Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
Department of Kinesiology, University of North Carolina at Greensboro.
J Athl Train. 2019 Apr;54(4):361-373. doi: 10.4085/1062-6050-28-18. Epub 2019 Apr 24.
Implementation of health and safety best practices for the leading causes of sudden death and catastrophic injury has been shown to mitigate risk. However, to our knowledge, no authors have examined progress toward health and safety policy implementation at the state level.
To investigate the progress made by state secondary school leaders in developing and implementing health and safety policies (ie, exertional heat stroke, sudden cardiac arrest, concussion, emergency action plans) and to explore perceived barriers to and strategies for implementation.
Mixed-methods study.
State high school athletics associations and sports medicine advisory committees.
Collaborative Solutions for Safety in Sport meeting attendees participated in this study. Thirty-five state leaders (current role experience = 8 ± 6 years) completed the survey. Ten of the 35 participated in follow-up interviews.
A survey assessing progress on health and safety policy implementation was administered. Respondents indicated whether their state had implemented a policy, made progress without implementation, or made no progress. We conducted follow-up telephone interviews so they could expand on the survey responses. The data were analyzed using descriptive statistics and the general inductive approach.
A total of 89% of respondents reported their states made progress on or implemented health and safety policies during the 2015-2016 academic year. Barriers to policy implementation included cost, a lack of understanding regarding policies versus recommendations, the content and value of policy change, and a false sense of security. Strategies for implementation included varying approaches to change, education of all constituents, and collaborative relationships among key stakeholders.
Although a majority of respondents reported progress in implementing health and safety policies in their states, perceived barriers pointed to the need for the continued education of state leaders in charge of developing and implementing health and safety policies. Despite these barriers, collaboration among key stakeholders is crucial to successful implementation of best-practice policies in secondary school athletics.
实施针对导致突发性死亡和灾难性伤害的主要原因的健康和安全最佳实践已被证明可以降低风险。然而，据我们所知，尚无作者研究过州级健康和安全政策实施的进展情况。
调查州立中学领导在制定和实施健康和安全政策（即运动性热射病、心源性猝死、脑震荡、应急行动计划）方面取得的进展，并探讨实施过程中的障碍和策略。
混合方法研究。
州高中运动协会和运动医学咨询委员会。
参与本研究的是“安全运动合作解决方案”会议的与会者。35 名州级领导（现任角色经验=8±6 年）完成了调查。其中 10 人参加了后续访谈。
采用评估健康和安全政策实施进展情况的调查问卷。受访者表示他们的州是否已经实施了某项政策、在没有实施的情况下取得了进展还是没有取得进展。我们进行了后续的电话访谈，以便他们能够扩展调查回复。使用描述性统计和一般归纳方法分析数据。
共有 89%的受访者报告称，在 2015-2016 学年，他们所在的州在健康和安全政策的实施方面取得了进展或已经实施了这些政策。政策实施的障碍包括成本、对政策与建议的理解不足、政策变更的内容和价值以及虚假的安全感。实施策略包括改变方法的多样性、对所有利益相关者进行教育以及关键利益相关者之间的合作关系。
尽管大多数受访者报告称在其所在州实施健康和安全政策方面取得了进展，但感知到的障碍表明需要继续对负责制定和实施健康和安全政策的州级领导进行教育。尽管存在这些障碍，但关键利益相关者之间的合作对于在中学体育中成功实施最佳实践政策至关重要。
