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Case Characterization and Perceptions of Athletic Trainers Regarding Medical Disqualification Following Concussion.

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  • Additional Information
    • Source:
      Publisher: National Athletic Trainers' Association Country of Publication: United States NLM ID: 9301647 Publication Model: Print Cited Medium: Internet ISSN: 1938-162X (Electronic) Linking ISSN: 10626050 NLM ISO Abbreviation: J Athl Train Subsets: MEDLINE
    • Publication Information:
      Original Publication: Dallas, TX : National Athletic Trainers' Association, c1992-
    • Subject Terms:
      Brain Concussion*/psychology ; Athletic Injuries*/psychology; Humans ; Cross-Sectional Studies ; Male ; Female ; Adult ; Surveys and Questionnaires ; Perception ; Middle Aged
    • Abstract:
      Context: Medical disqualification (MDQ) following concussion is a challenging decision clinicians may encounter with little evidence-based guidance.
      Objective: To (1) describe the MDQ following concussion cases athletic trainers (ATs) have been involved in, (2) describe beliefs about MDQ following concussion, and (3) explore factors that ATs believed should be involved in the MDQ following concussion process.
      Design: Mixed methods.
      Setting: Online cross-sectional survey with follow-up semistructured interviews.
      Patients or Other Participants: Athletic trainers (n = 502) employed at the collegiate setting completed a survey (completion rate = 82.3%, n = 413/502; men = 175, 34.9%; women = 235, 46.8%, prefer not to answer = 4, 0.8%; no response = 88, 17.5%; age = 35.3 ± 10.8 years). Twenty participants were also interviewed (men = 13, 65.0%; women = 7, 35.0%; average age = 40.7 ± 11.0 years).
      Data Collection and Analysis: Participants completed a cross-sectional survey comprised of 3 sections of MDQ experience and specific case information, MDQ beliefs, and demographic items. We also interviewed participants who completed the survey and indicated involvement in at least 1 MDQ following a concussion case. We addressed aims 1 and 2 using descriptive statistics and aim 3 with a 5-cycle content analysis.
      Results: Nearly half of respondents had been involved in an MDQ case following concussion (49.0%, n = 246; not involved = 51.0%, n = 256). Athletic trainers who had been involved in at least 1 MDQ case were involved in an average of 2.3 ± 1.9 cases (n = 241). Participants often described many factors that they believed should influence the MDQ decision, including sport type, concussion history and recovery, health-related quality of life, and academic performance.
      Conclusions: Our findings highlight that nearly half of participants were involved in an MDQ case following concussion and navigated this process without guidelines. Given this, multiple factors were considered to evaluate the patient's well-being holistically. The number of ATs involved in MDQ cases following concussion and factors that guided this process warrant further research to develop evidence-based recommendations that assist clinicians in these difficult decisions.
      (© by the National Athletic Trainers’ Association, Inc.)
    • References:
      PM R. 2011 Oct;3(10 Suppl 2):S440-4. (PMID: 22035687)
      Soc Sci Med. 2018 Dec;218:37-44. (PMID: 30336393)
      J Sport Exerc Psychol. 2022 Mar 12;44(3):169-176. (PMID: 35279017)
      N Engl J Med. 1952 Oct 9;247(15):554-6. (PMID: 12993269)
      Nurs Res. 1986 Nov-Dec;35(6):382-5. (PMID: 3640358)
      Clin Sports Med. 2003 Jul;22(3):593-603, x. (PMID: 12852688)
      Sports Med. 2020 Oct;50(10):1843-1855. (PMID: 32557231)
      Clin Sports Med. 2011 Jan;30(1):189-200, xi. (PMID: 21074092)
      Res Nurs Health. 1997 Jun;20(3):269-74. (PMID: 9179180)
      Br J Sports Med. 2019 Feb;53(4):213-225. (PMID: 30705232)
      Br J Sports Med. 2023 Jun;57(11):695-711. (PMID: 37316210)
      Am J Sports Med. 2016 Nov;44(11):2925-2932. (PMID: 27166289)
      J Sch Nurs. 2015 Apr;31(2):146-54. (PMID: 25015367)
      Neurol Clin Pract. 2018 Feb;8(1):40-47. (PMID: 29517059)
      Br J Sports Med. 2023 Jun;57(12):822-830. (PMID: 37316181)
      Int J Environ Res Public Health. 2021 Feb 08;18(4):. (PMID: 33567484)
      Clin Sports Med. 2021 Jan;40(1):187-197. (PMID: 33187608)
      J Athl Train. 2014 Mar-Apr;49(2):245-65. (PMID: 24601910)
      Res Nurs Health. 2006 Oct;29(5):489-97. (PMID: 16977646)
      Sports Health. 2014 Sep;6(5):434-9. (PMID: 25177421)
    • Contributed Indexing:
      Keywords: mild traumatic brain injury; sport participation discontinuation; sport retirement
    • Publication Date:
      Date Created: 20240418 Date Completed: 20241125 Latest Revision: 20241204
    • Publication Date:
      20250114
    • Accession Number:
      PMC11611369
    • Accession Number:
      10.4085/1062-6050-0567.23
    • Accession Number:
      38632834