Unintended Consequences: A Qualitative Exploration of Baseline Testing in Community Rugby Concussion Management

Simple item page
aut.relation.endpage602
aut.relation.issue9
aut.relation.journalJournal of Science and Medicine in Sport
aut.relation.startpage594
aut.relation.volume27
dc.contributor.authorSalmon, Danielle
dc.contributor.authorBadenhorst, Marelise
dc.contributor.authorClark, Brooke
dc.contributor.authorWalters, Simon
dc.contributor.authorSullivan, S John
dc.contributor.authorSole, Gisela
dc.date.accessioned2024-11-12T01:40:18Z
dc.date.available2024-11-12T01:40:18Z
dc.date.issued2024-05-16
dc.description.abstractObjectives: Understanding key stakeholders' perceptions around the value of baseline testing, as well as barriers or facilitators experienced as part of the process, may assist with the decision-making process of whether to implement baseline testing in community sport. This study explored coaches', players' and physiotherapists' perceptions of the perceived value, barriers and facilitators of baseline testing as part of New Zealand Rugby's (NZR) community concussion initiative. Design: The study employed a pragmatic, qualitative descriptive design. Methods: Semi-structured interviews were used to explore participants' perceptions. In total, 73 individual interviews were conducted. The sample consisted of 36 players, 13 coaches and 24 physiotherapists involved in NZR's concussion management pathway. Interviews were audio-recorded and transcribed verbatim. Data were analysed using thematic analysis. Results: In terms of perceived value, baseline testing was reported to play a role in i) facilitating a positive concussion culture; ii) positive perceptions of rugby and player safety and iii) enhancing concussion management as part of the pathway. Barriers and facilitators of the baseline testing process included i) stakeholder buy-in as critical driver of the process and ii) contextual and operational factors. Although contextual and operational challenges exist, these participants, as key stakeholders in the process, perceived the value of baseline testing to be more important than the barriers experienced. Conclusions: The value of baseline testing extends beyond concussion assessment and management, by enhancing community concussion awareness, attitudes and player safety. The findings of this study may assist in the decision-making process around inclusion of pre-season baseline testing in community rugby.
dc.identifier.citationJournal of Science and Medicine in Sport, ISSN: 1440-2440 (Print); 1878-1861 (Online), Elsevier BV, 27(9), 594-602. doi: 10.1016/j.jsams.2024.05.003
dc.identifier.doi10.1016/j.jsams.2024.05.003
dc.identifier.issn1440-2440
dc.identifier.issn1878-1861
dc.identifier.urihttp://hdl.handle.net/10292/18287
dc.languageen
dc.publisherElsevier BV
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S144024402400152X
dc.rights© 2024 The Author(s). Published by Elsevier Ltd on behalf of Sports Medicine Australia. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCoaches
dc.subjectCommunity perceptions
dc.subjectNew Zealand
dc.subjectPhysical therapists
dc.subjectPlayers
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subject1106 Human Movement and Sports Sciences
dc.subject1116 Medical Physiology
dc.subject1117 Public Health and Health Services
dc.subjectSport Sciences
dc.subject3202 Clinical sciences
dc.subject4207 Sports science and exercise
dc.subject5201 Applied and developmental psychology
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshNew Zealand
dc.subject.meshFootball
dc.subject.meshQualitative Research
dc.subject.meshMale
dc.subject.meshAthletic Injuries
dc.subject.meshAdult
dc.subject.meshFemale
dc.subject.meshYoung Adult
dc.subject.meshStakeholder Participation
dc.subject.meshInterviews as Topic
dc.subject.meshPhysical Therapists
dc.subject.meshRugby
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshAthletic Injuries
dc.subject.meshQualitative Research
dc.subject.meshFootball
dc.subject.meshAdult
dc.subject.meshNew Zealand
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshInterviews as Topic
dc.subject.meshYoung Adult
dc.subject.meshPhysical Therapists
dc.subject.meshStakeholder Participation
dc.subject.meshRugby
dc.subject.meshHumans
dc.subject.meshBrain Concussion
dc.subject.meshNew Zealand
dc.subject.meshFootball
dc.subject.meshQualitative Research
dc.subject.meshMale
dc.subject.meshAthletic Injuries
dc.subject.meshAdult
dc.subject.meshFemale
dc.subject.meshYoung Adult
dc.subject.meshStakeholder Participation
dc.subject.meshInterviews as Topic
dc.subject.meshPhysical Therapists
dc.subject.meshRugby
dc.titleUnintended Consequences: A Qualitative Exploration of Baseline Testing in Community Rugby Concussion Management
dc.typeJournal Article
pubs.elements-id553311
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