Sarmiento Kelly, Donnell Zoe, Hoffman Rosanne
US Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 4770 Buford Hwy NE, Building 106, 8th floor, Atlanta, GA 30341.
Health Communications Team, ICF, 100 Cambridgepark Drive, Suite 501, Cambridge, MA 02140.
J Sch Health. 2017 Oct;87(10):790-804. doi: 10.1111/josh.12552.
In 2013, the National Academy of Sciences emphasized the need to develop, implement, and evaluate effective large-scale educational strategies to improve the culture of concussion in youth and high school sports. In support of this recommendation, in this article we summarize research on factors that contribute to the culture of concussion.
We conducted the literature search using 7 electronic databases. We used a scoping review method to identify studies that addressed knowledge, attitudes, behaviors, use of educational resources, and interventions related to concussion among young athletes, coaches, and parents.
Of the 33 articles identified, most focused on concussion education (N = 15), followed by knowledge (N = 13), behaviors (N = 13), and attitudes (N = 5). Three studies addressed multiple study populations.
The rapid spread of concussion education and awareness efforts has outpaced research on effective strategies to improve knowledge, attitudes, and behaviors that contribute to the culture of concussion. Further research is critical to inform the development and implementation of large-scale educational efforts. This research should incorporate rigorous study designs; be inclusive of diverse ages, socioeconomic status, and racial/ethnic groups; and examine opportunities to improve behavioral outcomes around concussion prevention, reporting, and management.
2013年，美国国家科学院强调需要制定、实施和评估有效的大规模教育策略，以改善青少年和高中体育运动中的脑震荡文化。为支持这一建议，在本文中，我们总结了对促成脑震荡文化的因素的研究。
我们使用7个电子数据库进行文献检索。我们采用范围综述方法来识别涉及年轻运动员、教练和家长关于脑震荡的知识、态度、行为、教育资源使用及干预措施的研究。
在识别出的33篇文章中，大多数聚焦于脑震荡教育（N = 15），其次是知识（N = 13）、行为（N = 13）和态度（N = 5）。三项研究涉及多个研究群体。
脑震荡教育和意识提升工作的迅速传播超过了对改善有助于脑震荡文化的知识、态度和行为的有效策略的研究。进一步的研究对于为大规模教育工作的开展和实施提供信息至关重要。这项研究应采用严谨的研究设计；涵盖不同年龄、社会经济地位和种族/族裔群体；并审视改善围绕脑震荡预防、报告和管理的行为结果的机会。
