Baseline Concussion Testing in High School Athletes: A Gap Between Policy and Practice.

Background: Concussions are a significant concern in high school athletes. Implementation of effective baseline concussion testing procedures can aid athletic trainers and coaches with timely and accurate concussion diagnosis, as well as being used to develop a personalized treatment plan for postconcussion management. Objective: The purpose of this policy review was to (a) identify the gap between the current baseline concussion testing policy and practices in the high schools throughout the state, (b) highlight opinions that support the importance of and need for mandatory baseline concussion testing in high school athletes, and (c) identify potential revisions to the present policy to change how baseline concussion testing is done. Methods: A mixed-methods approach was applied, utilizing a Qualtrics survey to gather data from high school athletic directors in the state. The survey assessed current testing practices, perceived barriers, and potential benefits regarding baseline concussion testing.Thirty-three responses were received, revealing current testing practices, potential benefits, and perceived barriers of baseline concussion testing. While acknowledging the potential challenges, respondents recognized the overall benefits of baseline testing for athletes who are concussed. Conclusions: The findings of this project underscore the desire for standardized baseline concussion testing procedures in high school athletes and were used to recommend revisions to the current policy for testing in the state. Implications for Nursing: Revisions to the existing policy change have the potential to promote athlete safety, reduce the risk of long-term health consequences, and improve health outcomes for student athletes.