目的:脑震荡是一个主要的公共卫生问题,and,因此,已经制定了针对弱势群体的具体政策,如学龄儿童和学校环境中的青年,大多数脑震荡与运动有关。目前,脑震荡政策存在于不同的司法管辖区,包括加拿大的第一个学校脑震荡政策,安大略省的PPM158,始于2014年。然而,这些政策在内容和全面性方面往往是可变的。我们的目标是就学校脑震荡政策的内容达成共识。
方法:在2015年安大略省一所学校董事会的一项试点研究之后,该研究确定了现有脑震荡政策中的缺失要素,我们采用改进的德尔菲法对学校脑震荡公共政策的内容达成共识。我们使用了一种综合的知识翻译方法,由包括校长在内的20名专家组成的多学科利益相关者小组参与,学校董事会主任,医师,政策制定者,公共卫生代表和家长。
结果:根据专家,我们为学校环境中的脑震荡政策制定了30项政策建议。这份全面的清单反映了专家的不同观点,并解决了父母的作用,教师,教练,学校管理员,裁判,培训师,医生/护士从业人员,公共卫生和学生。
结论:这是关于学校脑震荡公共政策内容的第一个专家共识,可用于其他司法管辖区学校的政策制定或改进。我们提供了30项建议的综合清单,以指导政策制定和实施的最佳做法,以加强学校脑震荡的预防和管理。
OBJECTIVE: Concussions are a major public health concern, and, thus, specific policies have been developed for implementation targeting vulnerable populations such as school-aged children and youth in the school setting, in whom the majority of concussions are sports related. Currently, concussion policies exist in various jurisdictions, including Canada\'s first concussion policy for schools, Ontario\'s PPM158, initiated in 2014. However, these policies are often variable in terms of content and comprehensiveness. Our objective was to develop a
consensus for the content of concussion policy for schools.
METHODS: Following a pilot study in one Ontario school board in 2015, which identified missing elements in existing concussion policy, we employed a modified Delphi method to develop
consensus for the content of concussion public policy for schools. We used an integrated knowledge translation approach with participation from a multidisciplinary stakeholder group of 20 experts including principals, school board directors, physicians, policymakers, public health representatives and parents.
RESULTS: Based on the experts, we created a list of 30 policy recommendations for concussion policy in the school setting. This comprehensive list reflects the diverse perspectives of the experts and addresses the role of parents, teachers, coaches, school administrators, referees, trainers, physicians/nurse practitioners, public health and students.
CONCLUSIONS: This is the first expert
consensus for content of concussion public policy for schools and can be used for policy development or enhancement in schools in other jurisdictions. We provide a comprehensive list of 30 recommendations to guide best practices for policy development and implementation to enhance school-based concussion prevention and management.