What Do Parents Need to Know About Concussion? Developing Consensus Using the Delphi Method

被引:11
作者
Kroshus, Emily [1 ,2 ,3 ]
Chrisman, Sara P. D. [1 ,2 ,3 ]
Harmon, Kimberly G. [4 ,5 ]
Herring, Stanley A. [5 ,6 ,7 ]
Broglio, Steven P. [8 ,9 ,10 ]
Master, Christina L. [11 ]
McGill, Catherine A. [12 ,13 ]
Putukian, Margot [14 ]
Register-Mihalik, Johna K. [15 ]
Rivara, Frederick P. [1 ,2 ,3 ]
机构
[1] Seattle Childrens Res Inst, Ctr Child Hlth Behav & Dev, Seattle, WA USA
[2] Univ Washington, Dept Pediat, 2001 8th Ave,Ste 400, Seattle, WA 98121 USA
[3] Harborview Injury Prevent & Res Ctr, Seattle, WA USA
[4] Univ Washington, Dept Family Med, Seattle, WA 98121 USA
[5] Univ Washington, Dept Orthopaed & Sports Med, Seattle, WA 98121 USA
[6] Univ Washington, Dept Neurol Surg, Seattle, WA 98121 USA
[7] Univ Washington, Dept Rehabil Med, Seattle, WA 98121 USA
[8] Univ Michigan, Sch Kinesiol, Ann Arbor, MI 48109 USA
[9] Univ Michigan, Dept Neurol, Ann Arbor, MI USA
[10] Univ Michigan, Dept Phys Med & Rehabil, Ann Arbor, MI USA
[11] Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
[12] George Washington Univ, Sch Med, Washington, DC USA
[13] Childrens Natl Hlth Syst, Washington, DC USA
[14] Princeton Univ, Princeton, NJ 08544 USA
[15] Univ N Carolina, Dept Exercise & Sport Sci, Chapel Hill, NC 27515 USA
来源
CLINICAL JOURNAL OF SPORT MEDICINE | 2021年 / 31卷 / 02期
关键词
Delphi panel; concussion; parent; shared decision-making; sport; SPORTS-RELATED CONCUSSION; TRAUMATIC BRAIN-INJURY; SHARED DECISION-MAKING; YOUTH SPORTS; KNOWLEDGE; CHILDREN; PERCEPTIONS; ATTITUDES; FOOTBALL; PARTICIPATION;
D O I
10.1097/JSM.0000000000000702
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective: Many schools and sports leagues provide preseason concussion education to parents/guardians, and in some jurisdictions, it is required for interscholastic sports participation. However, directives about content are absent or vague. The purpose of this study was to obtain expert consensus about what parents/guardians need to know to about concussion. Design: A modified Delphi process with nationally recognized expert panel members was used to obtain consensus about parent/guardian behaviors relevant to concussion prevention, identification, and management and knowledge domains relevant to performance of those behaviors. Results: Sixteen parent/guardian behaviors and 24 knowledge domains were identified. However, consensus was not achieved regarding whether it is realistic to expect parents/guardians to perform approximately one-third of the behaviors that experts agreed mattered. This variability may reflect underlying uncertainty about the capacities of some parents/guardians to put knowledge into action or the belief that there are other barriers to action. Furthermore, for most knowledge domains, there was a lack of agreement about whether or not there could be a "correct" answer on the basis of current scientific knowledge. Conclusions: These findings raise practical and ethical questions: how can we expect parents/guardians to help prevent, identify, or manage concussion if they cannot have all the information required to engage in these behaviors due to lack of scientific consensus? This issue is not unique to concussion. Best practices for risk communication and shared decision-making can inform how we think about educating parents/guardians about concussion inside and outside of the health care setting.
引用
收藏
页码:139 / 144
页数:6
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