title: Effectiveness of the SLICE program for youth concussion education.
abstract: OBJECTIVE
  To analyze the effectiveness of the Sports Legacy Institute Community Educators (SLICE) curriculum for student-athletes on recognition and appropriate responses to concussions.
  
  
  METHODS
  Prospective cohort study, level II.
  
  
  METHODS
  The SLICE concussion workshop.
  
  
  METHODS
  All students ranging from 9 to 18 years (n = 636) taking the SLICE concussion education program.
  
  
  METHODS
  The SLICE concussion education program featuring interactive demonstrations, discussion, and case studies of athletes delivered by medical students and others in health-related fields.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: MD-PhD Program, Harvard Medical School, Boston, Massachusetts 02138, USA. abagley@mit.edu
authors.forename: Alexander F
authors.initials: AF
authors.lastname: Bagley
authors.forename: Daniel H
authors.initials: DH
authors.lastname: Daneshvar
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Schanker
authors.forename: David
authors.initials: D
authors.lastname: Zurakowski
authors.forename: Charles A
authors.initials: CA
authors.lastname: dʼHemecourt
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Nowinski
authors.forename: Robert C
authors.initials: RC
authors.lastname: Cantu
authors.forename: Kristian
authors.initials: K
authors.lastname: Goulet
mesh_terms: D000293:Adolescent; D001924:Brain Concussion; D002648:Child; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008297:Male; D011446:Prospective Studies