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The online concussion awareness training tool (catt)
  1. Shelina Babul1,2,
  2. Ian Pike1,2
  1. 1BC Injury Research and Prevention Unit, BC Children’s Hospital, Vancouver, Canada
  2. 2Pediatrics, University of British Columbia, Vancouver, Canada


Objective To support standardise concussion recognition, diagnosis, treatment and management through an evaluated online resource based upon the Zurich Consensus Statement on Concussion in Sport and other evidence-based resources. The online Concussion Awareness Training Tool (CATT– includes three free toolkits providing training for: Medical Professionals–MP; Parents, Players and Coaches–PPC; School Professionals–SP.

Design Pre-post intervention survey with sample size of at least 33 for power to detect a large effect size of 0.5.

Setting British Columbia, Canada.

Participants MP: 42 physicians and 33 nurses practising in BC; PPC: 35 parents in BC with a child registered in organised sport; SP: 43 K-12 teachers working in BC.

Intervention CATT MP aims to standardise practice in a clinical setting with a focus on the paediatric patient. CATT PPC speaks to concussion identification and management, with Smartphone accessible resources: Concussion Response Tool and Questions to Ask Your Doctor. CATT SP includes Return-to-Learn protocol and resources for teachers, administrators, counsellors and others in the school setting.

Outcome measures Change in knowledge, attitudes and practices.

Results CATT MP was launched April 2013. Physicians demonstrated significant positive change in concussion practices (p=0.001), and significant change in knowledge by those treating more than 10 concussions per year (p=0.039). Nurses had significant positive change in practices (p=0.005) and attitudes (p=0.035). CATT PPC was launched June 2014. Parents demonstrated significant positive change in concussion knowledge (p=0.002). CATT SP was launched February 2016; evaluation in process.

Conclusions CATT increases concussion knowledge and awareness among target audiences.

Competing interests None.

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