Athletic Administrators Report of Emergency Action Plan Adoption in Secondary School Athletics: The Influence of Athletic Training Services

Scarneo‐Miller, Samantha E.; DiStefano, Lindsay J.; Register-Mihalik, Johna K.; Stearns, Rebecca L.; Denegar, Craig R.; Casa, Douglas J.

doi:10.18666/jasm-2019-v11-i3-9240

Cited by 8 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 In another AA-specific survey, 75% related the adoption of an EAP in their secondary school, and those with access to an AT were more likely to do so. 14 When schools lack a venue-specific EAP or do not practice their EAP with relevant personnel, the school's liability increases because implementation errors and decreased quality of clinical care are more likely to occur. In addition, we identified that those who cited having access to an AT were more likely to have a written EAP in place, further suggesting that ATs are necessary to improve sports safety and implement policies and procedures.…”

Section: Emergency Action Plans Ems Access and Emergency Equipmentmentioning

confidence: 99%

Athletic Administrators' Reporting of Emergency Preparedness Regarding Policies and Procedures in Iowa Secondary Schools

Williams

Root

McLeod

2021

Journal of Athletic Training

View full text Add to dashboard Cite

Context: Secondary schools that offer school-sponsored athletic events should follow best-practice guidelines to provide policies that promote student health and safety. Objective: To assess emergency preparedness from the perspective of athletic administrators (AAs) in [State] secondary schools. Design: Cross-sectional study. Setting: Online survey. Patients or Other Participants: Ninety-eight AAs from [State] completed the survey (age=45.33 ± 10.22 years, years as an AA= 9.37 ± 8.14, years in current role=7.72 ± 7.09). Intervention(s): Six-section survey, with questions about access to ATs, emergency action plans (EAPs), Cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), concussions and heat illness. Main outcome measures (s): Descriptive statistics (percentages and frequencies) were reported. Relative risk was calculated to compare schools with and without access to athletic trainers (ATs) (P<.05). Results: Most respondents (76.5%, n = 75/98) reported their school had access to a licensed AT. The majority had a written EAP (83.3%, n = 70/84), but less than half (39.2%, n = 31/79) reviewed it annually and less than 10% (n=6/85) reported practicing it each year. All respondents (100%, n = 78/78) reported having an AED on campus. All respondents (n = 77/77) reported that they were familiar with the [State] High School Athletic Association's (XHSAA) concussion policy and had a concussion guideline in place. Many respondents (95.9%, n = 71/74) reported being familiar with the XHSAA's heat illness policy, but over half (62.1%, n = 41/66) reported not having a heat policy in place at their school. Conclusions: Most respondents indicated their school has access to ATs, follows the state-mandated concussion guidelines, and has an AED. Although participants reported having written EAPs in place, there were low levels of annual EAP review and practice. These results suggest schools would benefit from educational opportunities to improve safety policies.

show abstract

Section: Emergency Action Plans Ems Access and Emergency Equipmentmentioning

confidence: 99%

Athletic Administrators' Reporting of Emergency Preparedness Regarding Policies and Procedures in Iowa Secondary Schools

Williams

Root

McLeod

2021

Journal of Athletic Training

View full text Add to dashboard Cite

show abstract

“…Yet, despite the recommendations for and benefits derived from written policies, many high schools in the United States do not have policies for the prevention, recognition, and management of common causes of sport-related morbidities and mortality (6)(7)(8)(9)(10). For example, only 13% of athletic administrators (AA) reported their schools had comprehensive emergency action plans (EAP), which are critical for the management of any type of catastrophic injury (11). Importantly, an EAP is a written document to outline how to manage any type of catastrophic injury, whereas policies and procedures often address prevention, recognition, and treatment of a specific injury or illness.…”

Section: Introductionmentioning

confidence: 99%

Spinal Cord Injury Management Policies in High School Sports as Reported by Athletic Administrators

Scarneo-Miller,

Swartz,

et al. 2023

Transl J ACSM

Self Cite

View full text Add to dashboard Cite

Introduction/Purpose Athletic administrators (AA) in U.S. high schools are uniquely positioned to provide guidance and endorsement for the prevention and management of common sport-related catastrophic injuries, such as the development of a spinal cord injury management (SCIM) policy. The purpose of this project was to evaluate AA’s knowledge of comprehensive SCIM policies in U.S. high schools. Secondarily, we aimed to investigate the factors, facilitators, and barriers to the development and adoption of comprehensive policies. Methods An online questionnaire was distributed to 6423 AA working in U.S.-based high school athletics, with 366 included in the final data analysis. The questionnaire evaluated AA’s knowledge of comprehensive SCIM policies addressing components of adoption, documentation, and communication. The questionnaire was developed based on the 2002 “National Athletic Trainers’ Association Position Statement: Acute Management of the Cervical Spine-Injured Athlete.” The questionnaire also inquired about facilitators and barriers to developing and adopting comprehensive policies. Proportions were calculated for policy adoption, and independent-samples t-tests evaluated the influence of athletic training services on comprehensive SCIM policies. Results About half of AA (49.2%, n = 180/366) reported having all recommended components of a written SCIM policy. AA who had access to an athletic trainer (yes = 62.9%, no = 18.1%, unknown = 19%) were more likely to have a comprehensive SCIM policy compared with those without access (80.6% vs 19.4%, χ 2 1 = 7.091, P = 0.008, prevalence ratio = 1.24, 95% confidence interval = 1.03–1.50). The most commonly reported facilitator (49.9%) was “having a medical professional at the school,” and the main barrier (30.2%) was “my school would need more information, resources, assistance, etc.” Conclusions The findings identify areas for improvement in supporting the health and safety of children in high school participating in interscholastic athletics. Future dissemination and implementation research should develop strategies tailored to individual school community and need to improve SCIM policy adoption and implementation.

show abstract

“…One approach to ensuring these best practice strategies for preventing and treating EHS are in place among high school athletics is the development, implementation, and adoption of policies. However, at the local high school level in the United States (US), several studies have identified a lack of overall compliance with safety standards related to exertional heat illness (EHI) prevention and treatment such as heat acclimatization and emergency action plans [ 16 , 17 , 18 , 19 , 20 , 21 ]. Conversely, when a policy is in place, it has been shown to be effective in improving patient outcomes following a catastrophic injury [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Regional Requirements Influence Adoption of Exertional Heat Illness Preparedness Strategies in United States High Schools

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background and objectives: Exertional heat stroke (EHS) continues to be a prevalent health issue affecting all athletes, including our pediatric populations. The purpose of this study was to evaluate the effect of a state policy requirement for EHS prevention and treatment on local high school policy adoption in the United States (US). Materials and Methods: Athletic trainers (ATs) from high schools across the US participated in an online survey (n = 365). This survey inquired about their compliance with nine components of an EHS policy which was then compared to their state requirements for the policies. Evaluation of the number of components adopted between states with a requirement versus states without a requirement was conducted with a Wilcoxon Sign Rank test. Finally, an ordinal logistic regression with proportional odds ratios (OR) with 95% confidence intervals (CI) were run to determine the effect of a state requirement and regional differences on the number of components adopted. Results: ATs working in states with a requirement reported adoption of more components in their heat modification policy compared to states that did not require schools to develop a heat modification policy (with requirement mean = 5.34 ± 3.68, median = 7.0; without requirement mean = 4.23 ± 3.59, median = 5.0; Z = −14.88, p < 0.001). ATs working in region 3 (e.g., hotter regions) reported adopting more components than those in region 1 (e.g., cooler regions) (OR = 2.25, 95% CI: 1.215–4.201, p = 0.010). Conclusions: Our results demonstrate a positive association between state policy requirements and subsequently increased local policy adoption for EHS policies. Additionally, the results demonstrate that regional differences exist, calling for the need for reducing disparities across the US. These findings may imply that policy adoption is a multifactorial process; furthermore, additional regional specific investigations must be conducted to determine the true determinants of high school policy adoption rates for EHS policies.

show abstract

Athletic Administrators Report of Emergency Action Plan Adoption in Secondary School Athletics: The Influence of Athletic Training Services

Cited by 8 publications

References 0 publications

Athletic Administrators' Reporting of Emergency Preparedness Regarding Policies and Procedures in Iowa Secondary Schools

Athletic Administrators' Reporting of Emergency Preparedness Regarding Policies and Procedures in Iowa Secondary Schools

Spinal Cord Injury Management Policies in High School Sports as Reported by Athletic Administrators

Regional Requirements Influence Adoption of Exertional Heat Illness Preparedness Strategies in United States High Schools

Contact Info

Product

Resources

About