{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T17:48:46Z","timestamp":1788371326341,"version":"build-2803163510"},"reference-count":30,"publisher":"National Athletic Trainers' Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8]]},"abstract":"\n Context<\/jats:title>\n The National Collegiate Athletic Association and Department of Defense (NCAA-DoD) Mind Matters Challenge created \u201cuseful and feasible\u201d consensus recommendations to improve concussion care-seeking behavior in collegiate athletes and military cadets. Given athletic trainers\u2019 (ATs\u2019) role as providers of concussion education and medical care, it is important to understand if they agree with the expert panel that the recommendations are useful and feasible.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To describe and compare the perceptions of ATs in the secondary school (SS) and collegiate settings of the utility and feasibility of the NCAA-DoD Mind Matters Challenge recommendations on improving concussion education.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Electronic survey.<\/jats:p>\n <\/jats:sec>\n \n Patients or Other Participants<\/jats:title>\n Five hundred fifteen (515) ATs (age = 40.7 \u00b1 12.4 years, 53.1% female gender) practicing in the SS (60.6%) or collegiate (38.4%) setting.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n An online survey asked participants about their awareness of the statement followed by 17 pairs of Likert-item questions regarding each recommendation\u2019s utility and feasibility with responses ranging from no<\/jats:italic> (1) to yes<\/jats:italic> (9). Mimicking the consensus process, we defined consensus<\/jats:italic> as a mean rating of \u22657.00. We compared utility and feasibility rating responses between SS and collegiate setting participants using Mann-Whitney U<\/jats:italic> tests with \u03b1 = .05.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Two-thirds (66.6%) of participants were unaware of the consensus statement. Participants felt all recommendations were useful (all means \u2265 7.0); however, 4 recommendations related to collaborating with stakeholders did not meet the feasibility cutoff (mean range = 6.66\u20136.84). Secondary school ATs rated lower feasibility related to educational content (P<\/jats:italic> value range = .001\u2013.014), providing patient education throughout recovery (P<\/jats:italic> = .002), and promoting peer intervention (P<\/jats:italic> = .019) but higher utility (P<\/jats:italic> = .007) and feasibility (P<\/jats:italic> = .002) for providing parent education than collegiate ATs.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The NCAA-DoD Mind Matters Challenge recommendations require further dissemination. Athletic trainers rated collaboration with stakeholders as a feasibility barrier. Secondary school ATs require more resources for educational content, messaging, and promoting peer intervention but find educating athletes\u2019 parents more useful and feasible than collegiate ATs.<\/jats:p>\n <\/jats:sec>","DOI":"10.4085\/1062-6050-0486.23","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T09:30:48Z","timestamp":1705743048000},"page":"801-808","source":"Crossref","is-referenced-by-count":2,"title":["Improving Concussion Education: Do Athletic Trainers\u2019 Opinions Match Expert Consensus?"],"prefix":"10.4085","volume":"59","author":[{"given":"Julia D.","family":"Drattell","sequence":"first","affiliation":[{"name":"UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Kroshus","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington, Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johna K.","family":"Register-Mihalik","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"D\u2019Lauro","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Leadership, United States Air Force Academy, Colorado Springs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julianne D.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"3","key":"i1938-162X-59-8-801-b01","series-title":"Br J Sports Med","first-page":"144","article-title":"Diagnostic accuracy and reliability of sideline concussion evaluation: a prospective, case-controlled study in college athletes comparing newer tools and established tests","volume":"56","author":"Harmon","year":"2022","unstructured":"Harmon\n KG,\n \n \n Whelan\n BM,\n \n \n Aukerman\n DF,\n \n et al.\n \n Diagnostic accuracy and reliability of sideline concussion evaluation: a prospective, case-controlled study in college athletes comparing newer tools and established tests. Br J Sports Med. 2022;56(3):144\u2013150. doi:10.1136\/bjsports-2020-103840"},{"issue":"1","key":"i1938-162X-59-8-801-b02","series-title":"Am J Sports Med","first-page":"214","article-title":"Optimizing concussion care seeking: a longitudinal analysis of recovery","volume":"51","author":"Schmidt","year":"2022","unstructured":"Schmidt\n JD,\n \n \n Broglio\n SP,\n \n \n Knight\n K,\n \n et al.\n \n Optimizing concussion care seeking: a longitudinal analysis of recovery. Am J Sports Med. 2022;51(1):214\u2013224. doi:10.1177\/03635465221135771"},{"issue":"4","key":"i1938-162X-59-8-801-b03","series-title":"J Athl Train","first-page":"329","article-title":"\u201cPlaying through it\u201d: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery","volume":"51","author":"Asken","year":"2016","unstructured":"Asken\n BM,\n \n \n McCrea\n MA,\n \n \n Clugston\n JR,\n \n \n Snyder\n AR,\n \n \n Houck\n ZM,\n \n \n Bauer\n RM.\n \n \n \u201cPlaying through it\u201d: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery. J Athl Train. 2016;51(4):329\u2013335. doi:10.4085\/1062-6050-51.5.02"},{"issue":"1","key":"i1938-162X-59-8-801-b04","series-title":"Int Rev Sport Exerc Psychol","first-page":"66","article-title":"Under-reporting of sport-related concussions by adolescent athletes: a systematic review","volume":"16","author":"Ferdinand Pennock","year":"2020","unstructured":"Ferdinand Pennock\n K,\n \n \n McKenzie\n B,\n \n \n McClemont Steacy\n L,\n \n \n Mainwaring\n L.\n \n \n Under-reporting of sport-related concussions by adolescent athletes: a systematic review. Int Rev Sport Exerc Psychol. 2020;16(1):66\u201392. doi:10.1080\/1750984X.2020.1824243"},{"key":"i1938-162X-59-8-801-b05","series-title":"Handb Clin Neurol","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/B978-0-444-63954-7.00025-2","article-title":"The evolving landscape of policies, rules, and law in sport-related concussion","volume":"158","author":"Parsons","year":"2018","unstructured":"Parsons\n JT,\n \n \n Baugh\n C.\n \n \n The evolving landscape of policies, rules, and law in sport-related concussion. Handb Clin Neurol. 2018;158:257\u2013267. doi:10.1016\/b978-0-444-63954-7.00025-2"},{"issue":"1","key":"i1938-162X-59-8-801-b06","series-title":"Clin J Sport Med","first-page":"33","article-title":"Sport-related concussion reporting and state legislative effects","volume":"26","author":"LaRoche","year":"2016","unstructured":"LaRoche\n AA,\n \n \n Nelson\n LD,\n \n \n Connelly\n PK,\n \n \n Walter\n KD,\n \n \n McCrea\n MA.\n \n \n Sport-related concussion reporting and state legislative effects. Clin J Sport Med. 2016;26(1):33\u201339. doi:10.1097\/jsm.0000000000000192"},{"key":"i1938-162X-59-8-801-b07","article-title":"National Collegiate Athletic Association Sport Science Institute","author":"Interassociation recommendations: preventing catastrophic injury and death in collegiate athletes","unstructured":"Interassociation recommendations: preventing catastrophic injury and death in collegiate athletes\n . National Collegiate Athletic Association Sport Science Institute. Accessed August 20, 2023. https:\/\/ncaaorg.s3.amazonaws.com\/ssi\/injury_prev\/SSI_PreventingCatastrophicInjuryBooklet.pdf"},{"issue":"4","key":"i1938-162X-59-8-801-b08","series-title":"J Clin Transl Res","first-page":"215","article-title":"Coach, sports medicine, and parent influence on concussion care seeking intentions and behaviors in collegiate student-athletes","volume":"5","author":"Schmidt","year":"2020","unstructured":"Schmidt\n JD,\n \n \n Suggs\n DW,\n \n \n Rawlins\n MLW,\n \n et al.\n \n Coach, sports medicine, and parent influence on concussion care seeking intentions and behaviors in collegiate student-athletes. J Clin Transl Res. 2020;5(4):215\u2013226."},{"issue":"11","key":"i1938-162X-59-8-801-b09","series-title":"J Athl Train","first-page":"1197","article-title":"Evaluating the effect of concussion-education programs on intent to report concussion in high school football","volume":"56","author":"Daneshvar","year":"2021","unstructured":"Daneshvar\n DH,\n \n \n Yutsis\n M,\n \n \n Baugh\n CM,\n \n et al.\n \n Evaluating the effect of concussion-education programs on intent to report concussion in high school football. J Athl Train. 2021;56(11):1197\u20131208. doi:10.4085\/509-20"},{"issue":"5","key":"i1938-162X-59-8-801-b10","series-title":"J Sport Sci","first-page":"552","article-title":"A systematic review of the effects of educational interventions on knowledge and attitudes towards concussion for people involved in sport\u2014optimising concussion education based on current literature","volume":"39","author":"Conaghan","year":"2021","unstructured":"Conaghan\n C,\n \n \n Daly\n E,\n \n \n Pearce\n AJ,\n \n \n King\n DA,\n \n \n Ryan\n L.\n \n \n A systematic review of the effects of educational interventions on knowledge and attitudes towards concussion for people involved in sport\u2014optimising concussion education based on current literature. J Sport Sci. 2021;39(5):552\u2013567. doi:10.1080\/02640414.2020.1835223"},{"issue":"1","key":"i1938-162X-59-8-801-b11","series-title":"J Sports Sci","first-page":"48","article-title":"Development, implementation and assessment of a concussion education programme for high school student-athletes","volume":"36","author":"Caron","year":"2018","unstructured":"Caron\n JG,\n \n \n Rathwell\n S,\n \n \n Delaney\n JS,\n \n \n Johnston\n KM,\n \n \n Ptito\n A,\n \n \n Bloom\n GA.\n \n \n Development, implementation and assessment of a concussion education programme for high school student-athletes. J Sports Sci. 2018;36(1):48\u201355. doi:10.1080\/02640414.2017.1280180"},{"issue":"22","key":"i1938-162X-59-8-801-b12","series-title":"Br J Sports Med","first-page":"1314","article-title":"Improving concussion education: consensus from the NCAA-Department of Defense Mind Matters Research & Education Grand Challenge","volume":"54","author":"Kroshus","year":"2020","unstructured":"Kroshus\n E,\n \n \n Cameron\n KL,\n \n \n Coatsworth\n JD,\n \n et al.\n \n Improving concussion education: consensus from the NCAA-Department of Defense Mind Matters Research & Education Grand Challenge. Br J Sports Med. 2020;54(22):1314\u20131320. doi:10.1136\/bjsports-2020-102185"},{"issue":"1","key":"i1938-162X-59-8-801-b13","series-title":"Annu Rev Public Health","first-page":"413","article-title":"How can we increase translation of research into practice? Types of evidence needed","volume":"28","author":"Glasgow","year":"2007","unstructured":"Glasgow\n RE,\n \n \n Emmons\n KM.\n \n \n How can we increase translation of research into practice? Types of evidence needed. Annu Rev Public Health. 2007;28(1):413\u2013433. doi:10.1146\/annurev.publhealth.28.021406.144145"},{"issue":"2","key":"i1938-162X-59-8-801-b14","series-title":"Health Educ Behav","first-page":"182","article-title":"Concussion education in U.S. collegiate sport: what is happening and what do athletes want","volume":"43","author":"Kroshus","year":"2016","unstructured":"Kroshus\n E,\n \n \n Baugh\n CM.\n \n \n Concussion education in U.S. collegiate sport: what is happening and what do athletes want? Health Educ Behav. 2016;43(2):182\u2013190. doi:10.1177\/1090198115599380"},{"issue":"1","key":"i1938-162X-59-8-801-b15","series-title":"J Athl Train","first-page":"35","article-title":"Athletic trainers\u2019 beliefs about and implementation of evidence-based practice","volume":"51","author":"Keeley","year":"2016","unstructured":"Keeley\n K,\n \n \n Walker\n SE,\n \n \n Hankemeier\n DA,\n \n \n Martin\n M,\n \n \n Cappaert\n TA.\n \n \n Athletic trainers\u2019 beliefs about and implementation of evidence-based practice. J Athl Train. 2016;51(1):35\u201346. doi:10.4085\/1062-6050-51.2.11"},{"issue":"7","key":"i1938-162X-59-8-801-b16","series-title":"Am J Public Health","first-page":"1249","article-title":"Reducing traumatic brain injuries in youth sports: youth sports traumatic brain injury state laws, January 2009\u2013December 2012","volume":"103","author":"Harvey","year":"2013","unstructured":"Harvey\n HH.\n \n \n Reducing traumatic brain injuries in youth sports: youth sports traumatic brain injury state laws, January 2009\u2013December 2012. Am J Public Health. 2013;103(7):1249\u20131254. doi:10.2105\/ajph.2012.301107"},{"issue":"2","key":"i1938-162X-59-8-801-b17","series-title":"J Athl Train","first-page":"156","article-title":"Athletic training services in public secondary schools: a benchmark study","volume":"50","author":"Pryor","year":"2015","unstructured":"Pryor\n RR,\n \n \n Casa\n DJ,\n \n \n Vandermark\n LW,\n \n et al.\n \n Athletic training services in public secondary schools: a benchmark study. J Athl Train. 2015;50(2):156\u2013162. doi:10.4085\/1062-6050-50.2.03"},{"issue":"6","key":"i1938-162X-59-8-801-b18","series-title":"J Athl Train","first-page":"573","article-title":"Sports medicine staffing across National Collegiate Athletic Association Division I, II, and III schools: evidence for the medical model","volume":"55","author":"Baugh","year":"2020","unstructured":"Baugh\n CM,\n \n \n Kroshus\n E,\n \n \n Lanser\n BL,\n \n \n Lindley\n TR,\n \n \n Meehan\n WP\n III\n \n . Sports medicine staffing across National Collegiate Athletic Association Division I, II, and III schools: evidence for the medical model. J Athl Train. 2020;55(6):573\u2013579. doi:10.4085\/1062-6050-0463-19"},{"issue":"1","key":"i1938-162X-59-8-801-b19","series-title":"Psychol Bull","first-page":"155","article-title":"A power primer","volume":"112","author":"Cohen","year":"1992","unstructured":"Cohen\n J.\n \n \n A power primer. Psychol Bull. 1992;112(1):155\u2013159. doi:10.1037\/\/0033-2909.112.1.155"},{"key":"i1938-162X-59-8-801-b20","article-title":"Board of Certification","author":"BOC certified AT demographics.","year":"2022","unstructured":"BOC certified AT demographics.\n \n 2022. Board of Certification. Accessed July 3, 2023. https:\/\/bocatc.org\/system\/document_versions\/versions\/293\/original\/at-demographics-20220414.pdf?1649950857"},{"issue":"7","key":"i1938-162X-59-8-801-b21","series-title":"J Athl Train","first-page":"666","article-title":"Concussion knowledge and clinical experience among athletic trainers: implications for concussion health care practices","volume":"55","author":"Lempke","year":"2020","unstructured":"Lempke\n LB,\n \n \n Schmidt\n JD,\n \n \n Lynall\n RC.\n \n \n Concussion knowledge and clinical experience among athletic trainers: implications for concussion health care practices. J Athl Train. 2020;55(7):666\u2013672. doi:10.4085\/1062-6050-340-19"},{"key":"i1938-162X-59-8-801-b22","series-title":"Fostering Innovative Cultures in Sport: Leadership, Innovation and Change","author":"Skinner","year":"2018","unstructured":"Skinner\n J,\n \n \n Smith\n AC,\n \n \n Swanson\n S.\n \n \n \n Fostering Innovative Cultures in Sport: Leadership, Innovation and Change\n . Palgrave Macmillan; 2018."},{"issue":"suppl 1","key":"i1938-162X-59-8-801-b23","series-title":"J Gen Intern Med","first-page":"123","article-title":"Involving stakeholders as communication partners in research dissemination efforts","volume":"37","author":"Elwy","year":"2022","unstructured":"Elwy\n AR,\n \n \n Maguire\n EM,\n \n \n Kim\n B,\n \n \n West\n GS.\n \n \n Involving stakeholders as communication partners in research dissemination efforts. J Gen Intern Med. 2022;37(suppl 1):123\u2013127. doi:10.1007\/s11606-021-07127-3"},{"key":"i1938-162X-59-8-801-b24","article-title":"NATA position statements","author":"National Athletic Trainers\u2019 Association.","year":"2023","unstructured":"NATA position statements. National Athletic Trainers\u2019 Association. Accessed April 7, 2023. https:\/\/www.nata.org\/news-publications\/pressroom\/statements\/position"},{"issue":"7","key":"i1938-162X-59-8-801-b25","series-title":"J Athl Train","first-page":"749","article-title":"Compliance with the National Athletic Trainers\u2019 Association Inter-Association Task Force preseason heat-acclimatization guidelines in high school football","volume":"54","author":"Kerr","year":"2019","unstructured":"Kerr\n ZY,\n \n \n Register-Mihalik\n JK,\n \n \n Pryor\n RR,\n \n \n Hosokawa\n Y,\n \n \n Scarneo-Miller\n SE,\n \n \n Casa\n DJ.\n \n \n Compliance with the National Athletic Trainers\u2019 Association Inter-Association Task Force preseason heat-acclimatization guidelines in high school football. J Athl Train. 2019;54(7):749\u2013757. doi:10.4085\/1062-6050-373-18"},{"issue":"1","key":"i1938-162X-59-8-801-b26","series-title":"J Athl Train","first-page":"99","article-title":"Emergency action planning in secondary school athletics: a comprehensive evaluation of current adoption of best practice standards","volume":"54","author":"Scarneo","year":"2019","unstructured":"Scarneo\n SE,\n \n \n DiStefano\n LJ,\n \n \n Stearns\n RL,\n \n \n Register-Mihalik\n JK,\n \n \n Denegar\n CR,\n \n \n Casa\n DJ.\n \n \n Emergency action planning in secondary school athletics: a comprehensive evaluation of current adoption of best practice standards. J Athl Train. 2019;54(1):99\u2013105. doi:10.4085\/1062-6050-82-18"},{"issue":"5","key":"i1938-162X-59-8-801-b27","series-title":"J Athl Train","first-page":"491","article-title":"Adoption of lightning safety best-practices policies in the secondary school setting","volume":"56","author":"Scarneo-Miller","year":"2021","unstructured":"Scarneo-Miller\n SE,\n \n \n Flanagan\n KW,\n \n \n Belval\n LN,\n \n \n Register-Mihalik\n JK,\n \n \n Casa\n DJ,\n \n \n DiStefano\n LJ.\n \n \n Adoption of lightning safety best-practices policies in the secondary school setting. J Athl Train. 2021;56(5):491\u2013498. doi:10.4085\/175-20"},{"issue":"5","key":"i1938-162X-59-8-801-b28","series-title":"J Am Coll Health","first-page":"1518","article-title":"Parent influence on concussion reporting in first-year collegiate athletes","volume":"70","author":"Fuller","year":"2022","unstructured":"Fuller\n NJ,\n \n \n Kroshus\n E,\n \n \n Hall\n EE,\n \n \n Ketcham\n CJ.\n \n \n Parent influence on concussion reporting in first-year collegiate athletes. J Am Coll Health. 2022;70(5):1518\u20131527. doi:10.1080\/07448481.2020.1809430"},{"issue":"2","key":"i1938-162X-59-8-801-b29","series-title":"J Athl Train","first-page":"157","article-title":"Factors associated with concussion nondisclosure in collegiate student-athletes","volume":"56","author":"Anderson","year":"2021","unstructured":"Anderson\n M,\n \n \n Petit\n KM,\n \n \n Wallace\n J,\n \n \n Covassin\n T,\n \n \n Beidler\n E.\n \n \n Factors associated with concussion nondisclosure in collegiate student-athletes. J Athl Train. 2021;56(2):157\u2013163. doi:10.4085\/1062-6050-0102-20"},{"issue":"3","key":"i1938-162X-59-8-801-b30","series-title":"J Athl Train","first-page":"195","article-title":"A multifactorial approach to sport-related concussion prevention and education: application of the socioecological framework","volume":"52","author":"Register-Mihalik","year":"2017","unstructured":"Register-Mihalik\n J,\n \n \n Baugh\n C,\n \n \n Kroshus\n E,\n \n \n Kerr\n ZY,\n \n \n Valovich McLeod\n TC.\n \n \n A multifactorial approach to sport-related concussion prevention and education: application of the socioecological framework. J Athl Train. 2017;52(3):195\u2013205. doi:10.4085\/1062-6050-51.12.02"}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/59\/8\/article-p801.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/jat\/article-pdf\/59\/8\/801\/3418483\/i1938-162x-59-8-801.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/59\/8\/article-p801.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/59\/8\/article-p801.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:45:03Z","timestamp":1749689103000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/59\/8\/article-p801.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":30,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-0486.23","relation":{},"ISSN":["1938-162X","1062-6050"],"issn-type":[{"value":"1938-162X","type":"electronic"},{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2024,8]]}}}