Evidence map›Paper›PMID 36694461›Full record

Trial reportJournal of neurotrauma2023

Randomized Evaluation of Centers for Disease Control and Prevention HEADS UP Concussion Education Materials for Youth Sport Coaches.

Emily Kroshus, Hong Zhou, Rebecca Ledsky, Kelly Sarmiento, Lara DePadilla

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurotrauma, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Understanding Concussion Knowledge in Urban Community Settings: Perspectives of School Nurses and Youth Athletic Program Leaders.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Article
  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

5 authors at 4 institutions in 1 country.

Emily KroshusDepartment of Pediatrics, Seattle Children's Research Institute, Center for Child Health, Behavior and Development, University of Washington, Seattle, Washington, USA.
Hong ZhouCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC), Division of Injury Prevention, Atlanta, Georgia, USA.
Rebecca LedskyFHI 360, Washington, DC, USA.
Kelly SarmientoCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC), Division of Injury Prevention, Atlanta, Georgia, USA.
Lara DePadillaCenters for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC), Division of Overdose Prevention, Atlanta, Georgia, USA.
Centers for Disease Control and Prevention · USFamily Health International 360 · USNational Center for Injury Prevention and Control · USSeattle Children's Hospital · US

Funding

Multilevel Outcome Evaluation of the CDC Heads Up Concussion Initiative in Youth SportsU01CE002642 · CE · FAMILY HEALTH INTERNATIONAL · PI LEDSKY, REBECCA ANN · 2015 to 2017
$1.6M
Intramural CDC HHS CC999999NCIPC CDC HHS U01 CE002642
6 · The paper itself

Abstract

The Centers for Disease Control and Prevention (CDC) HEADS UP youth sports coach materials are the most widely adopted form of concussion education for coaches across the United States-reaching millions of youth sports coaches over the last decade. These materials focus on concussion symptom identification, response, and management (e.g., return to school and sports), while also addressing the importance of communicating to athletes and their families about concussion safety. The purpose of this study was to assess the effectiveness of CDC HEADS UP materials on coach knowledge and communication with youth athletes about concussion safety. This is the first randomized control study of the CDC HEADS UP materials in real world youth sport conditions. Participants were 764 coaches at 15 YMCA associations. Cluster randomization was used to assign branches within associations to intervention (CDC HEADS UP) and control (treatment as usual) conditions. Coaches completed surveys prior to and at the end of the competitive season. Communication with athletes about concussion increased among coaches in the intervention group (adjusted risk ratio [aRR] = 1.24, 95% confidence interval [CI] = 1.14, 1.36) but not the control group (aRR = 1.09, 95% CI = 0.90, 1.31), in multi-variate analyses controlling for coach demographic characteristics and baseline communication practices. Concussion symptom knowledge and communication intentions also significantly increased in the intervention group but not in the control group. This study provides evidence that CDC HEADS UP materials increase the likelihood that youth sport coaches communicate with their athletes about concussion safety. As youth sports organizations increasingly mandate concussion education for coaches, CDC HEADS UP materials may be considered a leading resource for adoption and setting-relevant implementation.

Indexed as

Athletic InjuriesBrain ConcussionSportsYouth SportsAdolescentAthletesCenters for Disease Control and Prevention, U.S.HumansUnited Statesbrain injurycoach educationconcussionsport

Identifiers

PMID36694461
PMCPMC10440241
OpenAlexW4317911827

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.