Concussion Education in the School Setting: A Scoping Review.
Kylie D Mallory, Lauren Saly, Andrea Hickling and 3 others
PMID 35259774WHAT IT FOUND
School concussion education was often short, one-time, and aimed at athletes or coaches.
Only 37% covered return to school, and there were no standard required topics.
Key findings
01The review included 27 studies, 23 of them conducted in the United States.
02Most education was delivered in person (15 studies; 55.6%) and at one time point (18 studies; 66.7%).
03Only 10 studies (37.0%) addressed return to school after concussion.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only peer-reviewed English-language primary studies were included, so school concussion education reported in gray literature or other languages may be missing. The review did not assess the quality of the included studies or the educational interventions. Most included studies were from the United States (23 of 27; 85.2%), so findings may not apply elsewhere. The 27 studies used many different designs and outcome measures, and 7 did not describe the study design, so results could not be pooled or compared directly. Only 8 studies assessed long-term retention, and the longest follow-up was 5 months, so lasting effects are largely unknown.
Declared interests
The senior author reported grants and research funding from the Canadian Institutes of Health Research, Ontario Neurotrauma Foundation, Public Health Agency of Canada, Parachute Canada, Special Olympics Canada, Greater Toronto Hockey League, Dr. Tom Pashby Sport Safety Fund, Holland Bloorview Kids Rehabilitation Hospital, and Scotiabank. He was an investigator in a multicenter study funded by the National Football League Scientific Advisory Board but received no funding or financial benefit, and he is a minority shareholder in 360 Concussion Care. The paper lists funding from the University of Toronto, Bloorview Research Institute, and the Canadian Institutes of Health Research.
The easy way to misread this
Do not read this as evidence that school concussion education works. It mapped 27 studies without assessing study quality or intervention effectiveness.