{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T01:29:02Z","timestamp":1794533342221,"version":"4.9.1"},"reference-count":29,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:00:00Z","timestamp":1582761600000},"content-version":"unspecified","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2020,2,14]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>A massive open online course (MOOC) has the potential to help address the public health burden of concussion across all levels of sport and leisure activities. The main objectives of this study were to document the volume of participation and to estimate the impact of a MOOC on concussion protocol implementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Between April 2016 and October 2018, four editions of a French-language MOOC on concussion were presented. Each of the six modules contains a section presenting the main learning content and a section proposing a reflective process to support the implementation of a concussion protocol in the participant\u2019s environment. The proportion of registrants who achieved successful completion of the course was the main outcome. Surveys were also used to document the types of participants and their intent to implement or update a protocol.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirty per cent of 8368 registrants successfully completed the course. Of the 3061 participants who completed a survey about their background, 58.8% were healthcare professionals, 16.3% were sport or school stakeholders, and 10.1% were parents or persons who sustained a concussion. Of the 1471 participants who completed a survey about their intent to implement or update a concussion protocol in their environment, 39.4% answered positively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study describes the first use of a MOOC to address the issue of concussion. The experience of a French-language MOOC shows promising results supporting the use of this innovative educational strategy as part of the solution to the public health issue of concussion.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2019-000700","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T04:15:16Z","timestamp":1582863316000},"page":"e000700","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Could a massive open online course be part of the solution to sport-related concussion? Participation and impact among 8368 registrants"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2810-8382","authenticated-orcid":false,"given":"Pierre","family":"Fremont","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Laval University, Quebec, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Schneider","sequence":"additional","affiliation":[{"name":"Sport Injury Prevention Research Centre and Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Laroche","sequence":"additional","affiliation":[{"name":"Education Support Office, Laval University, Quebec, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Emery","sequence":"additional","affiliation":[{"name":"Sport Injury Prevention Research Centre and Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Yeates","sequence":"additional","affiliation":[{"name":"Departments of Psychology, Pediatrics, and Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,27]]},"reference":[{"key":"2025083111045821000_6.1.e000700.1","doi-asserted-by":"publisher","DOI":"10.1111\/jlme.12146"},{"key":"2025083111045821000_6.1.e000700.2","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.jpeds.2016.10.067","article-title":"Annual and seasonal trends in ambulatory visits for pediatric concussion in Ontario between 2003 and 2013","volume":"181","author":"Zemek","year":"2017","journal-title":"J Pediatr"},{"key":"2025083111045821000_6.1.e000700.3","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"2025083111045821000_6.1.e000700.4","unstructured":"Parachute . Canadian guideline on concussion in sport, 2017. Available: http:\/\/www.parachutecanada.org\/injury-topics\/item\/canadian-guideline-on-concussion-in-sport"},{"key":"2025083111045821000_6.1.e000700.5","unstructured":"Policy Surveillance Program at Temple University . Youth sports traumatic brain injury laws. Available: http:\/\/lawatlas.org\/datasets\/sc-reboot"},{"key":"2025083111045821000_6.1.e000700.6","first-page":"201","article-title":"An incomplete pass: inadequacies in Ohio\u2019s youth concussion legislation and the ongoing risk for players","volume":"28","author":"Kane","year":"2015","journal-title":"J Law Health"},{"key":"2025083111045821000_6.1.e000700.7","first-page":"99","article-title":"Do ethics demand evaluation of public health laws? Shifting scientific sands and the case of youth sports-related traumatic brain injury laws","volume":"19","author":"Lowrey","year":"2016","journal-title":"J Health Care Law Policy"},{"key":"2025083111045821000_6.1.e000700.8","unstructured":"Ministry of Education of Ontario (Canada) . Policy\/program memorandum No.158: school board policies on concussion, 2014. Available: http:\/\/www.edu.gov.on.ca\/extra\/eng\/ppm\/158.pdf"},{"key":"2025083111045821000_6.1.e000700.9","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1017\/cjn.2016.41","article-title":"Experience with Canada\u2019s first policy on concussion education and management in schools","volume":"43","author":"Hachem","year":"2016","journal-title":"Can J Neurol Sci"},{"key":"2025083111045821000_6.1.e000700.10","unstructured":"Legislative Assembly of the Province of Ontario . Rowan\u2019s Law (Concussion Safety), 2018. Available: https:\/\/www.ontario.ca\/laws\/statute\/S18001 [Accessed Jan 2020]."},{"key":"2025083111045821000_6.1.e000700.11","doi-asserted-by":"crossref","first-page":"i68","DOI":"10.1136\/bjsm.2009.058180","article-title":"Knowledge transfer principles as applied to sport concussion education","volume":"43 Suppl 1","author":"Provvidenza","year":"2009","journal-title":"Br J Sports Med"},{"key":"2025083111045821000_6.1.e000700.12","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1111\/tct.12703","article-title":"Enabling honest reflection: a review","volume":"14","author":"Gostelow","year":"2017","journal-title":"Clin Teach"},{"key":"2025083111045821000_6.1.e000700.13","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-092099"},{"key":"2025083111045821000_6.1.e000700.14","unstructured":"College of Family Physicians of Canada and Canadian Academy of Sport and Exercise Medicine . Joint Position statement\u2014the role of family physicians and physicians with added competencies in sport and exercise medicine in a public health approach to concussions. Available: https:\/\/www.cfpc.ca\/Concussions_Position_Statement\/"},{"key":"2025083111045821000_6.1.e000700.15","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093961"},{"key":"2025083111045821000_6.1.e000700.16","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.3439","article-title":"Massive open online courses on health and medicine: review","volume":"16","author":"Liyanagunawardena","year":"2014","journal-title":"J Med Internet Res"},{"key":"2025083111045821000_6.1.e000700.17","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-095986"},{"key":"2025083111045821000_6.1.e000700.18","doi-asserted-by":"crossref","DOI":"10.1186\/s12909-015-0344-z","article-title":"Relationship between participants\u2019 level of education and engagement in their completion of the Understanding Dementia Massive Open Online Course","volume":"15","author":"Goldberg","year":"2015","journal-title":"BMC Med Educ"},{"key":"2025083111045821000_6.1.e000700.19","doi-asserted-by":"crossref","first-page":"603","DOI":"10.2147\/AMEP.S115321","article-title":"Advances in medical education and practice: role of massive open online courses","volume":"8","author":"Goldberg","year":"2017","journal-title":"Adv Med Educ Pract"},{"key":"2025083111045821000_6.1.e000700.20","unstructured":"Laval University, MonPortail, 2016. Available: https:\/\/www.youtube.com\/watch?v=3lGfEI8-D2Q"},{"key":"2025083111045821000_6.1.e000700.21","unstructured":"Laval University . Nos formations en ligne gratuites, 2020. Available: http:\/\/www.ulaval.ca\/mooc"},{"key":"2025083111045821000_6.1.e000700.22","unstructured":"Canadian Concussion Collaborative . A roadmap for developing and implementing concussion management policies and protocols in sport, 2016. Available: https:\/\/casem-acmse.org\/wp-content\/uploads\/2018\/07\/Booklet-RoadMap-2016-E-Final.pdf"},{"key":"2025083111045821000_6.1.e000700.23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fpubh.2013.00059","article-title":"Massive open online courses in public health","volume":"1","author":"Gooding","year":"2013","journal-title":"Front Public Health"},{"key":"2025083111045821000_6.1.e000700.24","doi-asserted-by":"crossref","first-page":"133","DOI":"10.19173\/irrodl.v15i1.1651","article-title":"Initial trends in enrolment and completion of massive open online courses The International Review of Research in Open and Distributed Learning","volume":"15","author":"Jordan","year":"2014","journal-title":"IRRODL"},{"key":"2025083111045821000_6.1.e000700.25","doi-asserted-by":"crossref","first-page":"138","DOI":"10.18162\/ritpu-2015-v12n2-06","article-title":"Trois strat\u00e9gies pour favoriser l\u2019engagement des participants \u00e0 un MOOC","volume":"12","author":"Karsenti","year":"2015","journal-title":"Revue internationale des technologies en p\u00e9dagogie universitaire"},{"key":"2025083111045821000_6.1.e000700.26","unstructured":"Statistics Canada . Language Highlight Tables, 2016 Census. Available: http:\/\/www12.statcan.gc.ca\/census-recensement\/2016\/dp-pd\/hlt-fst\/lang\/Table.cfm?Lang=E&T=21&Geo=00"},{"key":"2025083111045821000_6.1.e000700.27","unstructured":"Wikipedia . World language, 2019. Available: https:\/\/en.wikipedia.org\/wiki\/World_language"},{"key":"2025083111045821000_6.1.e000700.28","unstructured":"Schneider K , Fremont P . Free MOOC on concussion at the University of Calgary, 2019. Available: https:\/\/blogs.bmj.com\/bjsm\/2019\/07\/24\/free-mooc-on-concussion-at-the-university-of-calgary\/"},{"key":"2025083111045821000_6.1.e000700.29","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1080\/0142159X.2017.1322189","article-title":"Twelve tips for developing and delivering a massive open online course in medical education","volume":"39","author":"Pickering","year":"2017","journal-title":"Med Teach"}],"container-title":["BMJ Open Sport &amp; Exercise Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsem-2019-000700","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T18:05:10Z","timestamp":1756663510000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopensem.bmj.com\/lookup\/doi\/10.1136\/bmjsem-2019-000700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,2,27]]},"published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1136\/bmjsem-2019-000700"],"URL":"https:\/\/doi.org\/10.1136\/bmjsem-2019-000700","relation":{},"ISSN":["2055-7647"],"issn-type":[{"value":"2055-7647","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}