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Updated: May 19, 2026
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Effectiveness of the SLICE program for youth concussion education
Alexander F Bagley1, Daniel H Daneshvar, Benjamin D Schanker
1MD-PhD Program, Harvard Medical School, Boston, Massachusetts 02138, USA. abagley@mit.edu
Objective:
To analyze the effectiveness of the Sports Legacy Institute Community Educators (SLICE) curriculum for student-athletes on recognition and appropriate responses to concussions.
Design:
Prospective cohort study, level II.
Setting:
The SLICE concussion workshop.
Participants:
All students ranging from 9 to 18 years (n = 636) taking the SLICE concussion education program.
Intervention:
The SLICE concussion education program featuring interactive demonstrations, discussion, and case studies of athletes delivered by medical students and others in health-related fields.
Main Outcome Measures:
Evaluations assessing knowledge of concussion recognition and appropriate response were administered before and after participating in the SLICE concussion education program.
Results:
Students displayed significant improvements in absolute mean score on the concussion knowledge quiz between prepresentation and postpresentation (P < 0.0001). Significant improvements in mean score were observed among both male and female students within each age group. The proportion of students who passed the quiz increased from 34% prepresentation to 80% postpresentation (P < 0.0001). However, the percentage who passed the quiz postpresentation was significantly higher among female students compared with male students (P < 0.0001) and among students 13 years of age or older compared with students less than 13 years (P < 0.0001). Using multivariable logistic regression, we identified age group and gender as the most significant factors associated with passing the quiz postpresentation.
Conclusion:
The SLICE program promotes effective learning and knowledge about concussion recognition and response among students ranging from 9 to 18 years. Lessons from the SLICE program may be broadly applicable to youth concussion education.
