One Team: Changing the Culture of Youth Sport With Pregame Safety Huddles

January 25, 2022 updated by: Sara PD Chrisman, MD MPH, Seattle Children's Hospital
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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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).

Study Type

Interventional

Enrollment (Actual)

500

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Washington
      • Seattle, Washington, United States, 98136
        • Sara P Chrisman

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

11 years to 14 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

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

Exclusion Criteria:

  • Not willing to complete surveys

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Pre-game Safety Huddles
Pre-game safety huddles will occur before each game and athletes and coaches will be surveyed.
Coaches will be trained to lead Pre-game Safety Huddles by the RA with the study using a multi-media tool we have developed. Huddles will be brief (1-2 minutes) and will primarily focused on 1) encouraging concussion reporting and 2) encouraging good sportsmanship
No Intervention: Control
No intervention will be delivered by athletes and coaches will be surveyed.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change, Expectations regarding concussion reporting (CR-E)
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey of Athlete expectations regarding reporting concussive symptoms
Baseline, 4-6 weeks, 9-12 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change, Expectations of engaging in potentially injurious play (IP-E)
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey of Athlete rating of expectations of engaging in potentially risky sport behavior
Baseline, 4-6 weeks, 9-12 weeks
Change, Perceived coach, parent and peer norms regarding concussion reporting (PN-PWCS)
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey, Athlete perception of norms regarding concussion reporting
Baseline, 4-6 weeks, 9-12 weeks
Change in Perceived coach (TN-C), parent (TN-P) and peer norms (TN-T) regarding sportsmanship
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey, Athlete perception of norms regarding sportsmanship
Baseline, 4-6 weeks, 9-12 weeks
Change, Youth sport values (YSV)
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey, Athlete values regarding sport participation
Baseline, 4-6 weeks, 9-12 weeks
Self-report of concussion diagnosis
Time Frame: 9-12 weeks
Athlete report of concussion diagnosis during the season
9-12 weeks
Change, Expectations regarding reporting teammate concussion (bystander reporting) (E-BR)
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey, Athlete intention to report teammate concussive symptoms
Baseline, 4-6 weeks, 9-12 weeks
Change, Prosocial and Antisocial Behavior in Sport Scale (PABSS)
Time Frame: Baseline, 4-6 weeks, 9-12 weeks
Self-report survey, Standardized measure of sportsmanship
Baseline, 4-6 weeks, 9-12 weeks
Performed behavior, concussion reporting (PB--CR)
Time Frame: 9-12 weeks
Self-report survey, Athlete concussion symptoms following potential concussion during season
9-12 weeks
Acceptability of Intervention Measure (AIM-2) and Feasibility of Intervention Measure (AIM-2, FIM-2)
Time Frame: 9-12 weeks
Self-report survey, Standardized measures of acceptability and feasibility
9-12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 24, 2019

Primary Completion (Actual)

January 1, 2020

Study Completion (Actual)

March 1, 2020

Study Registration Dates

First Submitted

August 7, 2019

First Submitted That Met QC Criteria

September 19, 2019

First Posted (Actual)

September 23, 2019

Study Record Updates

Last Update Posted (Actual)

January 31, 2022

Last Update Submitted That Met QC Criteria

January 25, 2022

Last Verified

January 1, 2022

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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