Clinical trial NCT04099329: One Team: Changing the Culture of Youth Sport With Pregame Safety Huddles
Official title: One Team: Changing the Culture of Youth Sport With Pregame Safety Huddles
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Concussion, Brain
Keywords: Soccer
Football
Injury
Prevention
Concussion
Education
Huddles
Primary prevention
Secondary prevention
Behavioral intervention
Lead sponsor: Seattle Children's Hospital
Sponsor class: OTHER
Collaborators: name: Georgia Southern University
name: University of Oregon
name: Northwestern University Feinberg School of Medicine
First posted: 2019-09-23
Enrollment: 500
Sex: ALL
Minimum age (years): 11
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Leagues were randomized to intervention or control
Primary purpose: PREVENTION

Brief summary: Randomized controlled trial of a behavioral intervention (Pre-Game Safety Huddles) designed to study the impact of huddles on concussion safety in youth sport, primarily regarding intention to report concussive symptoms.

Detailed description: More than 1 million youth sustain a sport-related concussion (SRC) each year. The middle school age range is particularly concerning because it is a time when children have both a unique susceptibility to brain injury and high participation rates in organized sports with concussion risk, such as soccer and football. There are two avenues to decrease concussion risk: (1) minimizing the number and force of collisions to decrease concussion incidence (primary prevention) and (2) improving concussion identification to decrease morbidity (secondary prevention). The goal of this study is to utilize Pre-Game Safety Huddles to discuss sportsmanship (primary prevention) and concussion reporting (secondary prevention) with a goal of improving concussion safety.

To assess the efficacy of Pre-Game Safety Huddles as a tool for injury prevention, we will conduct a Randomized controlled trial with youth sport teams. We will recruit leagues in the Seattle area (girls' soccer, boys' soccer and football) and randomize them to either intervention or control. Coaches in the intervention group will then be trained to lead Pre-Game Safety Huddles before each game over the course of the season (9-12 weeks). Youth and coaches will be surveyed at three time points and data will be analyzed to determine impact of the intervention on two outcomes: 1) expectations regarding reporting concussive symptoms (CR-E) and 2) expectations regarding engaging in potentially injurious play (IP-E).

Eligibility criteria: Inclusion Criteria:

* Participating on a team in one of the recruited leagues and willing to complete surveys

Exclusion Criteria:

* Not willing to complete surveys

Primary outcomes:
measure: Change, Expectations regarding concussion reporting (CR-E)
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
Secondary outcomes:
measure: Change, Expectations of engaging in potentially injurious play (IP-E)
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
measure: Change, Perceived coach, parent and peer norms regarding concussion reporting (PN-PWCS)
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
measure: Change in Perceived coach (TN-C), parent (TN-P) and peer norms (TN-T) regarding sportsmanship
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
measure: Change, Youth sport values (YSV)
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
measure: Self-report of concussion diagnosis
timeFrame: 9-12 weeks
measure: Change, Expectations regarding reporting teammate concussion (bystander reporting) (E-BR)
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
measure: Change, Prosocial and Antisocial Behavior in Sport Scale (PABSS)
timeFrame: Baseline, 4-6 weeks, 9-12 weeks
measure: Performed behavior, concussion reporting (PB--CR)
timeFrame: 9-12 weeks
measure: Acceptability of Intervention Measure (AIM-2) and Feasibility of Intervention Measure (AIM-2, FIM-2)
timeFrame: 9-12 weeks
Other outcomes:
Locations:
city: Seattle
country: United States
facility: Sara P Chrisman
state: Washington
Study officials:
References:
citation: Kroshus E, Chrisman SPD, Glang A, Hunt T, Hays R, Lowry S, Peterson A, Garrett K, Ramshaw D, Hafferty K, Kinney E, Manzueta M, Steiner MK, Bollinger BJ, Chiampas G, Rivara FP. Concussion education for youth athletes using Pre-Game Safety Huddles: a cluster-randomised controlled trial. Inj Prev. 2023 Feb;29(1):22-28. doi: 10.1136/ip-2022-044665. Epub 2022 Sep 16.