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Concussion Education in the School Setting: A Scoping Review
Kylie D Mallory1,2, Lauren Saly3, Andrea Hickling4
1Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON, Canada, M5G 1V7.
The Journal of School Health
|March 8, 2022
Summary
Concussion education in schools varies widely in its approach and effectiveness. Further research is needed to optimize concussion education for students, coaches, and educators.
Area of Science:
- Sports Medicine
- Public Health
- Educational Research
Background:
- Concussions are common injuries in young people.
- School-based concussion education aims to improve related behaviors.
- Current knowledge on the specifics of school concussion education is limited.
Purpose of the Study:
- To conduct a scoping review of peer-reviewed literature on concussion education in school settings.
- To identify the context, delivery methods, development, and evaluation of school-based concussion education.
Main Methods:
- Searched six databases (MEDLINE, CINAHL, EMBASE, PsycINFO, SPORTDiscus, ERIC) for articles published from 2002 to July 2020.
- Included studies that described concussion education delivered within a school setting and were written in English.
- Screened 11,373 articles, with 27 studies meeting the eligibility criteria.
Main Results:
- Concussion education was delivered to diverse groups: students (44.4%), coaches (18.5%), educators (11.1%), parents (3.7%), and mixed audiences (22.2%).
- Education formats varied significantly across the included studies.
- Only 22.2% of studies reported developing education based on a theoretical framework.
Conclusions:
- There is substantial variability in the context, delivery, development, and evaluation of school-based concussion education.
- Further evaluation is necessary to ensure concussion education is optimized for school stakeholders.
- Standardized approaches and evidence-based development are needed for effective concussion education programs.

