Stakeholder-Engaged Development of a Theory-Driven, Feasible, and Acceptable Approach to Concussion Education

Emily Kroshus*, Sara P.D. Chrisman, Tamerah Hunt, Rachel Hays, Kimberly Garrett, Alexis Peterson, Frederick P. Rivara, George Chiampas, Dane Ramshaw, BA, Ann Glang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Concussion education is widely mandated and largely ineffective. Recent consensus guidance on concussion education asserts the importance of (1) theory-driven programming that targets the team as a system and (2) working with end users throughout the development process, and considering issues such as feasibility, acceptability, and sustainability. Consistent with this guidance, and in collaboration with youth sport stakeholders in two regions of the United States, we developed a novel approach to concussion education: Pre-game safety huddles. Safety huddles have the following two core components: (1) athletes, coaches, and other stakeholders come together before the start of each game and (2) opinion leaders (coaches, referees) affirm the importance of care seeking for suspected concussion. The aim of this article is to provide an overview of the collaborative process through which we refined the safety huddle concept into an acceptable and feasible intervention with potential for sustainable implementation in diverse youth sports settings with minimal resource demands. In describing our process and discussing challenges and opportunities, we hope to provide an example for others seeking to develop and implement injury prevention interventions in youth sports settings.

Original languageEnglish (US)
JournalHealth Education and Behavior
StateAccepted/In press - 2022


  • adolescents
  • general terms
  • health education
  • injury prevention/safety
  • population groups
  • sports

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health


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