Seattle Children's Research Institute, Seattle, WA, USA.
University of Washington, Seattle, WA, USA.
Health Educ Behav. 2019 Dec;46(6):916-921. doi: 10.1177/1090198119859414. Epub 2019 Jul 11.
Despite state laws requiring concussion education for youth sport stakeholders and a proliferation of educational programs, there has been little demonstrated impact on concussion reporting behaviors. We propose that this is because of four key limitations to existing approaches to concussion education: (1) deliberative decision making by the injured athlete is assumed, (2) interventions are often targeted at individuals rather than social systems, (3) education occurs once during preseason and is forgotten, and (4) dissemination challenges exacerbate health inequalities. Addressing these limitations, we propose a novel theoretic framework that situates individual behavior within a sport system's culture and their broader structural context. Concussion education programs should seek to facilitate safety-supportive interpersonal communication within and between stakeholder groups and influence attributes of groups that drive behavior, including shared values. Addressing the limitations outlined and drawing on the proposed conceptual framework, we describe a novel approach to concussion education: pregame safety huddles.
尽管州法律要求青少年体育利益相关者进行脑震荡教育，并普及了许多教育计划，但在脑震荡报告行为方面几乎没有显示出任何影响。我们认为，这是因为现有的脑震荡教育方法存在四个关键限制：（1）受伤运动员的深思熟虑的决策被假设，（2）干预措施通常针对个人而不是社会系统，（3）教育仅在季前赛期间进行一次，并且被遗忘，（4）传播挑战加剧了健康不平等。为了解决这些限制，我们提出了一个新的理论框架，将个人行为置于体育系统的文化及其更广泛的结构背景中。脑震荡教育计划应设法促进利益相关者群体内部和之间的安全支持性人际沟通，并影响驱动行为的群体属性，包括共同价值观。我们在解决所概述的限制并借鉴所提出的概念框架的基础上，描述了一种新的脑震荡教育方法：赛前安全围谈。
