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美国大学教练脑震荡教育的内容、传播方式及有效性

Content, Delivery, and Effectiveness of Concussion Education for US College Coaches.

作者信息

Kroshus Emily, Baugh Christine M, Daneshvar Daniel H

机构信息

*University of Washington, Department of Pediatrics, Seattle, Washington; †Seattle Children's Research Institute, Center for Child Health, Behavior and Development, Seattle, Washington; ‡Harborview Injury Prevention Research Center, Seattle, Washington; §Harvard University, Interfaculty Initiative in Health Policy, Cambridge, Massachusetts; ¶Boston Children's Hospital, Division of Sports Medicine, Boston, Massachusetts; and ‖Center for the Study of Traumatic Encephalopathy, Boston University School of Medicine, Boston, Massachusetts.

出版信息

Clin J Sport Med. 2016 Sep;26(5):391-7. doi: 10.1097/JSM.0000000000000272.

Abstract

OBJECTIVE

The primary objective of this study was to examine the proportion of US college coaches who receive annual concussion education from their institution and to describe the content and delivery modalities of this education. This study also tested the hypothesis that coaches receiving concussion education from their institution will have greater knowledge about concussions independent of other individual and institutional characteristics.

DESIGN

Cross-sectional online survey.

SETTING

US college sport.

PARTICIPANTS

College coaches in National Collegiate Athletic Association Division I, II, and III (n = 1818).

INDEPENDENT VARIABLES

Self-reported receipt of education from institution, sex, sport coached, division of competition.

MAIN OUTCOME MEASURES

Concussion identification and management knowledge.

RESULTS

Two-thirds of coaches reported receiving informational materials about concussion from their institution. The content of the education most frequently referred to symptoms of a concussion and information about proper management of a concussion. Coaches who received educational materials from their institution were better able to identify symptoms and had more conservative responses to concussion management scenarios. Male coaches of male contact or collision teams less frequently endorsed safe or correct response as compared with female coaches of noncontact or collision teams.

CONCLUSIONS

Not all US college coaches receive concussion education from their institution. Male Division I coaches of male contact/collision sport are a population for whom targeted educational outreach may be particularly valuable.

CLINICAL RELEVANCE

Education for coaches, delivered by clinicians at many institutions, is an important component of ensuring that coaches are prepared to be informed partners in supporting concussion safety.

摘要

目的

本研究的主要目的是调查接受所在机构年度脑震荡教育的美国大学教练的比例,并描述该教育的内容和授课方式。本研究还检验了一个假设,即接受所在机构脑震荡教育的教练,独立于其他个人和机构特征,对脑震荡会有更多了解。

设计

横断面在线调查。

背景

美国大学体育。

参与者

美国国家大学体育协会第一、二、三级别的大学教练(n = 1818)。

自变量

自我报告的是否接受所在机构的教育、性别、所执教的运动项目、比赛级别。

主要观察指标

脑震荡识别和管理知识。

结果

三分之二的教练报告称从所在机构收到了有关脑震荡的信息材料。教育内容最常提及脑震荡的症状以及脑震荡正确管理的信息。从所在机构收到教育材料的教练更能识别症状,并且对脑震荡管理场景的反应更为保守。与非接触或碰撞项目的女教练相比,接触或碰撞项目的男教练较少认可安全或正确的应对方式。

结论

并非所有美国大学教练都接受所在机构的脑震荡教育。一级联赛中接触/碰撞项目的男教练是一个特别需要有针对性地开展教育推广活动的群体。

临床意义

在许多机构中,由临床医生为教练提供教育,是确保教练做好准备,成为支持脑震荡安全的明智合作伙伴的重要组成部分。

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