Consideration of evidence-based training content to strengthen coach recognition of concussion during youth sports activities.

Abstract

Objective: To synthesize requirements and recommendations addressing sport-related concussion (SRC).

Design: Qualitative study.

Setting: Scholastic and non-scholastic athletic programs.

Participants/materials: Coaches of youth 18 years and under, select Midwest state SRC laws, cross-section of athletic organizational policies and published concussion guidelines/position statements.

Data collection and analysis: Data was collected and analyzed using deductive and inductive qualitative analysis framed around the categories of education and training, removal from play and return to play. Methods for each data source varied based on the nature of the information reviewed.

Results: A comprehensive list of 44 elements relevant for youth coaches to strengthen sideline decisions (STRIDES) in recognition of SRC signs during sport.

Conclusions: The STRIDES provides synthesized recommendations targeting content relevant to supporting coach recognition of SRC signs. The STRIDES is intended as a guide to develop or refine tools for effective implementation of evidence-based practices for sideline decision makers, such as coaches, who do not have medical professionals available at the time of decision-making. STRIDES is not intended to replace the medical professional but, rather, to support the knowledge and skills of coaches to recognize signs of SRC and make informed decisions about sport participation and referral to a medical professional.