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: 8780645
• 负责人: Dawn Comstock
• 金额: $ 22.18万
• 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 2016-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8780645
• 关键词: Acute; Address; Adolescent; Adopted; Area; Athletic; Athletic Injuries; Awareness; Brain Concussion; Caring; Cessation of life; Child; Consensus; Diagnosis; Diagnostic; Effectiveness; Emergency department visit; 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; Work; Youth; age group; disability; evidence base; high school; improved; injured; injury prevention; innovation; junior high school; mild traumatic brain injury; mobile application; 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）：运动相关创伤性脑损伤（TBI），包括mTBI-通常称为脑震荡-是一个严重的公共卫生问题。虽然大多数与运动有关的脑震荡是轻微的伤害，但TBI导致大量死亡和永久残疾。虽然像足球这样的接触性运动具有最高的脑震荡发病率和发病率，但这些伤害发生在广泛的运动中。存在诊断标准和共识回归（RTP）指南，但临床医生对运动相关脑震荡的诊断和管理有不同的方法，因为这些指南几乎完全没有证据支持。众所周知，通过提高对脑震荡体征和症状的认识以及解决这种损伤的重要性，改善正确的体育活动技术和良好的运动技能的指导，提供适当的保护设备，并迅速对损伤做出反应，儿童和青少年运动相关脑震荡的发病率，严重程度和长期负面健康影响可以减少。因此，迫切需要开发预防工具。我们的长期目标是减少与运动有关的脑震荡的负面后果，特别是在青少年体育运动中。该应用程序的总体目标是实现我们长期目标的第一步，旨在评估Spot Light（一种脑震荡损伤管理应用程序[app]，用于协调从受伤到安全返回运动的诊断、管理和RTP程序）在青年足球队使用时的有效性。我们的中心假设是，随机接受聚光灯的青少年足球队将报告脑震荡的发生率增加， 护理，并增加运动员遵守RTP指南。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更好地识别、应对和确保运动员从运动相关的脑震荡中完全康复。我们将通过追求以下目标来测试我们的假设：1：评估Spot Light是否会增加运动相关脑震荡的报告率;目标2：评估Spot Light是否会增加脑震荡后转诊给医生的次数;目标3：评估Spot Light是否会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，转介给医生和运动员遵守RTP指南。这一贡献将是重要的，因为它将允许医生，运动教练（AT），教练和家长通过安全的RTP合作跟踪受伤的脑震荡，从而减少长期负面结果以及急性灾难性结果的机会。这项研究是创新的，因为它将对运动损伤预防领域的科学知识产生直接和长期的影响，并将移动的应用程序技术用作损伤识别，管理/治疗和预防的工具。