{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:41:03Z","timestamp":1777927263983,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"22","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>\n                    Research suggests coaches play a central role in establishing a context conducive to concussion reporting, particularly via direct verbal communication about concussion. Informed by qualitative interviews and stakeholder feedback, we developed a web-based concussion education platform for collegiate coaches (\n                    <jats:italic toggle=\"yes\">GoHuddle<\/jats:italic>\n                    ). The goal of\n                    <jats:italic toggle=\"yes\">GoHuddle<\/jats:italic>\n                    is to encourage concussion safety-supportive coach communication using behavioral modeling and experiential learning. We then conducted a pre-post survey study to examine the impact of engaging with the platform on coach concussion communication, with outcomes of: (a) expected likelihood of communicating with athletes about concussive symptom reporting; (b) expected likelihood of pressuring medical staff to return athletes to play; and (c) belief in the usefulness of engaging in the communication described in a and b (i.e., response efficacy). We also assessed feasibility and acceptability of the platform in the collegiate sport context. The platform was sent to 435 coaches at five institutions, and 334 (77%) completed surveys (70% male, 37.8 years mean age). After completing\n                    <jats:italic toggle=\"yes\">GoHuddle<\/jats:italic>\n                    , coaches had 2.5 greater odds of expecting to discuss concussion with their team (odds ratio [OR] 2.53,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Response efficacy for talking about concussion also increased significantly post-intervention (OR 3.78,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). No significant change was seen in expectancies regarding pressure on medical staff to return athletes to play \u201cas soon as possible.\u201d A high proportion (82%) of coaches would recommend this platform for coach concussion education. In conclusion, this study suggests\n                    <jats:italic toggle=\"yes\">GoHuddle<\/jats:italic>\n                    is a feasible and acceptable approach to coach concussion education, and use of this platform holds promise for shifting coach communication about concussion.\n                  <\/jats:p>","DOI":"10.1089\/neu.2021.0249","type":"journal-article","created":{"date-parts":[[2021,9,22]],"date-time":"2021-09-22T07:51:56Z","timestamp":1632297116000},"page":"3119-3125","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Effectiveness of an Education Platform (\n                    <i>GoHuddle<\/i>\n                    ) for Increasing Likelihood of Coach Concussion Communication with Athletes"],"prefix":"10.1177","volume":"38","author":[{"given":"Sara P.D.","family":"Chrisman","sequence":"first","affiliation":[{"name":"Seattle Children's Research Institute, Seattle, Washington, USA."},{"name":"University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Kroshus","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Seattle, Washington, USA."},{"name":"University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Garrett","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Gau","sequence":"additional","affiliation":[{"name":"Oregon Research Institute, Eugene, Oregon, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly G.","family":"Harmon","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dane","family":"Ramshaw","sequence":"additional","affiliation":[{"name":"Center on Brain Injury Research and Training, University of Oregon, Eugene, Oregon, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Glang","sequence":"additional","affiliation":[{"name":"Center on Brain Injury Research and Training, University of Oregon, Eugene, Oregon, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.0210"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617712000872"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-51.5.02"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518757984"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.04.011"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jlme.12148"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200401000-00003"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318291d3b3"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-48.3.20"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514521774"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.11.011"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1090198115602676"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.10.271"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515612082"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2014.957998"},{"key":"e_1_3_5_17_2","first-page":"64","article-title":"Do coaches make a difference off the field?","volume":"20","author":"Mastroleo N.R.","year":"2012","unstructured":"Mastroleo N.R., , Marzell M., , Turrisi R., , and Borsari B. (2012). Do coaches make a difference off the field?. The examination of athletic coach influence on early college student drinking. Addict. Res. Theory, 20, 64\u201371.","journal-title":"The examination of athletic coach influence on early college student drinking. Addict. Res. Theory"},{"key":"e_1_3_5_18_2","first-page":"7","article-title":"The association between coach and teammate injunctive norm reference groups and college student-athlete substance use","volume":"58","author":"Seitz C.M.","year":"2014","unstructured":"Seitz C.M., , Wyrick D.L., , Rulison K.L., , Strack R.W., , and Fearnow-Kenney M. (2014). The association between coach and teammate injunctive norm reference groups and college student-athlete substance use. J. Alcohol Drug Educ. 58, 7\u201326.","journal-title":"J. Alcohol Drug Educ"},{"key":"e_1_3_5_19_2","first-page":"1","article-title":"Developing a conceptual model of coach concussion communication by adapting the theory of planned behavior and the social ecological model","author":"Chrisman S.P.","year":"2021","unstructured":"Chrisman S.P., , Gomez D., , Kroshus E., , Mayer C.V., , Garrett K., , Ramshaw D., , and Glang A. (2021). Developing a conceptual model of coach concussion communication by adapting the theory of planned behavior and the social ecological model. J. Am. Coll. Health. 1\u20138.","journal-title":"J. Am. Coll. Health"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000272"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000137"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1090198115602676"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-014-9683-y"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/03637759209376276"},{"key":"e_1_3_5_25_2","doi-asserted-by":"crossref","unstructured":"Mezirow J. (1981). A critical theory of adult learning and education. Adult Educ. .","DOI":"10.1177\/074171368103200101"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/1090198119864621"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0635-3"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0009922811410970"},{"key":"e_1_3_5_29_2","first-page":"IN","article-title":"2014-15 NCAA Sports Medicine Handbook, 25th ed","author":"National Collegiate Athletic Association","year":"2014","unstructured":"National Collegiate Athletic Association. (2014). 2014-15 NCAA Sports Medicine Handbook, 25th ed. NCAA Publications, Indianapolis, IN.","journal-title":"NCAA Publications, Indianapolis,"}],"container-title":["Journal of Neurotrauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/neu.2021.0249","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/neu.2021.0249","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/neu.2021.0249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:39:16Z","timestamp":1777675156000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/neu.2021.0249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":28,"journal-issue":{"issue":"22","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1089\/neu.2021.0249"],"URL":"https:\/\/doi.org\/10.1089\/neu.2021.0249","relation":{},"ISSN":["0897-7151","1557-9042"],"issn-type":[{"value":"0897-7151","type":"print"},{"value":"1557-9042","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}