Evidence-based intervention for Improved Head Impact Safety in Youth Football

改善青少年足球头部碰撞安全的循证干预措施

• 批准号: 10373952
• 负责人: Jillian Elizabeth Urban
• 金额: $ 11.97万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-03-18 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10373952
• 关键词: Address; Adopted; Age; Area; Attitude; Award; Awareness; Biomechanics; Brain; Brain Concussion; Brain Diseases; Climacteric; Communities; Controlled Environment; Data; Data Collection; Development; Effectiveness of Interventions; Epidemiology; Evaluation; Evidence based intervention; Evidence based practice; Exposure to; Feedback; Focus Groups; Future; Goals; Guidelines; Health Sciences; Individual; Injury; Intervention; Interview; Knowledge; Lead; Leadership; Link; Literature; Manufactured football; Measures; Mentors; Mentorship; Methodology; Methods; Modeling; Monitor; Neurodegenerative Disorders; Outcome; Parents; Participant; Perception; Pilot Projects; Play; Policies; Positioning Attribute; Predisposition; Prevention strategy; Process; Public Health; Regulation; Research; Research Personnel; Resources; Risk; Safety; Seasons; Severities; Sports; Strategic Planning; Structure; Surveys; Systems Theory; Testing; TimeLine; Training; Training Programs; Work; Youth; acceptability and feasibility; base; brain health; community engagement; contact sports; design; effective intervention; evidence base; head impact; high risk; implementation intervention; implementation process; implementation science; improved; injury prevention; junior high school; member; pilot test; programs; recruit; research and development; sensor; skills; social; success; therapy development

Project Summary Concussions in sports have received much focus recently; however, the consequences of non-concussive head impacts, more common and thus potentially more important, may have a greater influence on brain health in youth athletes. With ~ 3.5 million football players between ages 6 and 13 each year, there is a critical need to reduce head impact exposure, thereby improving safety of youth football. Several youth football organizations have implemented regulations to reduce contact and concussion risk; but we lack biomechanical evidence in youth football to inform policies on reducing head impact exposure. Football practices are controlled environments amenable to intervention; however, the most effective targets for intervention or how best to design and implement effective interventions in this context is unknown. In other areas of research, engaging community members has repeatedly been shown as essential for successful development, implementation, and sustenance of viable interventions. The objective is to develop and pilot test an evidence-based intervention to reduce head impact exposure in youth football, using a community-engaged approach. A comprehensive mentored training program has been planned, closely aligned with the following research aims. In Aim 1, 30 youth football players participating on two teams at the middle school level (ages 12-14) will be fitted with mouthpiece-based head impact sensors. Biomechanical data will be collected and quantified during team activities which will be used to inform discussions with stakeholders (coaches, parents, league officials). Using an audit and feedback approach, sharing biomechanical data with stakeholders, and an anonymous survey, we will assess awareness and receptivity to change. In Aim 2, mixed methods will be used to integrate data identified from literature and Aim 1. Stakeholders will be engaged to identify, develop, and refine evidence-based strategies to reduce head impact exposure at each level of the social ecological model. Outcomes will include defined objectives, guidelines, resources, and a timeline for implementation of an intervention. In Aim 3, two new youth football teams at the middle school level (ages 12-14) will be recruited to pilot-test the intervention developed in Aim 2. Head impact exposure will be measured from 30 athletes participating on the 2 teams using head impact sensors and the effectiveness of the intervention at reducing head impact exposure as well as the feasibility, acceptability, and fidelity of the intervention will be evaluated. The implementation process will be monitored and findings will be disseminated to the youth football league. The skills gained, data gathered, and methods developed in this K25 Award will position the Candidate for success as an independent investigator combining public health science and injury biomechanics to develop, test, and improve injury prevention strategies.

项目摘要 最近，体育运动中的脑震荡受到了很大的关注;然而， 影响，更常见，因此可能更重要，可能对大脑健康有更大的影响， 青年运动员。每年约有350万6至13岁的足球运动员，迫切需要 减少头部碰撞暴露，从而提高青少年足球的安全性。几个青年足球组织 已经实施了减少接触和脑震荡风险的法规;但我们缺乏生物力学证据， 青少年足球为减少头部撞击暴露的政策提供信息。足球训练是受控制的 适合干预的环境;然而，最有效的干预目标或如何最好地设计 并在这方面采取有效的干预措施是未知的。在其他研究领域，参与社区 成员一再被证明是成功发展、实施和维持的关键 可行的干预措施。目标是制定和试点测试一项基于证据的干预措施，以减少 头部撞击暴露在青少年足球，使用社区参与的方法。全面 已规划了指导培训方案，与以下研究目标密切相关。目标1，30 参加两支球队的青少年足球运动员在中学水平（12-14岁）将配备 基于接口的头部撞击传感器将在团队期间收集和量化生物力学数据 将用于与利益相关者（教练，家长，联盟官员）进行讨论的活动。使用 审计和反馈方法，与利益相关者共享生物力学数据，以及匿名调查，我们 将评估对变化的意识和接受能力。在目标2中，将使用混合方法整合已确定的数据 从文学和目标1。利益相关者将参与确定、开发和完善基于证据的 在社会生态模型的每一个层面上减少头部撞击暴露的策略。成果将包括 为实施干预措施确定目标、指导方针、资源和时间轴。在目标3中， 将招募中学一级的青少年足球队（12-14岁）对干预措施进行试点测试 在Aim 2中开发。头部撞击暴露将从两支球队的30名运动员中进行测量， 头部撞击传感器和干预措施在减少头部撞击暴露方面的有效性，以及 将评估干预的可行性、可接受性和保真度。实施过程将是 并将监测结果传达给青年足球联盟。获得的技能，收集的数据， 在K25奖中开发的方法将使候选人成为成功的独立调查员 结合公共卫生科学和伤害生物力学，开发，测试和改善伤害预防 战略布局