Effectiveness of Concussion-Education Strategies Implemented With High School Athletes: A Critically Appraised Topic

Clinical Scenario : In recent years, there has been an increase in sports participation for high school–aged individuals, as well as the number of concussions occurring in this population. This has raised significant concerns regarding high school–aged athletes’ brain health and the possibility of interrupting brain development. Recognizing the increasing public concern, various organizations have mandated preparticipation concussion education. However, no universal form of concussion education has been prescribed. Clinical Questions : What is the effectiveness of primary-level prevention concussion-education interventions in improving knowledge? Does an increase in knowledge coincide with increased concussion-reporting intention or behavior change in high school athletes? Summary of Key Findings : Three studies met the inclusion criteria: one randomized controlled trial, one randomized crossover, and one prospective cohort study. The literature indicates that high school students who received concussion education demonstrate increased intention to report a concussion and show increases in concussion knowledge; however, the longevity of knowledge retention varies. The most effective forms of concussion education are those that include an interactive component. Clinical Bottom Line : Primary-level prevention concussion education is effective at increasing concussion knowledge and concussion-reporting intention; however, it remains inconclusive if education is enough to change reporting behavior. Strength of Recommendation : Based on the strength of recommendation taxonomy, a B strength of recommendation was assigned due to limited quality. ,