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  • Title: Understanding the Level of Concussion Knowledge in High School Sports in New Jersey.
    Author: Lin E, Ward I, Lequerica A, Jasey N, Chiaravalloti N.
    Journal: PM R; 2019 Oct; 11(10):1107-1114. PubMed ID: 30729709.
    Abstract:
    BACKGROUND: Coaches, athletic trainers (ATCs), and parents/guardians (parents) are important contributors to the proper identification and management of concussions in student-athletes. However, there are limited studies on the identification of concussion knowledge gaps that will help inform educational efforts and improve concussion outcomes in these groups. OBJECTIVE: To identify gaps and factors influencing concussion knowledge for high school athletics. DESIGN: Survey. SETTING: Public, private, and recreational leagues in New Jersey. PARTICIPANTS: 41 coaches, 34 ATCs, and 65 parents of high school student-athletes. METHODS: A 17-item online survey examining concussion knowledge was distributed to coaches, ATCs, and parents. Analyses included ANOVA for between-group comparisons of continuous variables and Pearson's correlations for categorical data. MAIN OUTCOME MEASUREMENTS: Demographics, concussion knowledge, application of knowledge, access to educational materials, and confidence in the ability to identify concussions. RESULTS: Significant between-group differences were found for overall knowledge (F[2137] = 11.0, P < .001), factual knowledge (F[2137] = 8.7, P < .001), and application of knowledge (F[2137] = 3.5, P = .03), with parents scoring lower. Coaches, ATCs, and parents had gaps in factual knowledge of baseline testing scores and identification regarding symptom severity. More coaches (73.2%) and ATCs (97.1%) felt confident in concussion knowledge compared with parents (31.3%; P < .001). All groups thought mandatory education, new law, and guidelines were positive in promoting better care of student-athletes. CONCLUSIONS: Knowledge gaps were identified in all groups. Educational programs for these groups should consider including targeted techniques, including vignettes, to illustrate application of concussion knowledge. LEVEL OF EVIDENCE: III.
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