Knowledge transfer principles as applied to sport concussion education.
ABSTRACT To (a) examine knowledge transfer literature and optimal learning needs as applied to healthcare professionals, coaches and student athletes; (b) apply the practice of knowledge transfer to sport concussion education resources; and (c) identify needs and make recommendations for optimising concussion education.
Qualitative literature review of knowledge transfer and concussion education literature.
Pubmed, Medline, Psych Info and Sport Discus databases were reviewed. 52 journal articles, 20 websites and 2 books were reviewed.
The methods in which individuals experience optimal learning varies and should be considered when developing effective concussion education strategies. Physician knowledge and performance are impacted by education outreach, interaction and reminder messages. Educational strategies associated with optimal learning for physio and athletic therapists include problem and evidence-based practice, socialisation and peer-assisted learning. From a coaching perspective, research supports the reflective process as a learning modality. Student athletes have strengths and weaknesses in different areas and so perform differently on activities requiring distinct strategies. Knowing the impact of sport concussion resources on knowledge enhancement and modifying attitudes and behaviours toward concussion requires evaluation strategies. Review of concussion resources using the perspective of knowledge transfer and methods for improvement is discussed.
Knowledge transfer is a relatively new concept in sports medicine and its influence on enhancing concussion education is not well known. The needs and optimal learning styles of target audiences coupled with evaluation need to be a piece of the overall concussion education puzzle to effectively impact knowledge of and attitudes and behaviours towards sport concussion.
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ABSTRACT: Introduction: The science of traumatic brain injury has evolved into a deep understanding of physiologicalmechanisms, injury identification, management, and prevention. The Centre for Disease Control and Preventionrates concussion management, and prevention as an epidemic level of importance. In the USA, concussion affectsbetween 1.6 and 3.8 million athletes per year. The primary aim was to provide substantiated recommendations forcurrent best practice educational initiatives. The secondary aim was to determine if education alone as a preventionstrategy for decreasing concussion rates in sport is successful. Furthermore, recommendations for future researchhave been provided. Method of review: A comprehensive search using eight different search combinations, and a strict inclusioncriterion was performed yielding 22 relevant articles that were published between 2001 and 2014. Review outcomes: A summary of current literature on educational initiatives for concussion in sport has beenpresented. Discussion: From this review, it appears a multifaceted educational strategy using videos and presentations,targeting youth, and coaches in high risk sports to be the most effective means of increasing knowledge andunderstanding of concussions in sport. However, there are many gaps in the literature that need to be addressed inorder to identify the learning needs of different demographic groups. Additionally, the standardisation of concussioneducation through legislation may be beneficial in aiding reductions in related injury. However, there is insufficientevidence to claim that any single education method alone would be successful. Therefore, multiple educationalstrategies, legislation, and knowledge transfer may be preferable to target and assist those at risk of concussion.This review has highlighted the importance of concussion as a health concern and highlights the importance forhealth professionals to undertake research in this field Read more: http://fitnessresearch.edu.au/journal-view/engagement-by-education-for-action-96#ixzz3bxCAwwNYJournal of Fitness Research 01/2014; 3(3).
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ABSTRACT: It is critical that physicians understand concussion management. Identify practice patterns/knowledge base in two physician populations. On-line survey. Ontario, Canada. Physicians from Sections: Sport and Exercise Medicine (SEM), General and Family Practice (SGFP). Emailed survey, 2 reminders. Practice patterns/knowledge base, learning methods: current/preferred. Participants: SEM 92/594 (15.5%), SGFP 270/12,168 (2.2%); urban practice (90.2% SEM, 71.5% SFGP; P<.001). In preceding 3 months, 84.8% of SEM and 65.6% of SFGP had managed patients with concussion. More SEM than SGFP physicians saw >5 children under 18 with concussions per month (40.2% SEM, 9.5% SGFP; P<001). Tools: Clinical examination (92.4% SEM, 93.7% SFGP); Sport Concussion Assessment Tool (SCAT/SCAT2) (68.4% SEM, 34.1% SFGP; P<.001); balance testing (56.5% SEM, 37.4% SFGP; P=.001); computerized neurocognitive testing (23.9% SEM, 1.9% SFGP; P<.001); concussion grading scales (9.8% SEM, 14.1% SFGP; P<.001). Management: Complete physical rest (65.2% SEM, 68.5% SFGP); absolute cognitive rest (46.7% SEM, 51.9% SFGP); modified school/work until symptom resolution (50.0% SEM, 38.5% SFGP; P=.026); no cognitive rest (3.2% SEM, 9.6% SGFP; P=.026). Return-to-play: Clinical examination (87.0% SEM, 82.6% SFGP); SCAT/SCAT2 (60.8% SEM, 29.6% SFGP; P<.001); balance testing (56.5% SEM, 37.4% SFGP; P<.001); computerized neurocognitive testing (35.9% SEM, 2.2% SFGP; P<.001); concussion grading scales (7.6% SEM, 9.6% SFGP). Current learning sources: colleagues (55.4% SEM, 27.8% SFGP; P<.001); specialists (33.7% SEM, 23.7% SFGP; P=.030); continuing medical education (CME) courses/conferences (67.4% SEM, 54.7% SFGP; P=.017); journals/publications (48.9% SEM, 25.2% SFGP; P<.001); websites (35.8% SEM, 32.2% SFGP); medical school/residency training (19.6% SEM, 17.4% SFGP). Preferred learning sources: CME courses/conferences (85.9% SEM, 73.9% SFGP; P=.006); websites (35.9% SEM, 47.8%, SFGP; P=.024); medical school/residency training (37.0% SEM, 47.8% SFGP). Gaps exist between consensus-based recommendations regarding concussions and current clinical practice patterns. Enhanced training in medical school/residency and additional CME initiatives are recommended.British journal of sports medicine 04/2014; 48(7):623. DOI:10.1136/bjsports-2014-093494.171 · 4.17 Impact Factor
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ABSTRACT: The internet plays an important role in the dissemination of health information to the general public. Information on orthopaedic sports medicine websites has been shown to be of a varying standard, and to date there has been no evaluation of the overall quality of concussion-related websites. A four-stage methodological sampling technique was used to identify concussion-related websites. Websites were assessed for the presence of a quality standard (the HONcode), their adherence to current expert concussion knowledge using a custom-developed concussion checklist ('CONcheck'), and their readability using the established Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL). 43 Websites were identified from the search strategy with the majority (70%) not HONcode certified. A wide distribution of scores was seen for the CONcheck (0-22), FRE (16.3-77.4) and FKGL (6-17.8). Statistical analysis using independent t tests between websites with the HONcode and websites without the HONcode showed no significant differences between the two groups for CONcheck (t(41)=0.571, p=0.571), FRE (t(41)=0.808, p=0.424) and FKGL(t(41)=-0.964, p=0.341) scores. The variability in the standard of concussion-related websites highlights the need for sports medicine website providers to consider the delivery, content and readability of information to the public.British journal of sports medicine 04/2011; 46(9):675-83. DOI:10.1136/bjsm.2010.081620 · 4.17 Impact Factor