title: The effectiveness of a web-based resource in improving postconcussion management in high schools.
abstract: OBJECTIVE
  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.
authors.affiliation: Center on Brain Injury Research and Training, University of Oregon and ORCAS, Eugene, Oregon. Electronic address: aglang@uoregon.edu.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Glang
authors.affiliation: Sports Concussion Program, Slocum Center for Orthopedics and Sports Medicine, Eugene, Oregon.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Koester
authors.affiliation: Oregon Health & Science University, Portland, Oregon.
authors.forename: James C
authors.initials: JC
authors.lastname: Chesnutt
authors.affiliation: Children's National Medical Center, Rockville, Maryland.
authors.forename: Gerard A
authors.initials: GA
authors.lastname: Gioia
authors.affiliation: Rocky Mountain Hospital for Children, Centennial, Colorado.
authors.forename: Karen
authors.initials: K
authors.lastname: McAvoy
authors.affiliation: St. Charles Health Systems, Bend, Oregon.
authors.forename: Sondra
authors.initials: S
authors.lastname: Marshall
authors.affiliation: Oregon Research Institute, Eugene, Oregon.
authors.forename: Jeff M
authors.initials: JM
authors.lastname: Gau
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D056352:Athletes / Q000706:statistics & numerical data; D001265:Athletic Injuries / Q000628:therapy; D001924:Brain Concussion / Q000628:therapy; D003194:Computer-Assisted Instruction / Q000379:methods*; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D010290:Parents; D038223:Post-Concussion Syndrome / Q000517:prevention & control*; D015397:Program Evaluation / Q000379:methods* / Q000706:statistics & numerical data; D012572:School Health Services / Q000706:statistics & numerical data*; D013334:Students / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: Concussion; High school; School-based health care; Web-based training