Evidence map›Paper›PMID 42429711›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2026

Shared Decision-Making Within Families About Returning to Sport After Recovery From Concussion: Exploring Parent and Adolescent Perspectives.

Emily Kroshus, Douglas J Opel, Thomas M Jinguji, Mary Kathleen Steiner, Kirsten Senturia, Frederick Rivara

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2026. 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

6 authors.

Emily KroshusDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington. Electronic address: ekroshus@u.washington.edu.
Douglas J OpelDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, Washington.
Thomas M JingujiDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, Washington; Department of Orthopedics and Sports Medicine, University of Washington School of Medicine, Seattle, Washington; Division of Orthopedics and Sports Medicine, Seattle Children's Hospital, Seattle, Washington.
Mary Kathleen SteinerCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington.
Kirsten SenturiaDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
Frederick RivaraDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington.

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
NICHD NIH HHS R21 HD098355NINDS NIH HHS R21 NS111065
6 · The paper itself

Abstract

purposeExploring the shared decision-making inputs and needs of families (parents and adolescents) about returning to sport after recovering from a sports-related concussion.

methodsIndividual interviews were conducted separately with members of 8 adolescent-parent dyads (n = 16). All adolescent participants had been diagnosed with a sports-related concussion in the past 2 years and received tertiary sports medicine care.

resultsAdolescents saw themselves as the decision-maker within the parent-clinician-adolescent triad, and parents relied on clinicians to affirm that adolescent preferences were "safe." Adolescents were largely focused on short-term benefits of returning to sport, assumed that their parents were asking clinicians the "right questions" about safety, and, in many cases, did not have what they considered to be viable alternative activities to the sport where they were injured. Parent beliefs about the benefits of sport, including the role of sport in their child's identity and the importance of sport-related goals, helped explain parent preferences for their child's return to play. DISCUSSION: Parents and adolescents had different decision inputs, and there was interdependence within families in how decision needs were met. Additional research is needed with more representative samples to further explore this complexity and how it can inform shared decision-making theory and practice.

Indexed as

Athletic InjuriesBrain ConcussionDecision MakingDecision Making, SharedParentsReturn to SportAdolescentFemaleHumansInterviews as TopicMaleAdolescentConcussionFamilyIdentityShared decisionSport

Identifiers

PMID42429711
PMCPMC13420000

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Registered trials

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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.