运动性热病：运动管理人员报告的政策采用和影响背景因素。

Exertional Heat Illness: Adoption of Policies and Influencing Contextual Factors as Reported by Athletic Administrators.

机构信息

Division of Athletic Training, School of Medicine, West Virginia University, Morgantown, West Virginia.

Division of Sports Medicine, United States Olympic and Paralympic Committee, Colorado Springs, Colorado.

出版信息

Sports Health. 2024 Jan-Feb;16(1):58-69. doi: 10.1177/19417381231155107. Epub 2023 Mar 5.

DOI:10.1177/19417381231155107

PMID:36872595

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10732114/

Abstract

BACKGROUND

Little is known about the adoption by athletic administrators (AAs) of exertional heat illness (EHI) policies, and the corresponding facilitators and barriers of such policies within high school athletics. This study describes the adoption of comprehensive EHI policies by high school AAs and explores factors influencing EHI policy adoption.

HYPOTHESIS

We hypothesized that <50% of AAs would report adoption of an EHI policy, and that the most common facilitator would be access to an athletic trainer (AT), whereas the most common barrier would be financial limitations.

STUDY DESIGN

Cross-sectional.

LEVEL OF EVIDENCE

Level 4.

METHODS

A total of 466 AAs (82.4% male; age, 48 ± 9 years) completed a validated online survey to assess EHI prevention and treatment policy adoption (11 components), as well as facilitators and barriers to policy implementation. Access to athletic training services was ascertained by matching the participants' zip codes with the Athletic Training Locations and Services Project. Policy adoption, facilitators, and barriers data are presented as summary statistics (proportions, interquartile range (IQR)). A Welch test evaluated the association between access to athletic training services and EHI policy adoption.

RESULTS

Of the AAs surveyed, 77.9% (n = 363) reported adopting a written EHI policy. The median of EHI policy components adopted was 5 (IQR = 1,7), with only 5.6% (n = 26) of AAs reporting adoption of all policy components. AAs who had access to an AT ( = 0.04) were more likely to adopt a greater number of EHI-related policies, compared with those without access to an AT. An AT employed at the school was the most frequently reported facilitator (36.9%).

CONCLUSION

Most AAs reported having written EHI policy components, and access to an AT resulted in a more comprehensive policy.

CLINICAL RELEVANCE

Employment of an AT within high school athletics may serve as a vital component in facilitating the adoption of comprehensive EHI policies.

摘要

背景

对于竞技管理员（AAs）采用运动性热病（EHI）政策的情况，以及在高中体育中采用此类政策的相应促进因素和障碍，我们知之甚少。本研究描述了高中 AAs 对全面 EHI 政策的采用情况，并探讨了影响 EHI 政策采用的因素。

假设

我们假设，<50%的 AAs 将报告采用 EHI 政策，最常见的促进因素将是能够获得运动训练师（AT），而最常见的障碍将是财务限制。

研究设计

横断面研究。

证据等级

4 级。

方法

共有 466 名 AAs（82.4%为男性；年龄，48±9 岁）完成了一项经过验证的在线调查，以评估 EHI 预防和治疗政策的采用情况（11 个组成部分），以及实施政策的促进因素和障碍。通过将参与者的邮政编码与 Athletic Training Locations and Services Project 进行匹配，确定了获得运动训练服务的情况。政策采用、促进因素和障碍数据以摘要统计数据（比例、四分位距（IQR））呈现。Welch 检验评估了获得运动训练服务与 EHI 政策采用之间的关联。

结果

在所调查的 AAs 中，77.9%（n=363）报告采用了书面 EHI 政策。采用的 EHI 政策组成部分的中位数为 5（IQR=1，7），仅有 5.6%（n=26）的 AAs 报告采用了所有政策组成部分。与没有获得 AT 的 AAs 相比，获得 AT 的 AAs（=0.04）更有可能采用更多的 EHI 相关政策。学校雇佣的 AT 是最常报告的促进因素（36.9%）。