ArticleJournal of athletic training2020
Challenges Faced by Collegiate Athletic Trainers, Part II: Treating Concussed Student-Athletes.
Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Rapid accommodations for university students with concussion are feasible: nationwide return-to-learn perspectives of accessibility staff.Frontiers in neurology · 2026Article
- Secondary School Athletic Trainers' Experiences Managing Workplace Organizational-Professional Conflict.Journal of athletic training · 2024Article
- Concussion is a temporary disability: rethinking mild traumatic brain injury in sports medicine.Frontiers in neurology · 2024Article
- Commentary: Establishing the college Return to Learn team for concussion: a practical approach.Frontiers in public health · 2023Article
- Secondary School Athletic Trainers' Experiences With Organizational Conflict: A Comparison Across Employment Models.Journal of athletic training · 2022Article
- Collegiate Athletic Trainers' Experiences With External Pressures Faced During Decision Making.Journal of athletic training · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextConflict between athletic trainers (ATs) and other stakeholders can occur because of competing interests over medical decisions regarding concussion. However, we are unaware of any studies specifically exploring these situations across various collegiate athletic affiliations.
objectiveTo investigate the challenges faced by ATs when treating concussed student-athletes.
designQualitative study.
settingOnline questionnaire. PATIENTS OR OTHER
participantsA total of 434 ATs (267 women, 166 men, 1 missing data; age = 27.73 ± 3.24 years, experience = 5.17 ± 2.67 years) completed the questionnaire (response rate = 14.47%). Our participants represented multiple employment settings within intercollegiate athletics. DATA COLLECTION AND ANALYSIS: We sent an online questionnaire to 3000 ATs working in the collegiate and university setting across the United States. A survey expert verified face, content, and construct validity of the questionnaire in 2 rounds of review, and 3 ATs completed a content-validity tool before we finalized the survey. We analyzed the qualitative data using a general inductive approach and ensured trustworthiness through multiple-analyst triangulation and peer review.
resultsWhen we examined the responses from our participants regarding their work with student-athletes who had sustained concussions, we found 2 major themes, each with subthemes. First, educational efforts appeared to be only modestly effective because of a lack of honesty, noncompliant actions, and coach interference. Second, return to learn was challenging because of a lack of communication among stakeholders, athletes being anxious about needing accommodations, and difficulty convincing faculty to provide reasonable accommodations.
conclusionsBased on our findings, we recommend continued efforts to improve the culture surrounding concussion in collegiate athletes. Athletic trainers should include key stakeholders such as coaches, student-athletes, parents, faculty, and other educational administrators in their educational efforts to improve the policies and culture surrounding concussion treatment.
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