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Concussion Assessment in California Community College Football

其他書名	Athletic Trainers' Strides Toward a Safer Return to Play
出版	University of California, Davis, 2010
URL	http://books.google.com.hk/books?id=BNx80AEACAAJ&hl=&source=gbs_api

註釋The purpose of this mixed method study was to compare current practices of athletic trainers in the management of concussion in football at California Community Colleges (CCC) with the concussion management guidelines set forth by the National Athletic Trainers Association (NATA). The study also set out to gain understanding of why some athletic trainers comply with best practices in concussion management, such as performing baseline testing, while others do not. In the first phase of the research, telephone surveys were conducted with 64 of 72 CCC athletic trainers (all at colleges with football teams). The second part of the research consisted of follow-up in-depth interviews with eight of the athletic trainers at their corresponding work sites. Quantitative data was analyzed utilizing descriptive statistics, correlations, and multiple regression utilizing SPSS. Qualitative data was systematically analyzed and synthesized into corresponding themes. The results of this research indicated that 71% of CCC athletic trainers surveyed are not currently conducting baseline testing. Further, number of years practicing as an athletic trainer negatively correlated with frequency of obtaining cognitive baselines. At the sideline, informal cognitive assessment was performed by half of the study's subjects, while approximately one third incorporated a standardized assessment. Methods of assessment for return to play also varied. Those subjects in the study who conducted baseline testing considered it part of providing the best care for athletes, linking it to meeting "the gold standard" in concussion management. Themes identified for not conducting baseline testing included time constraints, and viewing baseline testing as an unnecessary component of a concussion management program. Respondents reported on pressure to return an athlete to play, frequency of receiving concussion education and amount of workload. Results of these variables are discussed as they relate to concussion assessment and return to play practices. Recommendations are offered that include the creation of a system-wide approach to concussion management that reflects best practices, including baseline testing of athletes in all contact sports at California Community Colleges.