In the past decade, every state in the country has put laws on the books to try to reduce the risk of concussion caused by high school sports. Many schools then put their own policies of conciliation and conciliation on the books. But there are roadblocks on the final track – ensuring that these policies are followed by coaches, parents, students and sports instructors.
In a new study, published in the Journal of Adolescent Health, a team of researchers interviewed 64 athletes in gymnasiums across the country about the obstacles that hinder the successful implementation of these concussion programs. "The law alone does not enforce it," says study author Ginger Yang, an associate professor of pediatrics at Nationwide Children 's Hospital and an epidemiologist at the Ohio State University College of Public Health.
State laws around the consequences of stroke have three main goals: to ensure that students, coaches and parents are provided with rescue training. verifying that any student with concussion symptoms is immediately removed from a game. and requiring stroke students to see a health professional who can confirm that they are healthy enough to resume their involvement in sports.
Impressing the timing of a diagnosis of diarrhea, the study found, was a major obstacle, as was the quality of the educational materials available. In addition, the information was usually only available in English. "These schools serve large populations where families were not native English speakers," Yang says.
Athletic trainers reported that students often did not report their symptoms and that parents and coaches did not like them when children were removed from the game. "Only old school thinking …" Well back when I was playing we were playing through it. " [from parents and coaches], Said a trainer in a study interview.
Access to health care is also important: children who are not safe may not be able to see a doctor for a concussion and get their clearance to return to the game, Yang says. "The school doesn't have that control."
Most of the obstacles identified were in line with those found in other studies, says Stephanie Morain, an assistant professor at the Center for Medical Ethics and Health Policy at Baylor College of Medicine, who has also worked in the field. The fact that schools are facing some challenges is understandable, he says, since concussion laws were quickly enforced. "In a sense, it is not surprising that we are seeing a lag," he says. "Some states really learned as they went." In some cases, lawmakers did not speak to athletic trainers, schools or other stakeholders before enacting laws – causing some frustration and confusion.
Changing the culture around sports – and removing some of the tough attitude that can stop kids from reporting problems – also takes time. "It requires a great deal of cultural change and buy-in," says Morain. "That's always the challenge." He says he would like to see important personalities in sports such as football lead by example and talk about why it is important to take conflicts seriously. "If they said, your long-term success in the game would be better if you did it when you needed it."
Impressing the importance of these changes to parents and coaches is probably an important way to try and close those marked gaps, says Yang. Along with finding solutions, the next steps will be to collect data to understand the difference in injury rates and outcomes between schools that implement these policies and those that are struggling to do so.
"These are important issues," says Morain. "One of the really important things we need to understand is what happens in this transition between getting the law into the books and applying the law to the road."