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: 10560623
• 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/10560623
• 关键词: Address; Adopted; Age; Area; Attitude; Award; Awareness; Biomechanics; Brain; Brain Concussion; Brain Diseases; 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; Life; Link; Literature; Manufactured football; Measures; Mentors; Mentorship; Methodology; Methods; Modeling; Monitor; Neurodegenerative Disorders; Outcome; Parents; 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; Training; Training Programs; Work; Youth; acceptability and feasibility; brain health; community engagement; contact sports; data integration; design; effective intervention; evidence base; head impact; high risk; implementation intervention; implementation process; implementation science; improved; injury prevention; junior high school; member; participant retention; pilot test; programs; recruit; research and development; sensor; skills; social; success; therapy development; timeline

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 运动中的脑震荡最近已引起了很多重点。但是，无困难的后果 影响更常见，因此可能更重要，可能会对大脑健康产生更大的影响 青年运动员。每年约有350万足球运动员在6至13岁之间，至关重要 减少头部影响曝光，从而提高青年足球的安全。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；但是我们缺乏生物力学证据 青年足球为减少头部影响暴露的政策提供了信息。足球练习受到控制 可容纳干预的环境；但是，干预的最有效目标或如何最好地设计目标 在这种情况下实施有效的干预措施是未知的。在其他研究领域，吸引社区 成员反复被证明对于成功开发，实施和寄托至关重要 可行的干预措施。目的是开发和试点测试基于证据的干预措施以减少 使用社区参与的方法，青年足球的头部影响暴露。全面 已经计划了指导的培训计划，与以下研究目标密切相符。在AIM 1，30 青年足球运动员参加了中学两支球队（12-14岁） 基于喉舌的头部冲击传感器。在团队中将收集和量化生物力学数据 将用于与利益相关者（教练，父母，联盟官员）讨论的活动。使用 一种审核和反馈方法，与利益相关者共享生物力学数据，以及一项匿名调查，我们 将评估对变革的意识和接受能力。在AIM 2中，混合方法将用于整合所识别的数据 从文学和目标1中。利益相关者将参与识别，发展和完善基于证据的 在社会生态模型的每个层面上减少头部影响暴露的策略。结果将包括 定义的目标，准则，资源和实施干预的时间表。在AIM 3中，两个新的 中学一级的青年足球队（12-14岁）将被招募以进行试验测试 在AIM 2中开发。将从30名参加2个球队的运动员来衡量头部影响曝光 头部冲击传感器以及减少头部冲击暴露时干预的有效性以及 将评估干预措施的可行性，可接受性和保真度。实施过程将是 受监控和发现将被传播到青年足球联盟。获得的技能，收集了数据以及 在该K25奖中开发的方法将使成功的候选人成为独立研究者 结合公共卫生科学和伤害生物力学以开发，测试和改善预防伤害 策略。