Table 3

Summary of learning strategies with an application to sport concussion

Target audienceLearning strategyGeneral findingsApplication to sport concussion
Physicians▸ Printed Education Materials▸ Ineffective standalone method for enhancing physician performance41 42▸ Printed materials as supplemental educational material for example:  – CDC Heads Up Tool Kit for Physicians50  – ThinkFirst Concussion Guidelines for Physicians51 ▸ Experts providing concussion education knowledge, for example:  – ThinkFirst Concussion Road Show52 ▸ Providing concussion education webinars that provide knowledge, case studies and collegial/peer interaction ▸ Integrating concussion as part of medical school training/curriculum16
▸ Didactic Lectures▸ No/limited interaction with presenter; little impact on changing physician performance43 44
▸ Audit and Feedback▸ Variable effectiveness and moderate impact on physician practice41–43 45
▸ Education Outreach▸ Effective in influencing physician behaviour41
▸ Opinion Leaders▸ Further clarity regarding peer impact is needed41
▸ Interactive Education Sessions▸ Effective; allows participants to apply current knowledge41
▸ Patient Mediated Interventions▸ Variable effectiveness42
▸ Reminders▸ Form of reinforcement found to be effective41
Physiotherapists (PT)▸ Problem Based Learning (PBL)▸ Conflicting research in medical field; difficulty in generalising model to PT education46 47▸ Printed materials as supplemental education ▸ Providing concussion education webinars that provide knowledge, case studies, and collegial/peer interaction ▸ Online concussion courses53
▸ Evidence Based Learning (EBL)▸ Positive attitude towards EBL; focusing on practical PT needs may be an approach to addressing EBL48 ▸ Evolve in learning process; focus switches from practice elements towards evaluation and critique of practice application49
▸ Socialisation▸ Become self-directed learners; progress in what and how they're learning as changes occur in their experiences49
Athletic trainers and therapists▸ Peer Assisted Learning (PAL)▸ Gain knowledge, understanding and skills from peer interaction and experiences54 ▸ Peer feedback supplements clinical instructors' feedback54▸ Printed materials as supplemental education for example:  – Concussion Guidelines for the Coach/Trainer62 63 ▸ Providing concussion education webinars that provide knowledge, case studies, and collegial/peer interaction ▸ Online concussion courses53 64 65
Coaches▸ Reflection▸ Framework to connect education, theory and practice55▸ Printed materials as supplemental education for example:  – Concussion Guidelines for the Coach/Trainer62 63 ▸ Resources providing concussion-specific case studies, how to address ethical issues and deal with the athlete, parent/caregiver ▸ Online concussion courses53 64 65
▸ Online Learning (Montana Model)▸ Access to current, user and administrative friendly materials56 ▸ The web-based coaching comprehensive curriculum56
Student-athlete▸ Multiple Intelligences▸ Children have strengths and weaknesses in different areas, different intellectual profiles and require different use of intelligences57 ▸ Students become self-directed, gain confidence, understand abilities of themselves and others, identify strengths and work on their weaknesses58 59 ▸ Educators learn to appreciate a wider variety of student strengths58 59 ▸ Criticised for being too broad for planning curriculum; inadequately supported by evidence60▸ Working with the patient-student-athlete to establish individualised return to school and play care plans66 ▸ Online concussion courses53 65 ▸ Participation in a concussion education and support group that enhances knowledge, facilitates peer interaction and support67
▸ Peer Support Groups▸ Reduces anxiety, depression, anger, confusion and frustration, enhances coping strategies, and improves mood61