Utilisation of New Zealand Rugby's concussion management pathway: A mixed methods investigation.

Autor:	Salmon, Danielle M., Badenhorst, Marelise, Keung, Sierra, Kerr, Zachary Yukio, Register‐Mihalik, Johna K., Romanchuk, Janelle, Sullivan, S. John, Sutherland, Christina, Whatman, Chris, Walters, Simon R.
Předmět:	BRAIN concussion prevention MEDICAL protocols PATIENT compliance PSYCHOLOGY of athletes PUBLIC health surveillance COMMUNITY health services HEALTH literacy HEALTH services accessibility RESEARCH funding INTERVIEWING DESCRIPTIVE statistics SEVERITY of illness index THEMATIC analysis RESEARCH methodology COMMUNICATION INTERPERSONAL relations RUGBY football injuries BRAIN concussion
Zdroj:	European Journal of Sport Science; Dec2024, Vol. 24 Issue 12, p1883-1902, 20p
Abstrakt:	Concerns around concussion highlight the need for strategies to improve the implementation and translation of concussion guidelines in community sports. This study assessed players' utilisation and compliance with New Zealand Rugby's Concussion Management Pathway (CMP). This pragmatic, mixed methods study comprised of concussion injury surveillance and mapping of players' healthcare touchpoints through the CMP. Semi‐structured interviews were conducted to understand stakeholders' experiences. Over the season, 27 different healthcare pathways were identified with 28% of players progressing through all phases of the CMP (ideal pathway). Of the 206 suspected concussions reported over the season, 70% were logged in the CMP phone App, and 89% of these had an associated valid baseline concussion assessment. Prior to returning to contact training, 64% of players obtained a medical clearance. One theme, 'belief in the value of pathway' was identified as a facilitator across all CMP components. Themes such as 'concussion knowledge and the nature of concussion'; 'communication between stakeholders and sufficient information on the process'; and 'strong relationships and clarity around responsibilities' were identified as facilitators across several pathway components. Other facilitators included 'ease and timing of general practitioner access'; 'the phone App as facilitator to logging'; and 'spotting for concussion as a team'. Additionally, the findings signify baseline testing as a potential pre‐cursor to overall CMP compliance. Strategies that support the facilitators identified in this study may further enhance compliance. Highlights: Many barriers to optimal concussion management exist at the community level rugby. In response, New Zealand Rugby developed and implemented a community concussion management pathway (CMP) to support improved recognition, diagnosis and management of concussion.Not all concussion management barriers are easily surmountable; nonetheless, many success stories also exist. Purposefully identifying and setting strategies in place that support and cultivate facilitators to optimal CMP use may assist in more players following the ideal pathway.The study found that stakeholders who prioritise player welfare and other facilitators like concussion knowledge, communication, strong relationships, role clarity and players attending a baseline assessment contributed to creating a successful journey through the CMP. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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