To Play or Not to Play Youth Tackle Football: Health- and League-Related Factors in Parents’ Decision Making
DOI:
https://doi.org/10.18666/JPRA-2023-12056Keywords:
Youth Sports, Theory of Planned Behavior, Recreational sports, Sports Medicine, FootballAbstract
This study examined parental decision-making factors regarding their child’s participation in tackle (TF) versus non-tackle (NTF) youth football leagues (YFLs, n= 91). The study also aimed to determine if these variables differed between parents who allowed their child to participate in TF and those who only allowed their child to participate in NTF. This study was of cross-sectional survey design and included items on parent demographics, child demographics, and factors influencing parent decision-making, divided into two groups: health and league-related factors. The survey was piloted, housed, and created in a web-based platform. YFL parents rated decision-making factors on a 6-point scale. Descriptive statistics were run for all demographic variables, and non-parametric test were utilized to compare responses between groups. The Mann-Whitney U test was used to compare TF versus NTF, parent sex, parent concussion history, and child’s concussion history. The Kruskal-Wallis test were employed to compare parent sport history. Female parents (n= 61) rated injury risk and concussion risk higher than male parents (n= 30). Parents who did not play a sport (n= 14) rated CTE higher than parents who played football(n=13), another sport(n=46), or football plus another sport(n=18). The NTF parents (n = 10) rated injury risk, concussion risk, and CTE risk higher than TF (n = 81), while TF parents rated coach’s level of training, league success, and league safety higher than NTF. This study provides insights into parents’ decision-making processes and may help YFL programs tailor their approach to address these concerns and provide a safer environment for children participating in YFL.
References
REFERENCES
Ahmed, O. H., & Hall, E. E. (2017). “It was only a mild concussion”: Exploring the description of sports concussion in online news articles. Physical Therapy in Sport, 23, 7-13. https://doi.org/https://doi.org/10.1016/j.ptsp.2016.07.003
Ajzen, I. (2002). Constructing a TPB questionnaire: Conceptual and methodological considerations.
Baugh, C. M., Kroshus, E., Bourlas, A. P., & Perry, K. I. (2014). Requiring Athletes to Acknowledge Receipt of Concussion-Related Information and Responsibility to Report Symptoms: A Study of the Prevalence, Variation, and Possible Improvements. Journal of Law, Medicine & Ethics, 42(3), 297-313. https://doi.org/10.1111/jlme.12147
Bieniek, K. F., Ross, O. A., Cormier, K. A., Walton, R. L., Soto-Ortolaza, A., Johnston, A. E., . . . Dickson, D. W. (2015). Chronic traumatic encephalopathy pathology in a neurodegenerative disorders brain bank. Acta Neuropathol, 130(6), 877-889. https://doi.org/10.1007/s00401-015-1502-4
Boneau, R. D., Richardson, B. K., & McGlynn, J. (2018). “We Are a Football Family”: Making Sense of Parents’ Decisions to Allow Their Children to Play Tackle Football. Communication & Sport, 8(1), 26-49. https://doi.org/10.1177/2167479518816104
Choi, A. R., & Feller, E. R. (2021). Misrepresentation of mild traumatic brain injury research in press releases. Pm r. https://doi.org/10.1002/pmrj.12656
Christine Gillette, N. C. (2016). National Survey Finds Concern About Brain Injuries in Athletics From Youth to Pro [Press Release]. Retrieved 04-11-2021, from https://www.uml.edu/News/press-releases/2016/ConcussionPoll072016.aspx
Cook, B. (2019). High School Football Participation is On a Decade-Long Decline. Forbes. Retrieved 04-11-2021, from https://www.forbes.com/sites/bobcook/2019/08/29/high-school-football-participation-is-on-a-decade-long-decline/?sh=4fd10e1433de
Council On Sports, M., & Fitness. (2015). Tackling in Youth Football. Pediatrics, 136(5), e1419-1430. https://doi.org/10.1542/peds.2015-3282
Dompier, T. P., Kerr, Z. Y., Marshall, S. W., Hainline, B., Snook, E. M., Hayden, R., & Simon, J. E. (2015). Incidence of Concussion During Practice and Games in Youth, High School, and Collegiate American Football Players. JAMA Pediatr, 169(7), 659-665. https://doi.org/10.1001/jamapediatrics.2015.0210
Dompier, T. P., Powell, J. W., Barron, M. J., & Moore, M. T. (2007). Time-Loss and Non–Time-Loss Injuries in Youth Football Players. Journal of Athletic Training, 42(3).
Dougherty, D. S., & Drumheller, K. (2006). Sensemaking and Emotions in Organizations: Accounting for Emotions in a Rational(ized) Context. Communication Studies, 57(2), 215-238. https://doi.org/10.1080/10510970600667030
Fishman, M., Taranto, E., Perlman, M., Quinlan, K., Benjamin, H. J., & Ross, L. F. (2017). Attitudes and Counseling Practices of Pediatricians Regarding Youth Sports Participation and Concussion Risks. J Pediatr, 184, 19-25. https://doi.org/10.1016/j.jpeds.2017.01.048
Institue, T. A. (2019). State of Play: Trends and Developments in Youth Sports. T. A. Institue. https://www.aspeninstitute.org/wp-content/uploads/2019/10/2019_SOP_National_Final.pdf
Kaplan, Y., Myklebust, G., Nyska, M., Palmanovich, E., Victor, J., & Witvrouw, E. (2013). The Epidemiology of Injuries in Contact Flag Football. Clinical Journal of Sports Medicine, 23(1).
Kerr, Z. Y., Marshall, S. W., Simon, J. E., Hayden, R., Snook, E. M., Dodge, T., . . . Parsons, J. T. (2015). Injury Rates in Age-Only Versus Age-and-Weight Playing Standard Conditions in American Youth Football. Orthop J Sports Med, 3(9), 2325967115603979. https://doi.org/10.1177/2325967115603979
Kerr, Z. Y., Register-Mihalik, J. K., Marshall, S. W., Evenson, K. R., Mihalik, J. P., & Guskiewicz, K. M. (2014). Disclosure and non-disclosure of concussion and concussion symptoms in athletes: Review and application of the socio-ecological framework. Brain Injury, 28(8), 1009-1021. https://doi.org/10.3109/02699052.2014.904049
Kerr, Z. Y., Yeargin, S., Valovich McLeod, T. C., Nittoli, V. C., Mensch, J., Dodge, T., . . . Dompier, T. P. (2015). Comprehensive Coach Education and Practice Contact Restriction Guidelines Result in Lower Injury Rates in Youth American Football. Orthop J Sports Med, 3(7), 2325967115594578. https://doi.org/10.1177/2325967115594578
Kerr, Z. Y., Zuckerman, S. L., Wasserman, E. B., Covassin, T., Djoko, A., & Dompier, T. P. (2016). Concussion Symptoms and Return to Play Time in Youth, High School, and College American Football Athletes. JAMA Pediatr, 170(7), 647-653. https://doi.org/10.1001/jamapediatrics.2016.0073
Kim, H.-Y. (2015). Statistical notes for clinical researchers: effect size. Restorative dentistry & endodontics, 40(4), 328-331. https://doi.org/10.5395/rde.2015.40.4.328
Kroshus, E., Baugh, C. M., Daneshvar, D. H., & Viswanath, K. (2014). Understanding Concussion Reporting Using a Model Based on the Theory of Planned Behavior. Journal of Adolescent Health, 54(3), 269-274.e262. https://doi.org/https://doi.org/10.1016/j.jadohealth.2013.11.011
Kroshus, E., Bowen, D., Opel, D., Chrisman, S. P. D., & Rivara, F. P. (2021). Understanding Decision Making by Families About Youth Football Participation Postconcussion. Health Promotion Practice, 22(6), 829-839. https://doi.org/10.1177/1524839920945255
Malina, R. M., Cumming, S. P., Rogol, A. D., Coelho-e-Silva, M. J., Figueiredo, A. J., Konarski, J. M., & Kozieł, S. M. (2019). Bio-Banding in Youth Sports: Background, Concept, and Application. Sports Medicine, 49(11), 1671-1685. https://doi.org/10.1007/s40279-019-01166-x
Malina, R. M., Dompier, T. P., Powell, J. W., Barron, M. J., & Moore, M. T. (2007). Validation of a noninvasive maturity estimate relative to skeletal age in youth football players. Clin J Sport Med, 17(5), 362-368. https://doi.org/10.1097/JSM.0b013e31815400f4
McGlynn, J., Boneau, R. D., & Richardson, B. K. (2020). “It Might Also Be Good for Your Brain”: Cognitive and Social Benefits That Motivate Parents to Permit Youth Tackle Football. Journal of Sport and Social Issues, 44(3), 261-282. https://doi.org/10.1177/0193723520903226
McKee, A. C., Cairns, N. J., Dickson, D. W., Folkerth, R. D., Keene, C. D., Litvan, I., . . . group, T. C. (2016). The first NINDS/NIBIB consensus meeting to define neuropathological criteria for the diagnosis of chronic traumatic encephalopathy. Acta Neuropathol, 131(1), 75-86. https://doi.org/10.1007/s00401-015-1515-z
McKee, A. C., Stern, R. A., Nowinski, C. J., Stein, T. D., Alvarez, V. E., Daneshvar, D. H., . . . Cantu, R. C. (2013). The spectrum of disease in chronic traumatic encephalopathy. Brain, 136(Pt 1), 43-64. https://doi.org/10.1093/brain/aws307
Montenigro, P. H., Alosco, M. L., Martin, B. M., Daneshvar, D. H., Mez, J., Chaisson, C. E., . . . Tripodis, Y. (2017). Cumulative Head Impact Exposure Predicts Later-Life Depression, Apathy, Executive Dysfunction, and Cognitive Impairment in Former High School and College Football Players. J Neurotrauma, 34(2), 328-340. https://doi.org/10.1089/neu.2016.4413
Murphy, A. M., Askew, K. L., & Sumner, K. E. (2017). Parents’ intentions to allow youth football participation: Perceived concussion risk and the theory of planned behavior. Sport, Exercise, and Performance Psychology, 6(3), 230.
Pankow, M. P., Syrydiuk, R. A., Kolstad, A. T., Hayden, A. K., Dennison, C. R., Mrazik, M., . . . Emery, C. A. (2021). Head Games: A Systematic Review and Meta-analysis Examining Concussion and Head Impact Incidence Rates, Modifiable Risk Factors, and Prevention Strategies in Youth Tackle Football. Sports Medicine. https://doi.org/10.1007/s40279-021-01609-4
Peterson, A. R., Kruse, A. J., Meester, S. M., Olson, T. S., Riedle, B. N., Slayman, T. G., . . . Smoot, M. K. (2017). Youth Football Injuries: A Prospective Cohort. Orthop J Sports Med, 5(2), 2325967116686784. https://doi.org/10.1177/2325967116686784
Potteiger, K. L. P., Adam J; Pitney, William; Wright, Paul M;. (2018). An Examination of Concussion Legislation in the United States. The Internet Journal of Allied Health Sciences and Practice, 16(2), Article 6. https://doi.org/10.46743/1540-580X/2018.1712
Rivara, F. P., Schiff, M. A., Chrisman, S. P., Chung, S. K., Ellenbogen, R. G., & Herring, S. A. (2014). The Effect of Coach Education on Reporting of Concussions Among High School Athletes After Passage of a Concussion Law. The American Journal of Sports Medicine, 42(5), 1197-1203. https://doi.org/10.1177/0363546514521774
Rizzone, K., Diamond, A., & Gregory, A. (2013). Sideline Coverage of Youth Football. Current Sports Medicine Reports, 12(3).
Rui, P., Ashman, J. J., & Akinseye, A. (2019). Emergency Department Visits for Injuries Sustained During Sports and Recreational Activities by Patients Aged 5-24 Years, 2010-2016. Natl Health Stat Report(133), 1-15.
Sarmiento, K., Waltzman, D., Devine, O., Zhang, X., DePadilla, L., Kresnow, M.-J., . . . Breiding, M. J. (2021). Differences in Head Impact Exposures Between Youth Tackle and Flag Football Games and Practices: Potential Implications for Prevention Strategies. The American Journal of Sports Medicine, 49(8), 2218-2226. https://doi.org/10.1177/03635465211011754
Silverberg, N. D., Lange, R. T., Millis, S. R., Rose, A., Hopp, G., Leach, S., & Iverson, G. L. (2013). Post-Concussion Symptom Reporting after Multiple Mild Traumatic Brain Injuries. Journal of Neurotrauma, 30(16), 1398-1404. https://doi.org/10.1089/neu.2012.2827
State of Play: Trends and Developments in Youth Sports. (2019). https://www.aspeninstitute.org/wp-content/uploads/2019/10/2019_SOP_National_Final.pdf
Turbeville, S. D., Cowan, L. D., Asal, N. R., Owen, W. L., & Anderson, M. A. (2003). Risk Factors for Injury in Middle School Football Players. The American Journal of Sports Medicine, 31(2), 276-281. https://doi.org/10.1177/03635465030310022001
Yang, J., Comstock, R. D., Yi, H., Harvey, H. H., & Xun, P. (2017). New and Recurrent Concussions in High-School Athletes Before and After Traumatic Brain Injury Laws, 2005-2016. Am J Public Health, 107(12), 1916-1922. https://doi.org/10.2105/ajph.2017.304056
Yeargin, S. W., Kingsley, P., Mensch, J. M., Mihalik, J. P., & Monsma, E. V. (2018). Anthropometrics and maturity status: A preliminary study of youth football head impact biomechanics. Int J Psychophysiol, 132(Pt A), 87-92. https://doi.org/10.1016/j.ijpsycho.2017.09.022
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