Evidence map›Paper›PMID 39834089›Full record

ArticleThe Journal of school health

Slipping Through the Cracks? Concussion Management in Aotearoa New Zealand Secondary Schools.

Danielle Salmon, Marelise Badenhorst, Anja Zoellner, Debbie Skilton, Kate Mossman, Patricia Lucas, Kylie Thompson, Simon Walters, Sierra Keung, Gisela Sole

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of school health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Danielle SalmonInjury Prevention and Player Welfare, New Zealand Rugby, Wellington, New Zealand.ORCID 0000-0003-1254-8308
Marelise BadenhorstSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0001-8443-9173
Anja ZoellnerSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-8860-0267
Debbie SkiltonSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0009-0004-8271-0221
Kate MossmanCentre of Health, Activity, Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-4309-4778
Patricia LucasSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-3726-6617
Kylie ThompsonSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-8257-0220
Simon WaltersSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-6467-4982
Sierra KeungSports Performance Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0001-5642-058X
Gisela SoleCentre of Health, Activity, Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-1632-0338

Funding

Otago Participatory Science Platform
6 · The paper itself

Abstract

backgroundConcussion-related guidelines appear to be inconsistently implemented in secondary schools in Aotearoa New Zealand. The purpose of this qualitative Participatory Action Research study was to describe key school stakeholders' perceptions of their current concussion management processes.

methodsSeventeen focus groups, two dyad, and nine individual interviews were conducted with stakeholders (n = 95) from six secondary schools and healthcare clinics, exploring their perceptions of barriers and facilitators to concussion management. We used thematic analysis to analyze data.

resultsOur analysis identified five overarching and inter-relating themes: Hit or miss, the need for a clear pathway; the school context; aligning attitudes and enacting values; concussion knowledge and education; and complexity of concussion. The effectiveness of concussion management in secondary school settings is shaped by the dynamic interaction of these five themes. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: These findings highlight the need to develop a context-sensitive framework that can assist schools with real-world implementation of concussion management guidelines, for both sports and non-sports related concussions.

conclusionsThe intent to support students was evident among most stakeholders yet appeared to be limited by lack of structured processes to follow, resources, unfavorable attitudes towards concussion management, and lack of knowledge.

Indexed as

Brain ConcussionSchool Health ServicesAdolescentAthletic InjuriesFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleNew ZealandQualitative ResearchSchoolsStudentsadolescentconcussionimplementationsecondary schools

Identifiers

PMID39834089
PMCPMC11969921

What OpenQuestion holds

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LicenceCC BY-NC
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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.