Evaluation of Spot Light: A concussion injury management app for youth sports

Spot Light评测：青少年运动脑震荡管理应用

• 批准号: 8661505
• 负责人: Dawn Comstock
• 金额: $ 20.04万
• 依托单位: RESEARCH INST NATIONWIDE CHILDREN'S HOSP
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-12-10 至 2015-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8661505
• 关键词: Accident and Emergency department; Acute; Address; Adolescent; Adopted; Area; Athletic; Athletic Injuries; Awareness; Brain Concussion; Caring; Cessation of life; Child; Consensus; Diagnosis; Diagnostic; Effectiveness; Ensure; Equipment; Evaluation; Exhibits; Goals; Guidelines; Health; Incidence; Injury; Knowledge; Learning; Light; Manufactured football; Mild Concussions; Outcome; Parents; Patient Care; Physicians; Play; Prevention; Probability; Procedures; Public Health; Randomized; Recreation; Reporter; Reporting; Research; Risk Factors; School-Age Population; Severities; Signs and Symptoms; Sports; Spottings; Symptoms; Techniques; Technology; Testing; Traumatic Brain Injury; Visit; Work; Youth; age group; disability; evidence base; high school; improved; injured; injury prevention; innovation; junior high school; mobile application; public health relevance; tool; tool development

DESCRIPTION (provided by applicant): Sports-related traumatic brain injuries (TBIs), including mTBIs-commonly referred to as concussions-are a serious public health concern. Although most sports-related concussions are mild injuries TBIs contribute to a substantial number of deaths and cases of permanent disability. While contact sports such as football have the highest incidence and rates of concussion, these injuries occur across a wide range of sports. Diagnostic criteria and consensus return to play (RTP) guidelines exist, but clinicians have varying approaches to the diagnosis and management of sports-related concussion as these guidelines are almost completely unsupported by an evidence base. It is well known that by increasing awareness of concussion signs and symptoms as well as the importance of addressing this injury, improving coaching on proper sports activity techniques and good sportsmanship, providing appropriate protective equipment, and quickly responding to injuries, the incidence, severity, and long-term negative health effects of sports-related concussion among children and adolescents can be reduced. Thus there is a critical need for the development of tools for prevention. Our long-term goal is to reduce the negative consequences of sports-related concussion, specifically in youth sports. The overall objective of this application, which is the first step toward attainment of our long-term goal, is to evaluate the effectiveness of Spot Light (a concussion injury management application [app] that coordinates diagnosis, management, and RTP procedures from injury to safe return to sport) when utilized by youth football teams. Our central hypothesis is that youth football teams randomized to receive Spot Light will report increased rates of concussion, increased referrals to physicians for care, and increased athlete compliance with RTP guidelines. The rationale that underlies the proposed research is that providing an easy- to-use app has a high probability of effectively helping people involved with youth sports better recognize, respond to, and ensure athletes are fully recovered from sports-related concussion. We will test our hypothesis by pursuing the following aims: 1: Evaluate whether Spot Light will increase reported rates of sports-related concussion; Aim 2: Evaluate whether Spot Light increases referrals to physicians following concussion; Aim 3: Evaluate whether Spot Light improves the management of sports-related concussion. We expect to determine whether there is increased reporting, referrals to physicians and athlete compliance with RTP guidelines. This contribution will be significant because it will allow physicians, athletic trainers (ATs), coaches, and parents to collaboratively track concussions from injury through safe RTP thereby lessoning the chances of long-term negative outcomes as well as acute catastrophic outcomes. This research is innovative because it will have both immediate and long-term impacts on the scientific knowledge in the areas of sports injury prevention and the use of mobile app technology as a tool for injury recognition, management/treatment, and prevention.

描述（由申请人提供）：与运动相关的创伤性脑损伤 (TBI)，包括 mTBI（通常称为脑震荡）是一个严重的公共卫生问题。尽管大多数与运动相关的脑震荡都是轻伤，但创伤性脑损伤会导致大量死亡和永久性残疾。虽然足球等接触性运动的脑震荡发生率和发生率最高，但这些损伤发生在多种运动中。诊断标准和重返赛场（RTP）共识指南已经存在，但临床医生对运动相关脑震荡的诊断和治疗有不同的方法，因为这些指南几乎完全没有证据基础的支持。众所周知，通过提高对脑震荡体征和症状以及解决这种伤害重要性的认识，改善对正确体育活动技术和良好体育精神的指导，提供适当的防护装备，并对伤害做出快速反应，可以减少儿童和青少年运动相关脑震荡的发生率、严重程度和长期负面健康影响。因此，迫切需要开发预防工具。我们的长期目标是减少运动相关脑震荡的负面后果，特别是在青少年运动中。该应用程序的总体目标是实现我们长期目标的第一步，即评估青少年足球队使用 Spot Light（一款脑震荡损伤管理应用程序 [app]，用于协调从受伤到安全恢复运动的诊断、管理和 RTP 程序）的有效性。我们的中心假设是，随机接受聚光灯治疗的青少年足球队会报告脑震荡发生率增加，转诊至医生的情况增加 护理，并提高运动员对 RTP 指南的遵守程度。这项研究的基本原理是，提供一个易于使用的应用程序很有可能有效地帮助参与青少年体育运动的人们更好地识别、应对并确保运动员从运动相关的脑震荡中完全康复。我们将通过实现以下目标来检验我们的假设： 1：评估聚光灯是否会增加报告的运动相关脑震荡的发生率；目标 2：评估 Spot Light 是否会增加脑震荡后转诊至医生的机会；目标 3：评估 Spot Light 是否可以改善运动相关脑震荡的管理。我们希望确定是否有更多的报告、转介给医生以及运动员遵守 RTP 指南。这一贡献将意义重大，因为它将允许医生、运动训练师 (AT)、教练和家长通过安全 RTP 协作跟踪受伤引起的脑震荡，从而减少长期负面结果以及急性灾难性结果的可能性。这项研究具有创新性，因为它将对运动损伤预防领域的科学知识以及使用移动应用程序技术作为损伤识别、管理/治疗和预防的工具产生直接和长期的影响。