Register-Mihalik Johna, Baugh Christine, Kroshus Emily, Y Kerr Zachary, Valovich McLeod Tamara C
University of North Carolina at Chapel Hill.
Harvard University, Cambridge, MA.
J Athl Train. 2017 Mar;52(3):195-205. doi: 10.4085/1062-6050-51.12.02.
To offer an overview of sport-related concussion (SRC) prevention and education strategies in the context of the socioecological framework (SEF). Athletic trainers (ATs) will understand the many factors that interact to influence SRC prevention and the implications of these interactions for effective SRC education.
Concussion is a complex injury that is challenging to identify and manage, particularly when athletes fail to disclose symptoms to their health care providers. Education is 1 strategy for increasing disclosure. However, limited information addresses how ATs can integrate the many factors that may influence the effectiveness of SRC education into their specific settings. Public health models provide an example through the SEF, which highlights the interplay among various levels of society and sport that can facilitate SRC prevention strategies, including education.
For ATs to develop appropriate SRC prevention strategies, a framework for application is needed. A growing body of information concerning SRC prevention indicates that knowledge alone is insufficient to change concussion-related behaviors. The SEF allows this information to be considered at levels such as policy and societal, community, interpersonal (relationships), and intrapersonal (athlete). The use of such a framework will facilitate more comprehensive SRC prevention efforts that can be applied in all athletic training practice settings. Clinical Applications: Athletic trainers can use this information as they plan SRC prevention strategies in their specific settings. This approach will aid in addressing the layers of complexity that exist when developing a concussion-management policy and plan.
在社会生态框架（SEF）背景下概述与运动相关的脑震荡（SRC）预防和教育策略。运动训练师（AT）将了解相互作用以影响SRC预防的诸多因素，以及这些相互作用对有效的SRC教育的影响。
脑震荡是一种复杂的损伤，识别和管理具有挑战性，尤其是当运动员未向其医疗服务提供者透露症状时。教育是增加症状披露的一种策略。然而，关于运动训练师如何将可能影响SRC教育有效性的诸多因素整合到其特定环境中的信息有限。公共卫生模型通过社会生态框架提供了一个示例，该框架突出了社会和运动各级之间的相互作用，这些相互作用可以促进包括教育在内的SRC预防策略。
为了让运动训练师制定适当的SRC预防策略，需要一个应用框架。越来越多关于SRC预防的信息表明，仅靠知识不足以改变与脑震荡相关的行为。社会生态框架允许在政策和社会、社区、人际（关系）和个人（运动员）等层面考虑这些信息。使用这样一个框架将促进更全面的SRC预防工作，这些工作可应用于所有运动训练实践环境。临床应用：运动训练师在其特定环境中规划SRC预防策略时可以使用这些信息。这种方法将有助于应对制定脑震荡管理政策和计划时存在的复杂性层面。
