Effectiveness of the SLICE program for youth concussion education

Clin J Sport Med. 2012 Sep;22(5):385-9. doi: 10.1097/JSM.0b013e3182639bb4.


Objective: To analyze the effectiveness of the Sports Legacy Institute Community Educators (SLICE) curriculum for student-athletes on recognition and appropriate responses to concussions.

Design: Prospective cohort study, level II.

Setting: The SLICE concussion workshop.

Participants: All students ranging from 9 to 18 years (n = 636) taking the SLICE concussion education program.

Intervention: The SLICE concussion education program featuring interactive demonstrations, discussion, and case studies of athletes delivered by medical students and others in health-related fields.

Main outcome measures: Evaluations assessing knowledge of concussion recognition and appropriate response were administered before and after participating in the SLICE concussion education program.

Results: Students displayed significant improvements in absolute mean score on the concussion knowledge quiz between prepresentation and postpresentation (P < 0.0001). Significant improvements in mean score were observed among both male and female students within each age group. The proportion of students who passed the quiz increased from 34% prepresentation to 80% postpresentation (P < 0.0001). However, the percentage who passed the quiz postpresentation was significantly higher among female students compared with male students (P < 0.0001) and among students 13 years of age or older compared with students less than 13 years (P < 0.0001). Using multivariable logistic regression, we identified age group and gender as the most significant factors associated with passing the quiz postpresentation.

Conclusion: The SLICE program promotes effective learning and knowledge about concussion recognition and response among students ranging from 9 to 18 years. Lessons from the SLICE program may be broadly applicable to youth concussion education.

MeSH terms

  • Adolescent
  • Brain Concussion*
  • Child
  • Female
  • Health Education / methods*
  • Humans
  • Logistic Models
  • Male
  • Prospective Studies