The effectiveness of a web-based resource in improving postconcussion management in high schools

J Adolesc Health. 2015 Jan;56(1):91-7. doi: 10.1016/j.jadohealth.2014.08.011. Epub 2014 Oct 29.


Purpose: Because many sports concussions happen during school-sponsored sports events, most state concussion laws specifically hold schools accountable for coach training and effective concussion management practices. Brain 101: The Concussion Playbook is a Web-based intervention that includes training in sports concussion for each member of the school community, presents guidelines on creating a concussion management team, and includes strategies for supporting students in the classroom.

Methods: The group randomized controlled trial examined the efficacy of Brain 101 in managing sports concussion. Participating high schools (N = 25) were randomly assigned to the Brain 101 intervention or control. Fall athletes and their parents completed online training, and Brain 101 school administrators were directed to create concussion management policy and procedures.

Results: Student athletes and parents at Brain 101 schools significantly outperformed those at control schools on sports concussion knowledge, knowledge application, and behavioral intention to implement effective concussion management practices. Students who had concussions in Brain 101 schools received more varied academic accommodations than students in control schools.

Conclusions: Brain 101 can help schools create a comprehensive schoolwide concussion management program. It requires minimal expenditures and offers engaging and effective education for teachers, coaches, parents, and students.

Trial registration: NCT01978795.

Keywords: Concussion; High school; School-based health care; Web-based training.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Analysis of Variance
  • Athletes / statistics & numerical data
  • Athletic Injuries / therapy
  • Brain Concussion / therapy
  • Computer-Assisted Instruction / methods*
  • Female
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Internet
  • Male
  • Parents
  • Post-Concussion Syndrome / prevention & control*
  • Program Evaluation / methods*
  • Program Evaluation / statistics & numerical data
  • School Health Services / statistics & numerical data*
  • Students / statistics & numerical data
  • Surveys and Questionnaires

Associated data