About this trial
Head impacts in collision sports such as football are a public health concern, as repetitive head impacts, even if a concussion is not suspected, have negative effects on brain health. This study has partnered with a community stakeholder group to create a safety program for youth football named "COmmunities Aligned to reduce Concussion and Head impact exposure (COACH)", which seeks to improve knowledge and skills of youth coaches in effective and safe practice planning and to change attitudes and beliefs to prevent head impacts and promote safety. To continue advancing COACH as an approach to prevent head injuries in youth football, this R01 Research Project Grant will determine the ability of youth football organizations to adopt COACH and test if COACH is effective in reducing head impacts, concussion, and negative effects of brain health while monitoring how the program is implemented.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Participants without braces
Disqualifiers
Athletes will be excluded from participation if they currently have braces or plan to have braces during the football season, or have dental appliances that may impede the fit of the mouthpiece device (e.g., Herbst Appliance).
Trial design
Single group
Treatments tested in this trial
COmmunities Aligned to reduce Concussion and Head impact exposure (COACH) Intervention
BehavioralCOmmunities Aligned to reduce Concussion and Head impact exposure (COACH) includes use of practice plans and a resource booklet aligned with the National Federation for High School guidelines for contact in practice. Coaches will also attend a pre-season coaches' clinic and be paired with a peer mentor during the season.
Treatment groups
Trial outcomes
Primary outcomes
Number of practice impacts
Total number of head impacts measured during the season in practices - 0-500 impacts
linear acceleration of practice impacts
Median peak resultant linear acceleration measured during the season in practices - 8-45 g of linear acceleration
rotational acceleration of practice impacts
Median peak resultant rotational acceleration measured during the season in practices - Median peak resultant linear acceleration measured during the season in practices - 8-45 g of linear acceleration - 100-1500 rad/s\^2
Change in verbal memory composite (ImPACT) scores
Pre- to post-season change in attentional processes, learning, and memory within the verbal domain - range: 60-100; The composite score represents the average performance across three subtasks. A higher score indicates better performance.
Secondary outcomes
Intervention fidelity percentage of implementation
Implementation score representing the percentage of practices the intervention was implemented as prescribed - 0-100% - higher percent denoting more implementation
Adaptation of the intervention (AIM) score
5-point Likert scale of the acceptability of the intervention - 0-5 - higher scores denoting more adaptation
Feasibility of the Intervention (FIM) score
5-point Likert scale of the feasibility of the intervention - 0-5 - higher scores denoting higher feasibility
Sponsors and contacts
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Wake Forest University Health Sciences
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator