Evidence map›Paper›PMID 39037366›Full record

ArticleClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine2025

Shared Decision-Making About Returning to Sport After Recovery From Pediatric Concussion: Clinician Perspectives.

Emily Kroshus-Havril, Douglas J Opel, Thomas M Jinguji, Mary Kathleen Steiner, Kirsten Senturia, James P MacDonald, Christina L Master, Christopher C Giza, Monique S Burton, Celeste Quitiquit and 3 more

Abstract read
In one paragraph

Article in Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Shared Decision-Making Within Families About Returning to Sport After Recovery From Concussion: Exploring Parent and Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    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

13 authors.

Emily Kroshus-HavrilUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA.ORCID 0000-0002-7484-2601
Douglas J OpelUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA.
Thomas M JingujiUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA.
Mary Kathleen SteinerSeattle Children's Research Institute, Center for Child Health, Behavior and Development, Seattle, WA.
Kirsten SenturiaUniversity of Washington, School of Public Health, Seattle, WA.
James P MacDonaldNationwide Children's Hospital, Sports Medicine, Columbus, OH.
Christina L MasterChildren's Hospital of Philadelphia, Sports Medicine and Performance Center, Philadelphia, PA.
Christopher C GizaDavid Geffen School of Medicine and UCLA Mattel Children's Hospital, Departments of Pediatrics and Neurosurgery, Los Angeles, CA; and.
Monique S BurtonUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA.
Celeste QuitiquitUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA.
Brian J KrabakUniversity of Washington School of Medicine, Department of Orthopedics and Sports Medicine, Seattle, WA.
Jeanette P KotchUniversity of Washington School of Medicine, Department of Orthopedics and Sports Medicine, Seattle, WA.
Frederick P RivaraUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA.

Funding

Developing a tool to support shared decision making post-concussion between adolescents, parents and cliniciansR21HD098355 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI KROSHUS, EMILY GRACE · 2020 to 2021
$439k
Developing an implementation strategy for post-concussion communication with low health literacy parents in the emergency departmentR21NS111065 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI KROSHUS, EMILY GRACE · 2019 to 2020
$413k
Eunice Kennedy Shriver National Institute of Child Health and Human Development R21NS111065NICHD NIH HHS R21 HD098355NINDS NIH HHS R21 NS111065
6 · The paper itself

Abstract

objectiveDescribe how sports medicine clinicians support decision making about sport participation after concussion recovery with adolescent patients and their parents. Specific areas of inquiry related to how clinicians framed the decision, what factors they considered in how they approached the decision process, and how they navigated discordance within families.

designQualitative study.

settingTertiary care sports medicine clinics at 4 children's hospitals in the United States.

participantsIndividual interviews were conducted with 17 clinicians practicing in sports medicine settings.

interventionsN/A.

main outcome measuresSemi-structured interviews explored clinician approaches to supporting decision making, with the question guide informed by components of the Ottawa Decision Support Framework.

resultsClinicians routinely incorporated aspects of shared decision making (SDM) into their conversations with families. This included ensuring all parties were informed about risk and aligned behind a shared value of adolescent well-being. Mediation strategies were used to manage discordance between adolescents and their parents, and between parents. These strategies aimed to facilitate a decision that was adolescent centered. When clinicians believed that there was a medical benefit to modifying the adolescent's sport participation practices, or when they did not believe the athlete was psychologically ready to return to the sport in which they were injured, they initiated conversations about alternative activities. In such situations, they used persuasive communication practices to encourage families to strongly consider this option.

conclusionThe strengths and strategies used by sports medicine clinicians in this study provide a foundation for guidance or intervention development aimed at supporting SDM after concussion with adolescents and their families.

Indexed as

Brain ConcussionDecision Making, SharedParentsQualitative ResearchReturn to SportSports MedicineAdolescentAthletic InjuriesChildFemaleHumansInterviews as TopicMale

Identifiers

PMID39037366
PMCPMC11693492

What OpenQuestion holds

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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.