Evidence map›Paper›PMID 42835470›Full record

ReviewJSAMS plus2026

Mahi tahi (working together) and the lessons learned from implementating a concussion management pathway for community rugby in New Zealand: Haerenga (our journey).

Danielle M Salmon, Marelise Badenhorst, Zachary Yukio Kerr, Chris Whatman, James Brown, Janelle Romanchuk, Johna Register-Mihalik, Simon Walters, Gisela Sole, Ian Murphy and 1 more

Abstract readReview
In one paragraph

Review in JSAMS plus, 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

11 authors.

Danielle M SalmonNew Zealand Rugby, PO Box 2172, Wellington, 6140, New Zealand.
Marelise BadenhorstNew Zealand Rugby, PO Box 2172, Wellington, 6140, New Zealand.
Zachary Yukio KerrMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Chris WhatmanSports Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, New Zealand.
James BrownCarnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
Janelle RomanchukNew Zealand Rugby, PO Box 2172, Wellington, 6140, New Zealand.
Johna Register-MihalikMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Simon WaltersSports Research Institute New Zealand, School of Sport and Recreation, Auckland University of Technology, New Zealand.
Gisela SoleCentre of Health, Activity, Rehabilitation Research, School of Physiotherapy, University of Otago, Box 56, Dunedin, 9054, New Zealand.
Ian MurphyNew Zealand Rugby, PO Box 2172, Wellington, 6140, New Zealand.
Karen RasmussenNew Zealand Rugby, PO Box 2172, Wellington, 6140, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Concussion guidelines are widely available, but implementing them consistently in community sport remains difficult. Common barriers include limited access to medical care, reliance on volunteers, fragmented communication, and sporting cultures that may discourage reporting. In response, New Zealand Rugby developed and refined over multiple seasons, a community Concussion Management Pathway (CMP), to operationalise World Rugby's principles of 'Recognise and Remove' in real-world community settings. This editorial reflects on lessons learned from the design, implementation, and iterative refinement of the CMP over multiple seasons. Rather than evaluating effectiveness, we focus on the practical realities of implementation within a complex community sport system. Key lessons learned include the importance of co-design with stakeholders, adapting elite-derived processes to community capacity, balancing standardisation with flexibility, and recognising the complexity associated with baseline testing, technology use, and navigating primary healthcare pathways. The role of education, role clarity, and systems-level communication in shaping concussion reporting and management behaviours are also explored. Our experiences highlight that in community sport concussion interventions must be treated as living systems, requiring ongoing adaptation to local context, resources, and cultures. The lessons outlined provide transferable insights for researchers, sporting organisations, and policy-makers seeking to design, implement, or scale concussion prevention and management initiatives across community sport.

Indexed as

Implementation scienceIntervention adaptationKnowledge translationSystems thinking

Identifiers

PMID42835470
PMCPMC13635942

What OpenQuestion holds

Textmetadata
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.