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Heads Up: Concussion in High School Sports

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Casebook of Traumatic Injury Prevention

Abstract

The Heads Up: Concussions in High School Sports Program is a nationwide initiative established by the Centers for Disease Control and Prevention, which aims to reduce the risks of concussions and other severe head injuries for youth athletes. Heads Up targets schools as central distributors for concussion/head-injury awareness and prevention by educating stakeholders. The Centers for Disease Control and Prevention’s Heads Up program has joined the National Federation of State High School Association in its efforts to educate and improve awareness and management of concussion through a free online training course for stakeholders of high school sports. This course, along with other publicly available resources and toolkits, are designed and tailored to educate stakeholders of all high school sports with the purpose of assisting in the implementation of safety protocols for young athletes. The Heads Up: Concussion in High School Sports initiative is a nationwide success that encompasses multiple evidence-informed components and, therefore, prevails as an exemplary practice in sports and injury prevention programs designed for recreational activities.

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Acknowledgements

The author would like to express sincere appreciation to the key informant for this case study: Kelly Sarmiento of the National Center for Injury Prevention & Control, Centers for Disease Control in Atlanta, GA, USA—whose consultation made this project possible.

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Appendices

BRIO Model: Heads Up—Concussion in High School Sports

Group Served: The program targets high school sports coaches.

Goal: The program faims to educate and train coaches to recognize and minimize the risk of concussions and other head injuries in youth sports athletes.

Background

Resources

Implementation

Outcome

In 1984, ‘second impact syndrome’ characterized highlighting the risks of multiple concussions in a short time period

MTBI toolkit developed for health care providers following duty to implement national awareness and educational campaign for TBI after passing of the Children’s Health Act of 2000

Successful campaign disseminated 200,000 toolkits led to multimedia toolkit for high school athletic coaches

Environmental scan in March 2003

Literature reviews

April 2003 Expert Panel convened

Focus groups of high school students from two states and high school coaches from three states

Telephone survey of coaches

Partnership with the National Federation of State High School Associations

Evaluation Study

Pilot Study with coaches in five states

Comprehensive sports-related materials on concussion developed and pretested

Toolkit launched nationally September 2005

US Surgeon General, Vice Admiral Richard H. Carmona, M.D., M.P.H., F.A.C.S. a key spokesperson promoting the toolkit

Target group identified

Approach to concussion recognition and management improved

Awareness of concussion as a serious injury achieved

20,000 toolkits distributed across the United States within 3 months of launch

Internet downloads add to sustainability

Materials made accessible via the CDC website

Outreach through the media by email, telephone contacting editors and reporters

Radio interviews discussing the toolkit.

Life Space Model: Heads Up—Concussions in High School Sports

Sociocultural: civilization/community

Interpersonal: primary and secondary relationships

Physical environments: where we live

Internal states: biochemical/genetic and means of coping

Raising awareness that any concussion is a serious injury and that adolescents are more vulnerable than adults

Multiple media strategy to communicate a health-related message nationally to educate targeted audiences about concussion and its management

Toolkit available in English and Spanish

Professional networks leveraged to convene an expert panel to determine best approach and development of toolkit

Attitudinal change in perception of concussion by athletes, parents, coaches

Behavioral change by coaches in prevention education and management approach to concussion

20,000 Toolkits distributed in the national launch

Widespread, long-term dissemination of materials through the Internet

Awareness of concussion as a risk in low contact and high contact sports

Coaches acquired new skills and knowledge to recognize concussions

Empowerment of coaches to educate athletes and their parents about the severity of concussion

Coaches influenced to reinforce and emphasize injury prevention education

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Looker, H. (2020). Heads Up: Concussion in High School Sports. In: Volpe, R. (eds) Casebook of Traumatic Injury Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-27419-1_3

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  • DOI: https://doi.org/10.1007/978-3-030-27419-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27418-4

  • Online ISBN: 978-3-030-27419-1

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