Evidence map›Paper›PMID 36113984›Full record

Trial reportInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2023

Concussion education for youth athletes using Pre-Game Safety Huddles: a cluster-randomised controlled trial.

Emily Kroshus, Sara P D Chrisman, Ann Glang, Tamerah Hunt, Rachel Hays, Sarah Lowry, Alexis Peterson, Kimberly Garrett, Dane Ramshaw, Kiana Hafferty and 6 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04099329 (One Team), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04099329 nacompletednot on this map

One Team: Changing the Culture of Youth Sport With Pregame Safety Huddles

TypeinterventionalSponsorSeattle Children's HospitalRan2019 to 2020Enrolled500ConditionsConcussion, BrainArmsPre-game Safety Huddles
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Emily KroshusDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA ekroshus@u.washington.edu.ORCID 0000-0002-7484-2601
Sara P D ChrismanDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.ORCID 0000-0001-5373-7223
Ann GlangCenter of Brain Injury, Research and Training, University of Oregon, Eugene, Oregon, USA.
Tamerah HuntDepartment of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, Georgia, USA.
Rachel HaysCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Sarah LowryCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Alexis PetersonNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-3033-0177
Kimberly GarrettCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Dane RamshawCenter of Brain Injury, Research and Training, University of Oregon, Eugene, Oregon, USA.
Kiana HaffertyCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Erin KinneyOregon Health & Science University School of Medicine, Portland, Oregon, USA.
Maria ManzuetaCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Mary Kathleen SteinerCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Beth J BollingerCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
George ChiampasUnited States Soccer Federation, Chicago, Illinois, USA.
Frederick P RivaraDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Seattle Children's Hospital · USUniversity of Oregon · USCenters for Disease Control and Prevention · USGeorgia Southern University · USOregon Health & Science University · US

Funding

One Team: Changing the culture of youth sportU01CE002880 · CE · SEATTLE CHILDREN'S HOSPITAL · PI CHRISMAN, SARA P.D., KROSHUS, EMILY GRACE · 2017 to 2019
$1.6M
ACL HHS U01CE002880NCIPC CDC HHS U01 CE002880
6 · The paper itself

Abstract

objectivesDetermine whether Pre-Game Safety Huddles, a novel and low-resource approach to concussion education, increase the expected likelihood of concussion reporting for youth athletes.

methodsA cluster-randomised trial compared Safety Huddles to usual care. Safety Huddles bring together athletes and coaches from both teams before the start of each game for coaches to briefly affirm the importance of speaking up if a concussion is suspected. Participants were athletes from 22 competitive community-based American football and girls and boys soccer teams (ages 9-14), and randomisation into intervention or control occurred at the level of the bracket (group of teams that compete against each other during the regular season). The primary outcome was expected likelihood of reporting concussion symptoms to the coach, measured via validated athlete survey at the beginning and end of the season.

resultsOf 343 eligible participants, 339 (99%) completed baseline surveys and 303 (88%) completed surveys at season end. The mean (SD) age was 11.4 (1.1) years, 26% were female soccer athletes, 27% were male soccer athletes and 47% were football athletes. In adjusted analyses accounting for baseline values and clustering by sport and team via random effects, expected likelihood of concussion reporting at the end of the season was significantly higher in the intervention group compared to controls (mean difference=0.49, 95% CI 0.11 to 0.88; Cohen's d=0.35). CONCLUSIONS AND RELEVANCE: Pre-Game Safety Huddles increased the expected likelihood of athletes reporting concussion symptoms. While further study is warranted, sport organisations should consider this approach a promising low-resource option for improving concussion safety in their setting. TRIAL REGISTRATION NUMBER: NCT04099329.

Indexed as

Athletic InjuriesBrain ConcussionFootballSoccerAdolescentAthletesChildFemaleHumansMaleBehavior ChangeConcussionHealth EducationRandomized TrialRecreation / Sports

Identifiers

PMID36113984
PMCPMC9877103
OpenAlexW4296074418

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.