Ashley B Thrasher, Stacy E Walker, Julie M Cavallario
{"title":"Newly Credentialed Athletic Trainers' Onboarding Process During the Transition to Practice.","authors":"Ashley B Thrasher, Stacy E Walker, Julie M Cavallario","doi":"10.4085/1062-6050-0073.24","DOIUrl":"10.4085/1062-6050-0073.24","url":null,"abstract":"<p><strong>Context: </strong>As new athletic trainers (ATs) transition into their roles, some employers provide orientation and onboarding to assist with the transition to practice. Research in which authors outline the ideal onboarding process for new ATs transitioning to practice is lacking.</p><p><strong>Objective: </strong>To examine the onboarding process for new ATs.</p><p><strong>Design: </strong>Grounded theory.</p><p><strong>Setting: </strong>College or university, secondary school, and hospital or clinic.</p><p><strong>Patients or other participants: </strong>Seventeen newly credentialed, employed ATs who recently graduated from professional masters' programs (11 female, 6 male; 25.6 ± 2.2 years) and 12 employers (6 female, 6 male; years in role supervising new ATs: 8.5 ± 4.9) participated in this study.</p><p><strong>Data collection and analysis: </strong>Participants were recruited via purposive sampling. Each participant was interviewed via phone using a semistructured interview guide. Employees were interviewed approximately 3, 6, 9, and 13-15 months after beginning employment. Employers were interviewed 1 time. Data saturation guided the number of participants. Data were analyzed through grounded theory, with data coded for common themes and subthemes. Trustworthiness was established via peer review, member checks, and multianalyst triangulation.</p><p><strong>Results: </strong></p><p><strong>Conclusions: </strong>Onboarding is vital in transitioning to practice for newly credentialed ATs, as it provides support and helps new employees understand and adapt to their roles. Onboarding should go beyond initial orientation and include regular meetings with supervisors, other ATs, and site visits to provide feedback and ensure new ATs adapt to their roles. New ATs should seek support from supervisors and local ATs to help better understand their role.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"70-81"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vere Borra, Niels De Brier, David C Berry, David Zideman, Eunice Singletary, Emmy De Buck
{"title":"Oral Rehydration Beverages for Treating Exercise-Associated Dehydration: A Systematic Review, Part I. Carbohydrate-Electrolyte Solutions.","authors":"Vere Borra, Niels De Brier, David C Berry, David Zideman, Eunice Singletary, Emmy De Buck","doi":"10.4085/1062-6050-0682.22","DOIUrl":"10.4085/1062-6050-0682.22","url":null,"abstract":"<p><strong>Objective: </strong>Exercise-associated dehydration is a common problem, especially at sporting events. Although recommendations have been made to drink a certain volume per kilogram body mass lost after exercise, no clear guidance about the type of rehydration beverage is available. We conducted a systematic review to assess the effectiveness of carbohydrate-electrolyte (CE) solutions as a rehydration solution for exercise-associated dehydration.</p><p><strong>Data sources: </strong>MEDLINE (via the PubMed interface), Embase, and the Cochrane Library databases were searched up until June 1, 2022.</p><p><strong>Study selection: </strong>Controlled trials involving adults and children were included when dehydration was the result of physical exercise and when drinking carbohydrate-electrolyte solutions, of any percentage carbohydrate, was compared with drinking water. All languages were included if an English abstract was available.</p><p><strong>Data extraction: </strong>Data on study design, study population, interventions, outcome measures, and study limitations were extracted from each included article. Certainty was assessed using Grading of Recommendations Assessment, Development and Evaluation.</p><p><strong>Data synthesis: </strong>Of 3485 articles screened, 19 articles in which authors assessed CE solutions (0%-9% carbohydrate) compared with water were included. Although variability was present among the identified studies, drinking 0% to 3.9% and especially 4% to 9% CE solution may be effective for rehydration.</p><p><strong>Conclusions: </strong>A potential beneficial effect of drinking CE drinks compared with water was observed for many of the reviewed outcomes. Commercial CE drinks (ideally 4%-9% CE drinks or alternatively 0%-3.9% CE drinks) could be suggested for rehydration in individuals with exercise-associated dehydration when whole foods are not available.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"34-54"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Individual and Combined Effects of Sport-Related Concussion and Anterior Cruciate Ligament Injury on Neurocognitive and Neuromechanical Reaction Time.","authors":"Ryan N Moran, Dustin R Grooms","doi":"10.4085/1062-6050-0369.24","DOIUrl":"10.4085/1062-6050-0369.24","url":null,"abstract":"<p><strong>Context: </strong>Recent epidemiological data have indicated a potential connection between sport-related concussion (SRC) and elevated anterior cruciate ligament (ACL) injury risk. Limited research exists in which authors have quantified cognitive and motor outcome measures between SRC and ACL injury history.</p><p><strong>Objective: </strong>To examine the individual and combined effects of a history of SRC and ACL injury and reconstruction (ACLR) on neurocognitive and neuromechanical function.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Research laboratory.</p><p><strong>Patients or other participants: </strong>Forty-seven recreationally active college individuals with either an injury history of SRC (n = 12), ACLR (n = 12), combination of SRC + ACLR (n = 11), or uninjured controls (n = 12).</p><p><strong>Main outcome measure(s): </strong>Participants completed a neurological battery using the C3 Logix application and TRAZER system for neuromechanical reaction time (RT). C3 Logix subtests consisted of the Trail Making Test (TMT) A, B, and B - A; simple and choice RT; and processing speed. TRAZER subtests consisted of simple, Flanker-task, and Stroop-task RT. Participants were categorized into 3 group comparisons of either (i) SRC, ACLR, SRC + ACLR, and controls, (ii) any or no SRC overall, or (iii) any or no ACLR overall.</p><p><strong>Results: </strong>No differences were demonstrated between SRC, ACLR, SRC + ACLR, and controls on TMT (P = .07-.14), neurocognitive (P = .14-.93), or neuromechanical (P = .64-.99) performance. Those with any SRC had slower TMT B - A times (P = .03), while those with any ACLR had slower TMT A (P = .02) times than those with no ACLR. No differences were noted for the TRAZER simple, Flanker, or Stroop RT for any or no SRC and ACLR groups.</p><p><strong>Conclusions: </strong>College students with a combined effect of SRC and ACLR did not differ from other groups on neurocognition and neuromechanical RT. Individuals with a history of SRC or ACLR had a worse TMT, leading to inquiry about potential long-term neurological deficits, despite no differences in those with a combined history.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"3-10"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Working With and Through Athletic Trainers to Meet Student-Athletes' Mental Performance and Mental Health Needs.","authors":"Morgan Eckenrod, Melissa K Kossman","doi":"10.4085/1062-6050-0132.24","DOIUrl":"10.4085/1062-6050-0132.24","url":null,"abstract":"<p><p>Recently, the National Collegiate Athletic Association (NCAA) has placed more attention on the mental health of student-athletes because they are experiencing mental health challenges at a higher rate than their nonathlete peers. This led the NCAA to create a mental health initiative that encouraged athletic departments to hire a mental health professional to meet the psychological needs of student-athletes. Over the last 7 years, we have seen an increase in the number of psychological providers hired in NCAA Division I athletics to meet the varying needs of student-athletes. However, most universities are only hiring 1 professional to meet the mental health and mental performance needs of student-athletes. Mental health services focus on addressing pathological mental health concerns, whereas mental performance services are designed to assist student-athletes with performance-related challenges (eg, managing performance pressures). In addition to the mental health initiative, the NCAA Transformational Committee published a report that continued to emphasize the importance of meeting the mental health needs of student-athletes but did not acknowledge mental performance services as an essential resource. Therefore, student-athletes' mental performance needs may not be met. In this paper, we call on athletic trainers to assist in advocating for more education about the differences between services and for both mental performance and mental health services to be available to student-athletes. With athletic trainers often having strong relationships with student-athletes and sport-related administrators, foundational training competencies in both mental performance and mental health, and the desire to balance improving health and performance, they are in a unique position to advocate for better educational resources and the inclusion of both mental performance and mental health services to meet the varying psychological needs of student-athletes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":"60 1","pages":"88-91"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eric J Shumski, Megan Houston Roach, Matthew B Bird, Matthew S Helton, Jackson L Carver, Timothy C Mauntel
{"title":"Movement Clearing Screens for Military Service Member Musculoskeletal Injury Risk Identification.","authors":"Eric J Shumski, Megan Houston Roach, Matthew B Bird, Matthew S Helton, Jackson L Carver, Timothy C Mauntel","doi":"10.4085/1062-6050-0396.23","DOIUrl":"10.4085/1062-6050-0396.23","url":null,"abstract":"<p><strong>Context: </strong>Pain during movement screens is a risk factor for musculoskeletal injury (MSKI). Movement screens often require specialized or clinical expertise and large amounts of time to administer.</p><p><strong>Objective: </strong>Evaluate if self-reported pain (1) with movement clearing screens is a risk factor for any MSKI, (2) with movement clearing screens is a risk factor for body region-specific MSKIs, and (3) with a greater number of movement clearing screens progressively increases MSKI risk.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Field-based.</p><p><strong>Patients or other participants: </strong>Military service members (n = 4222).</p><p><strong>Main outcome measure(s): </strong>Active-duty service members self-reported pain during movement clearing screens (Shoulder Clearing, Spinal Extension, Squat-Jump-Land). Musculoskeletal injury data were abstracted up to 180 days post-screening. A traffic light model grouped service members if they self-reported pain during 0 (Green), 1 (Amber), 2 (Red), or 3 (Black) movement clearing screens. Cox proportional hazards models adjusted for age, gender, body mass index, and prior MSKI determined the relationships between pain during movement clearing screens with any and body region-specific MSKIs.</p><p><strong>Results: </strong>Service members self-reporting pain during the Shoulder Clearing (adjusted hazard ratio and 95% confidence interval [HRadj (95% CI)] = 1.58 [1.37, 1.82]), Spinal Extension (HRadj = 1.48 [1.28, 1.87]), or Squat-Jump-Land (HRadj = 2.04 [1.79, 2.32]) tests were more likely to experience any MSKI than service members reporting no pain. Service members with pain during the Shoulder Clearing (HRadj = 3.28 [2.57, 4.19]), Spinal Extension (HRadj = 2.80 [2.26, 3.49]), or Squat-Jump-Land (HRadj = 2.07 [1.76, 2.43]) tests were more likely to experience an upper extremity, spine, back, and torso, or lower extremity MSKI, respectively, than service members reporting no pain. The Amber (HRadj = 1.69 [1.48, 1.93]), Red (HRadj = 2.07 [1.73, 2.48]), and Black (HRadj = 2.31 [1.81, 2.95]) cohorts were more likely to experience an MSKI than the Green cohort.</p><p><strong>Conclusions: </strong>Self-report movement clearing screens in combination with a traffic light model provide clinician- and nonclinician-friendly expedient means to identify service members at MSKI risk.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"11-20"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frances Tao, Charis Turner, Stephanie Kliethermes, Anthony Luke, William Berrigan, Nicolas Hatamiya
{"title":"The Association between the Social Vulnerability Index and Access to California High School Athletic Trainers.","authors":"Frances Tao, Charis Turner, Stephanie Kliethermes, Anthony Luke, William Berrigan, Nicolas Hatamiya","doi":"10.4085/1062-6050-0522-24","DOIUrl":"https://doi.org/10.4085/1062-6050-0522-24","url":null,"abstract":"<p><strong>Context: </strong>Social determinants of health are known to affect overall access to youth sports, however, it is not fully understood how multiple social determinants of health may impact access to school-based athletic training services.</p><p><strong>Objective: </strong>To determine the relationship between Social Vulnerability Index (SVI) scores on access to high school-based athletic trainers in California.</p><p><strong>Design: </strong>Retrospective, cross-sectional study.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Patients or other participants: </strong>California Interscholastic Federation (CIF) high school respondents of the 2022-23 Participation Census.</p><p><strong>Main outcome measures: </strong>Association between Social Vulnerability Index scores and access to school-based athletic trainer services.</p><p><strong>Methods: </strong>This study uses data from CIF high school respondents of the 2022-23 Participation Census. School addresses were used to extract SVI scores from the U.S. Census Bureau. Separate multivariable logistic regressions and generalized linear mixed effects models assessed the relationships between access to school-based athletic training services and SVI scores at the census and county levels.</p><p><strong>Results: </strong>There were 1,598 respondent schools (65% public, 24% private, and 11% charter). 49% of schools reported having an athletic trainer, of which 41% were certified. Adjusted analyses revealed that increased vulnerability in household characteristics was associated with lower odds of access to athletic trainers and certified athletic trainers at both county (OR: 0.89 (95% CI: 0.80, 0.99); p = .04) and census tract levels (OR: 0.93 (95% CI: 0.89, 0.97); p = .002). Increased vulnerability in socioeconomic status was associated with lower odds of having an certified athletic trainer at the census tract level (OR: 0.94 (95% CI: 0.89, 0.98); p = .006), but not the county level (p = .16).</p><p><strong>Conclusions: </strong>Increased vulnerability in household characteristics is associated with decreased odds of access to high school-based athletic training services.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shawn M F Allen, Brianna L Bartaczewicz, Annie E Molenhouse, Allen L Redinger, Nicholas J Spokely, Olivia K Anderson, Sloane A Montgomery, Grace E White, Jason R Moore, Jillian M Joyce, Breanne S Baker
{"title":"Don't Sleep on Sleep: A Case Report from a Division I Heptathlete.","authors":"Shawn M F Allen, Brianna L Bartaczewicz, Annie E Molenhouse, Allen L Redinger, Nicholas J Spokely, Olivia K Anderson, Sloane A Montgomery, Grace E White, Jason R Moore, Jillian M Joyce, Breanne S Baker","doi":"10.4085/1062-6050-0537.24","DOIUrl":"https://doi.org/10.4085/1062-6050-0537.24","url":null,"abstract":"<p><p>A female NCAA Division I track athlete experienced non-localized shin pain midway through her first season, which was diagnosed as medial tibial stress syndrome. Treatments included strengthening and range of motion exercises, reduced training volume, and pain control modalities, but symptoms worsened. It was revealed she had been suffering from severe sleep deprivation (<3 hours/night) contributing to bilateral tibial and fibular stress reactions. Months of trial and error eventually resulted in the implementation of sleep interventions which improved her total body bone mineral density and bilateral stress reactions. Two years after successful sleep interventions this athlete has remained injury-free and continues to set personal bests in her events. Our standard injury screening protocols did not include questioning sleep quality and quantity early in the process and this case highlights the need for these measures to be considered initially and throughout the treatment and recovery phases of sports-related injuries.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Service Utilization and Value at an Athletic Training Student Run Clinic for University Employees and Students.","authors":"Cynthia J Wright","doi":"10.4085/1062-6050-0561.24","DOIUrl":"https://doi.org/10.4085/1062-6050-0561.24","url":null,"abstract":"<p><strong>Context: </strong>Student-run health clinics (SRHC) are commonly utilized to provide clinical experiences to students in healthcare education programs as well as healthcare services to a target community. Recent reports on athletic training SRHCs (AT-SRHCs) with a client population of university students, employees and/or community members have reported positive patient outcomes and high patient satisfaction, however there is limited data about the treated conditions, services and value provided by AT-SRHC.</p><p><strong>Objective: </strong>To track utilization of athletic training services at a free AT-SRHC.</p><p><strong>Design: </strong>Retrospective chart review from September 2022-May 2024.</p><p><strong>Setting: </strong>University-based AT-SRHC.</p><p><strong>Patients: </strong>97 patients (52 males, 44 females, 1 not documented; age 32.6±13.7 years, range: 18-65 years old; 50 employees, 47 students).</p><p><strong>Main outcome measures: </strong>Data were extracted from an electronic medical record and scheduling software. Variables extracted included patient demographics, appointment numbers, mechanism of injury, injured body part, days since injury, injury diagnosis, injury severity, and common procedural terminology (CPT) codes. Data were analyzed descriptively.</p><p><strong>Results: </strong>Sixty-four percent (226/352) of available appointment sessions were reserved. The 3 most commonly injured body areas were the knee (n=26, 23.9%), shoulder (n=23, 21.1%), and thigh (n=13, 11.9%). The 3 most common diagnoses were sprains/strains (n=51, 46.8%), overuse conditions (e.g. epicondylitis, impingement, tendonitis; n=18, 16.5%), and nonspecific joint pain (n=22, 20.2%). The 3 most common CPT codes were for therapeutic exercise (n=136), athletic training evaluation (n=98), and manual therapy (n=78). Estimates for the total value of services range from $6,901 to $13,498 ($39.89-78.03 per session).</p><p><strong>Conclusions: </strong>Services at an AT-SRHC were utilized by a small portion of the campus population during its first 2 years of operation. Data provides preliminary insight into AT-SRHC service utilization and value. Additional organizations may benefit from developing an AT-SRHC to provide access to affordable care and student clinical experiences.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelsey J Picha, Cailee E Welch Bacon, Joy Lewis, Alison R Snyder Valier
{"title":"Athletic Trainers' Observations of Social Determinants of Health in the Secondary School Setting: A Card Study.","authors":"Kelsey J Picha, Cailee E Welch Bacon, Joy Lewis, Alison R Snyder Valier","doi":"10.4085/1062-6050-0193.24","DOIUrl":"https://doi.org/10.4085/1062-6050-0193.24","url":null,"abstract":"<p><strong>Context: </strong>Athletic trainers (ATs) are in a unique position to mitigate the negative impact of social determinants of health (SDH) in their patients. In the secondary school setting, understanding common SDH may inform strategies that reduce these impacts. However, little is known about the types of SDH that ATs observe in patients in this setting.</p><p><strong>Objective: </strong>To investigate SDH observed by ATs at the point-of-care in the secondary school setting.</p><p><strong>Design: </strong>Descriptive, observational card study.</p><p><strong>Setting: </strong>Secondary schools.</p><p><strong>Participants: </strong>Twenty-seven ATs (mean [SD] age = 29.9 (5.6) years, 23 [85.2%] female).</p><p><strong>Main outcome measure: </strong>Athletic trainers recorded SDH on a standardized observation card during patient interactions. Cards provided instructions for completion and had a 4-column table with a list of 19 predetermined SDH, a checkbox for observed SDH, a checkbox for perceived negative impact of observed SDH on patient health, and an open box to write in actions taken to address the observed SDH.</p><p><strong>Results: </strong>Overall, 676 cards with 748 observed SDH were collected from 27 secondary schools. Of those, 46.9% (351/748) were perceived to have a negative impact on patient health. The top 3 observed SDH were academic stressors (14.2%, 106/748), access to social media (12.6%, 94/748), and lack of health literacy (11.4%, 85/748). The ATs reported acting on 37.7% of negatively perceived SDH 24 through counseling and education (48.6%, 137/282), additional resources (20.6%, 58/282), referral to others (17.4%, 49/282), and communication with others (13.5%, 38/282).</p><p><strong>Conclusions: </strong>Our results indicated ATs in the secondary school setting were observing and acting to mitigate the negative impact of SDH. However, these ATs should be prepared to provide resources for patients negatively impacted by academic stressors, social media, and lack of health literacy. Resources, referrals, and additional education for patients may support a healthier community and positively impact athlete health and well-being.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erica Beidler, Elizabeth Teel, Ara J Schmitt, Grace Muccio, John H Holmes, Abigail C Bretzin
{"title":"Anxiety-Related Concussion Perceptions of Parents of Youth Athletes.","authors":"Erica Beidler, Elizabeth Teel, Ara J Schmitt, Grace Muccio, John H Holmes, Abigail C Bretzin","doi":"10.4085/1062-6050-0579.23","DOIUrl":"https://doi.org/10.4085/1062-6050-0579.23","url":null,"abstract":"<p><strong>Context: </strong>Parents are key decisionmakers for 1 the health and wellness of their children. Despite the benefits of engaging in physical activity, parental concerns about concussion may create hesitancy towards sport participation. The magnitude of concussion-related anxiety perceptions and factors that influence these beliefs in parents of youth athletes are largely unknown.</p><p><strong>Objective: </strong>To determine the prevalence of concussion-related anxiety perceptions in parents of youth athletes and establish the associations among concussion-related anxiety and demographic variables (i.e., parent sex, parent concussion history, child concussion history, parent concussion education).</p><p><strong>Design: </strong>Cross-sectional paper survey.</p><p><strong>Setting: </strong>Youth sports.</p><p><strong>Patients or other participants: </strong>452 parents (60% female; mean age = 40.4±13.0 years) of youth athletes (8-14 years old) who participated in soccer, ice hockey, lacrosse, and football (i.e., higher concussion risk sports) in Pennsylvania and Michigan.</p><p><strong>Main outcomes measures: </strong>Survey items were adapted from the Perceptions of Concussion Inventory for Athletes (PCI-A) to pertain to perceptions about their child. Parents also completed a demographic survey regarding concussion-related topics.</p><p><strong>Results: </strong>Overall, 73.2% of parents found the possibility of their child sustaining a concussion to be upsetting, 61.5% were fearful of their child sustaining a concussion, and 45.1% reported that the thought of their child having a concussion makes them feel anxious. Only 4.6% of parents suggested that concussions do not worry them. The lack of a personal concussion history and being female were associated with greater concussion-related anxiety in parents.</p><p><strong>Conclusions: </strong>This study provides evidence that parents of youth athletes have anxiety about their child sustaining a concussion, while also contributing to the understanding of what factors are related to such anxiety (i.e., female parent; no parent history of concussion). Negative parental concussion beliefs may contribute to the reduction in contact sport participation and should be directly addressed in concussion education specific to youth sport participation.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}