cruciate ligament injury-preventive training programs among female collegiate athletes. Journal of Athletic Training, 55(4). https://doi.org/10.4085/1062-6050-150-19
42. Thomas, J. R., Nelson, J. K., & Silverman, S. J. (2022). Research methods in physical activity (8th ed.). Human Kinetics. Tondelli, E., Boerio, C., Andreu, M., & Antinori, S. (2021). Impact, incidence and prevalence of musculoskeletal injuries in senior amateur male rugby: Epidemiological study. The Physician and Sportsmedicine, 50(3), 1–7. https://doi.org/10.1080/00913847.2021.1924045
43. Wasserman, E., Choudhury, P., McDaniel, C., & Jain, S. (2018). Cultural competence in sports and health research: Ethical and methodological considerations. Journal of Sport and Health Science, 7(3), 234–240. https://doi.org/10.1016/j.jshs.2018.04.002
44. World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
45. Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage Publications.
46. Zhang, W., & Li, J. (2023). A quasi-experimental analysis on the causal effects of COVID-19 on urban park visits: The role of park features and the surrounding built environment. Urban Forestry & Urban Greening, 82, 127898. https://doi.org/10.1016/j.ufug.2023.127898