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Consistency and Variation in School-Level Youth Sports Traumatic Brain Injury Policy Content.

Kathryn Coxe1, Kelsey Hamilton2, Hosea H Harvey3

  • 1Center for Injury Research and Policy, Nationwide Children's Hospital, Columbus, Ohio; Department of Quality, Planning, and Research, The Ohio Department of Mental Health and Addiction Services, Columbus, Ohio.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|October 4, 2017
PubMed
Summary

High school traumatic brain injury (TBI) policies vary significantly in content, though all address key youth sports TBI law tenets. Further research is needed to understand the impact of these policy variations on TBI rates in school athletics.

Keywords:
Content analysisHigh schoolTBIWritten policy

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Area of Science:

  • Sports Medicine
  • Public Health Policy
  • Neuroscience

Background:

  • Traumatic Brain Injury (TBI) is a significant concern in youth sports.
  • State laws mandate specific tenets for youth sports TBI policies.
  • Understanding high school policy adherence is crucial for athlete safety.

Purpose of the Study:

  • To analyze the consistency and variation in high school TBI policies.
  • To evaluate policies against key tenets of youth sports TBI laws.

Main Methods:

  • Content analysis of 71 high school TBI policies.
  • Policies were reviewed by two independent coders.
  • Analysis focused on policy enforcement, description, and implementation.

Main Results:

  • All policies included at least two of the three main TBI law tenets.
  • 98.6% included return-to-play, 83.1% removal-from-play, and 59.2% information sheet distribution.
  • Significant variance was found in policy language regarding enforcement, description, and implementation.

Conclusions:

  • High school TBI policies generally align with state law tenets but show considerable variation.
  • Future research should investigate the impact of these policy variations on TBI rates within schools.