Randomized Evaluation of Centers for Disease Control and Prevention HEADS UP Concussion Education Materials for Youth Sport Coaches.
Randomized Evaluation of Centers for Disease Control and Prevention HEADS UP Concussion Education Materials for Youth Sport Coaches.
复制标题
疾病控制和预防中心对青年体育教练脑震荡教育材料的随机评估。
DOI：
10.1089/neu.2022.0504
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发表时间：
2023
影响因子：
4.2
通讯作者：
DePadilla,Lara
中科院分区：
文献类型：
--
作者：
Kroshus,Emily;Zhou,Hong;Ledsky,Rebecca;Sarmiento,Kelly;DePadilla,Lara
美国疾病控制和预防中心（CDC）HEADS UP青少年体育教练材料是美国教练最广泛采用的脑震荡教育形式，在过去十年中达到数百万青少年体育教练。这些材料侧重于脑震荡症状的识别，反应和管理（例如，返回学校和运动），同时也解决了与运动员及其家人沟通脑震荡安全的重要性。本研究的目的是评估CDC HEADS UP材料在教练知识和与青年运动员沟通脑震荡安全方面的有效性。这是CDC HEADS UP材料在真实的世界青年体育条件下的首次随机对照研究。参与者是15个基督教青年会协会的764名教练。使用群集随机化将协会内的分支分配给干预（CDC HEADS UP）和对照（照常治疗）条件。教练在赛季前和赛季末完成了调查。在控制教练人口统计学特征和基线沟通实践的多变量分析中，干预组教练与运动员关于脑震荡的沟通增加（调整后的风险比[aRR] = 1.24，95%置信区间[CI] = 1.14，1.36），但对照组教练没有增加（aRR = 1.09，95% CI = 0.90，1.31）。脑震荡症状知识和沟通意愿在干预组也有显着增加，但在对照组没有。这项研究提供的证据表明，CDC HEADS UP材料增加了青年体育教练与运动员就脑震荡安全进行沟通的可能性。随着青年体育组织越来越多地要求教练进行脑震荡教育，CDC HEADS UP材料可能被认为是采用和设置相关实施的主要资源。
The Centers for Disease Control and Prevention (CDC) HEADS UP youth sports coach materials are the most widely adopted form of concussion education for coaches across the United States—reaching millions of youth sports coaches over the last decade. These materials focus on concussion symptom identification, response, and management (e.g., return to school and sports), while also addressing the importance of communicating to athletes and their families about concussion safety. The purpose of this study was to assess the effectiveness of CDC HEADS UP materials on coach knowledge and communication with youth athletes about concussion safety. This is the first randomized control study of the CDC HEADS UP materials in real world youth sport conditions. Participants were 764 coaches at 15 YMCA associations. Cluster randomization was used to assign branches within associations to intervention (CDC HEADS UP) and control (treatment as usual) conditions. Coaches completed surveys prior to and at the end of the competitive season. Communication with athletes about concussion increased among coaches in the intervention group (adjusted risk ratio [aRR] = 1.24, 95% confidence interval [CI] = 1.14, 1.36) but not the control group (aRR = 1.09, 95% CI = 0.90, 1.31), in multi-variate analyses controlling for coach demographic characteristics and baseline communication practices. Concussion symptom knowledge and communication intentions also significantly increased in the intervention group but not in the control group. This study provides evidence that CDC HEADS UP materials increase the likelihood that youth sport coaches communicate with their athletes about concussion safety. As youth sports organizations increasingly mandate concussion education for coaches, CDC HEADS UP materials may be considered a leading resource for adoption and setting-relevant implementation.