Interactive Training for Sports Concussion Prevention and Management

描述（由申请人提供）：每年都有许多儿童遭受与运动和娱乐有关的脑震荡。运动脑震荡的无效管理可导致脑震荡后症状、二次冲击综合征以及持续的医学、心理和认知问题的发展。识别脑震荡事件是预防更严重的后遗症的关键因素。本计划将完成一项以互联网为基础，以理论为基础的互动多媒体（IMM）培训计划的发展，以有效预防和管理青少年的运动脑震荡。为了全面解决运动脑震荡发生的所有情况，将针对：(a)高中，(b)初中，(c)小学和(d)社区体育组织开发四个项目。这些项目将利用一种非常有效的全校/组织范围内的方法来实施行为改变干预措施。这四个项目中的每一个都将被设计成针对：(a)教练/体育工作人员，(b)家长，(c)青年运动员，以及(d)学校和社区管理人员和工作人员的模块。所有四个模块将通过互联网提供三个关键内容领域的互动式培训：(a)关于伤害发生率和机制的信息，(b)预防策略，以及(c)有效的脑震荡管理。该项目将与ImPACT合作开发，ImPACT是专业、大学和高中体育计算机认知评估的领导者，并与儿科运动脑震荡领域的顶级医学专家和研究人员合作。具体内容将根据国际运动脑震荡会议、国家运动训练师协会和疾病控制中心制定的指导方针。该计划的有效性将在一项随机试验中进行评估，该试验将在加利福尼亚州、俄勒冈州、科罗拉多州、堪萨斯州和弗吉尼亚州的40所高中进行为期3个月的随访。公共卫生相关性：每年发生近380万次运动脑震荡，研究人员认为，由于对头部损伤的普遍误解，更多的脑震荡未被发现和报道。大脑正在发育的儿童和青少年尤其容易受到伤害。为了应对这一公共健康问题，拟议中的互联网项目将培训教练、体育工作人员、学生运动员、家长和学校管理人员如何识别、应对和管理运动脑震荡。

DESCRIPTION (provided by applicant): Each year many children sustain sports and recreation-related concussions. Ineffective management of sports concussion can lead to development of post-concussive symptoms, second impact syndrome, and ongoing medical, psychological and cognitive problems. Recognition of concussive events is a key factor in prevention of more serious sequelae. This project will complete development of an Internet-based and theoretically grounded, interactive multimedia (IMM) training program on effective prevention and management of sports concussion among youth. In order to comprehensively address all the contexts in which sports concussion occurs, four programs will be developed targeting: (a) high schools, (b) middle schools, (c) elementary schools, and (d) community sports organizations. The programs will utilize a highly effective school-wide/organization-wide approach to the implementation of behavior-change interventions. Each of the four programs will be designed to have modules targeting: (a) coaches/athletics staff, (b) parents, (c) youth athletes, and (d) school and community administrators and staff. Delivered over the Internet, all four modules will provide interactive training in three key content areas: (a) information on incidence and mechanism of injury, (b) prevention strategies, and (c) effective concussion management. The program will be developed in collaboration with ImPACT, the leader in computerized cognitive assessment for professional, collegiate, and high school sports, and with top medical experts and researchers in the field of pediatric sports concussion. Specific content will be derived from guidelines set forth by the International Conference on Concussion in Sport and the National Athletic Trainers' Association and the Centers for Disease Control (CDC). The efficacy of the program will be evaluated in a randomized trial with 3- month follow-up in 40 high schools from school districts in California, Oregon, Colorado, Kansas, and Virginia. PUBLIC HEALTH RELEVANCE: Nearly 3.8 million sports concussions occur every year, and researchers believe many more go unrecognized and unreported because of common misconceptions about head injury. Children and adolescents, with their developing brains, are particularly vulnerable. In response to this public health problem, the proposed Internet programs will train coaches, athletic staff, student athletes, parents, and school administrators how to recognize, respond to, and manage a sports concussion.