Abstract:
CONTEXT:Although consensus statements and recommendations from professional organizations aim to reduce the incidence of injury or sudden death in sport, nothing is mandated at the high school level. This allows states the freedom to create and implement individual policies. An example of a recommended policy is heat acclimatization. Despite its efficacy in reducing sudden death related to heat stroke, very few states follow the recommended guidelines. OBJECTIVE:To retroactively examine why and how 3 states were able to facilitate the successful creation and adoption of heat-acclimatization guidelines. DESIGN:Qualitative study. SETTING:High school athletic associations in Arkansas, Georgia, and New Jersey. PATIENTS OR OTHER PARTICIPANTS:Eight men and 3 women (n = 11; 6 athletic trainers; 2 members of high school athletic associations; 2 parents; 1 physician) participated. Participant recruitment ceased when data saturation was reached. DATA COLLECTION AND ANALYSIS:All phone interviews were digitally recorded and transcribed verbatim. A grounded-theory approach guided analysis and multiple analysts and peer review were used to establish credibility. RESULTS:Each state had a different catalyst to change (student-athlete death, empirical data, proactivity). Recommendations from national governing bodies guided the policy creation. Once the decision to implement change was made, the states displayed 2 similarities: shared leadership and open communication between medical professionals and members of the high school athletic association helped overcome barriers. CONCLUSIONS:The initiating factor that spurred the change varied, yet shared leadership and communication fundamentally allowed for successful adoption of the policy. Our participants were influenced by the recommendations from national governing bodies, which align with the institutional change theory. As more states begin to examine and improve their health and safety policies, this information could serve as a valuable resource for athletic trainers in other states and for future health and safety initiatives.
journal_name
J Athl Trainjournal_title
Journal of athletic trainingauthors
Pagnotta KD,Mazerolle SM,Pitney WA,Burton LJ,Casa DJdoi
10.4085/1062-6050-51.2.09subject
Has Abstractpub_date
2016-04-01 00:00:00pages
291-302issue
4eissn
1062-6050issn
1938-162Xjournal_volume
51pub_type
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journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-82-19
更新日期:2020-07-01 00:00:00
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journal_title:Journal of athletic training
pub_type: 杂志文章,随机对照试验
doi:10.4085/1062-6050-48.2.09
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abstract:CONTEXT:Ankle injuries are common at all levels of American football, and retired National Football League (NFL) players have a high prevalence of osteoarthritis (OA), but little is known about how ankle injuries influence OA prevalence and daily activities in this population or how surgical interventions for such inju...
journal_title:Journal of athletic training
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doi:10.4085/1062-6050-421-18
更新日期:2019-11-01 00:00:00
abstract:CONTEXT:Previous researchers have examined factor structures for common concussion symptom inventories. However, they failed to discriminate between the acute (<72 hours) and subacute (3 days-3 months) periods after concussion. The Sport Concussion Assessment Tool (SCAT) is an acute assessment that, when compared with ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-393.19
更新日期:2020-09-04 00:00:00
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journal_title:Journal of athletic training
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doi:10.4085/1062-6050-380-18
更新日期:2019-10-01 00:00:00
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更新日期:2016-07-01 00:00:00
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journal_title:Journal of athletic training
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更新日期:2001-09-01 00:00:00
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更新日期:2000-07-01 00:00:00
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