TY - JOUR
T1 - Improving concussion education
T2 - consensus from the NCAA-Department of Defense Mind Matters Research & Education Grand Challenge
AU - Kroshus, Emily
AU - Cameron, Kenneth L.
AU - Coatsworth, J. Douglas
AU - D'Lauro, Christopher
AU - Kim, Eungjae
AU - Lee, Katherine
AU - Register-Mihalik, Johna K.
AU - Milroy, Jeffery J.
AU - Roetert, E. Paul
AU - Schmidt, Julianne D.
AU - Silverman, Ross D.
AU - Warmath, Dee
AU - Wayment, Heidi A.
AU - Hainline, Brian
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020.
PY - 2020/9/10
Y1 - 2020/9/10
N2 - Early disclosure of possible concussive symptoms has the potential to improve concussion-related clinical outcomes. The objective of the present consensus process was to provide useful and feasible recommendations for collegiate athletic departments and military service academy leaders about how to increase concussion symptom disclosure in their setting. Consensus was obtained using a modified Delphi process. Participants in the consensus process were grant awardees from the National Collegiate Athletic Association and Department of Defense Mind Matters Research & Education Grand Challenge and a multidisciplinary group of stakeholders from collegiate athletics and military service academies. The process included a combination of in-person meetings and anonymous online voting on iteratively modified recommendations for approaches to improve concussion symptom disclosure. Recommendations were rated in terms of their utility and feasibility in collegiate athletic and military service academy settings with a priori thresholds for retaining, discarding and revising statements. A total of 17 recommendations met thresholds for utility and feasibility and are grouped for discussion in five domains: (1) content of concussion education for athletes and military service academy cadets, (2) dissemination and implementation of concussion education for athletes and military service academy cadets, (3) other stakeholder concussion education, (4) team and unit-level processes and (5) organisational processes. Collectively, these recommendations provide a path forward for athletics departments and military service academies in terms of the behavioural health supports and institutional processes that are needed to increase early and honest disclosure of concussion symptoms and ultimately to improve clinical care outcomes.
AB - Early disclosure of possible concussive symptoms has the potential to improve concussion-related clinical outcomes. The objective of the present consensus process was to provide useful and feasible recommendations for collegiate athletic departments and military service academy leaders about how to increase concussion symptom disclosure in their setting. Consensus was obtained using a modified Delphi process. Participants in the consensus process were grant awardees from the National Collegiate Athletic Association and Department of Defense Mind Matters Research & Education Grand Challenge and a multidisciplinary group of stakeholders from collegiate athletics and military service academies. The process included a combination of in-person meetings and anonymous online voting on iteratively modified recommendations for approaches to improve concussion symptom disclosure. Recommendations were rated in terms of their utility and feasibility in collegiate athletic and military service academy settings with a priori thresholds for retaining, discarding and revising statements. A total of 17 recommendations met thresholds for utility and feasibility and are grouped for discussion in five domains: (1) content of concussion education for athletes and military service academy cadets, (2) dissemination and implementation of concussion education for athletes and military service academy cadets, (3) other stakeholder concussion education, (4) team and unit-level processes and (5) organisational processes. Collectively, these recommendations provide a path forward for athletics departments and military service academies in terms of the behavioural health supports and institutional processes that are needed to increase early and honest disclosure of concussion symptoms and ultimately to improve clinical care outcomes.
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U2 - 10.1136/bjsports-2020-102185
DO - 10.1136/bjsports-2020-102185
M3 - Article
C2 - 32912847
AN - SCOPUS:85092498200
SN - 0306-3674
VL - 54
SP - 1314
EP - 1320
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
IS - 22
ER -