Objective To design and evaluate an integrated training load monitoring and injury/illness surveillance system in a competitive swimming environment. Design Descriptive/mixed methods. Setting Swim Ireland National Training Centres. Participants Fourteen competitive athletes and seven coaches/medical data collectors participated in the evaluation process. Outcome measures System satisfaction, usefulness and burden were evaluated. Barriers to the implementation and effectiveness of the system were explored. Results Most athletes were `extremely` or `very` satisfied with the overall data collection process and also found it to be `extremely` or `very` useful in the training centre environment. All practitioners were `extremely satisfied with the system and found it to be either `extremely` or `very` useful in their role. Process constraints and data access and control were significant themes related to the athletes, while practitioners highlighted communication and cooperation amongst stakeholders, layering context to the data, maintaining data integrity and the coach's influence in the monitoring process as being important to the monitoring/surveillance process. Conclusions Training load monitoring and injury/illness surveillance are necessary to elevate the standard of prospective injury/illness prevention research. Integrated systems should be designed in line with key consensus statements, while also being implemented in a way that counteracts the challenges within the real-world training environment.
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