87 Screen time during the first week post-concussion and its relation to recovery in youth aged 11–17 years
disenfranchisement.The purpose of this content analysis was to understand and create an ecological framework on how and why these disparities have proliferated and continue to impact Black athletes.Methods A qualitative content analysis was conducted in three phases: [I] identification of salient literature on racial differences for Black athletes with SRC (N = 29), [II] content analysis to determine salient topics, themes and patterns within the literature, and [III] constructing a novel ecological framework that encapsulates the 'why' and 'how' related to experiences of power, access, and biases for Black athletes.Findings Two major patterns emerged from the analysis, illustrating how (1) biased, unconscious beliefs posit Black athletic bodies as unlimited source of labor and thus invincible to injury & pain, and (2) indirect and direct access to concussion knowledge and resources, may impact SRC injury risk, diagnosis, recovery and post-injury outcomes for Black athletes across various age and ability levels (see figure 1).Conclusions The ecological model provides a clear thread on how historical, and macro-level policy and perceptions, can impact micro-level clinical care and decision-making for Black athletes and their experiences with SRC.Future directions suggest an application of ecological models in other marginalized populations to understand bi-directional relationship between macro-level systems may impact clinical care.
Authors
- Enas Alshaikh
- Thomas L. Pommering (ORCID: https://orcid.org/0000-0001-5032-073X)
- Krista Kurz Wheeler (ORCID: https://orcid.org/0000-0003-3728-8928)
- Gary A. Smith (ORCID: https://orcid.org/0000-0001-5838-8982)
- Keith Owen Yeates (ORCID: https://orcid.org/0000-0001-7680-2892)
- Jingzhen Ginger Yang (ORCID: https://orcid.org/0000-0003-4019-0999)
- Nikhil Desai
Institutions
- Nationwide Children's Hospital (US)
- University of Alberta (CA)
- University of Calgary (CA)
- The Ohio State University (US)
Publication Details
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1136/bmjsem-2025-concussion.87
- Primary Topic
- Traumatic Brain Injury Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00