Concussion! Friday Night Lights and Informed Consent—A Commentary

DeBarr, Kathy A.; Pettit, Michele L.

doi:10.1111/josh.12744

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The code of conduct in Rowan’s Law addresses several concerns that were discussed in feedback by the CPCG, including facilitation of injury prevention with an emphasis on fair play and respect and clear communication and enforcement of rules of play and consequences of prohibited play 21. Several authors have recommended that concussion protocols should be implemented by a multidisciplinary team, including educators, school administration, parents/guardians and healthcare professionals 16 22 23. As such, it is reasonable to extrapolate that including these perspectives in development of policy would circumvent barriers to implementation at the level of the school, thereby improving student well-being.…”

Section: Discussionmentioning

confidence: 99%

Development of a concussion public policy on prevention, management and education for schools using expert consensus

et al. 2022

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ObjectivesConcussions are a major public health concern, and, thus, specific policies have been developed for implementation targeting vulnerable populations such as school-aged children and youth in the school setting, in whom the majority of concussions are sports related. Currently, concussion policies exist in various jurisdictions, including Canada’s first concussion policy for schools, Ontario’s PPM158, initiated in 2014. However, these policies are often variable in terms of content and comprehensiveness. Our objective was to develop a consensus for the content of concussion policy for schools.MethodsFollowing a pilot study in one Ontario school board in 2015, which identified missing elements in existing concussion policy, we employed a modified Delphi method to develop consensus for the content of concussion public policy for schools. We used an integrated knowledge translation approach with participation from a multidisciplinary stakeholder group of 20 experts including principals, school board directors, physicians, policymakers, public health representatives and parents.ResultsBased on the experts, we created a list of 30 policy recommendations for concussion policy in the school setting. This comprehensive list reflects the diverse perspectives of the experts and addresses the role of parents, teachers, coaches, school administrators, referees, trainers, physicians/nurse practitioners, public health and students.ConclusionsThis is the first expert consensus for content of concussion public policy for schools and can be used for policy development or enhancement in schools in other jurisdictions. We provide a comprehensive list of 30 recommendations to guide best practices for policy development and implementation to enhance school-based concussion prevention and management.

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Section: Discussionmentioning

confidence: 99%

Development of a concussion public policy on prevention, management and education for schools using expert consensus

et al. 2022

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“…Given the current national spotlight on student health during the coronavirus pandemic, educators have an opportunity to push forward an agenda focused on improving SRC protocols. Therefore, the following specific recommendations are offered for student health educators based on the findings of this systematic review: Use established, current, research‐based concussion education guidelines, such as the CDC's Heads Up 13 ; Investigate alternative delivery methods, such as electronic or app‐based media, to entice adolescents to actively participate in concussion education; Develop educational interventions designed specifically for at‐risk populations, including girls, programs without athletic trainers, and athletes whose primary language is not English 50 ; Incorporate concussion prevention into health education class curricula as a method of reaching all students 54 ; Actively involve parents in concussion education through school functions, community programs, and social media; Ensure all schools (public and private) develop concussion surveillance protocols to track incidents and help prevent secondary concussions in athletes that are still recovering 55 ; Utilize school nurses as a resource in managing the treatment course and advocating for the appropriate restrictions required for recovery; Individualize RTP and/or return‐to‐learn (RTL) plans based on an athlete's injury and recovery progression, in collaboration with medical systems 56,57 ; Advocate for state Departments of Education to endorse appropriate and researched RTL and RTP protocols with demonstrated successful outcomes 58 …”

Section: Implications For School Healthmentioning

confidence: 99%

Factors Related to Concussion Knowledge, Attitudes, and Reporting Behaviors in US High School Athletes: A Systematic Review

Beran

Scafide

2022

Journal of School Health

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BACKGROUND Sport‐related concussions are a major public health problem with only 50% of concussed teens reporting their symptoms. The purpose of this systematic review was to identify individual and institutional factors that contribute to concussion knowledge, attitude, and reporting behaviors among US high school athletes. METHODS The Preferred Reporting Items for Systematic Reviews and Meta‐Analysis protocol was used to direct the process of this systematic review. A search for English, peer‐reviewed, quantitative studies published between 2010 and 2020 was conducted in 5 scholarly databases. The Joanna Briggs Critical Appraisal Tools were used to assess study quality. RESULTS Twenty‐two studies met criteria for inclusion in this systematic review. The study designs were mostly cross‐sectional (N = 18). Synthesis revealed individual factors including gender, age, race/ethnicity, grade level, and concussion history were associated with differences in concussion knowledge, attitude, and/or reporting behaviors. Institutional factors identified included school location, concussion education, access to an athletic trainer, sport played, and team climate. Six studies found concussion education had a positive impact on knowledge and reporting behaviors. CONCLUSION This systematic review identified certain populations which may be more vulnerable to underreporting concussion symptoms; therefore, a targeted approach to education and management may be more effective.

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Concussion! Friday Night Lights and Informed Consent—A Commentary

Abstract: Citation: DeBarr KA, Pettit ML. Concussion! Friday night lights and informed consent-a commentary.

Cited by 2 publications

References 21 publications

Development of a concussion public policy on prevention, management and education for schools using expert consensus

Development of a concussion public policy on prevention, management and education for schools using expert consensus

Factors Related to Concussion Knowledge, Attitudes, and Reporting Behaviors in US High School Athletes: A Systematic Review

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