Abstract
Context: In 2009, the National Athletic Trainers’ Association Inter-Association Task Force (NATA-IATF) released preseason heat-acclimatization guidelines for gradually acclimatizing high school (HS) athletes to the environment during the first 2 weeks of the preseason and reducing the risk of exertional heat illness. However, researchers who studied the 2011 preseason found a low level of overall compliance. Objective: To assess compliance with the NATA-IATF guidelines during the 2017 preseason and compare the findings with 2011 preseason data and between states mandating and not mandating the guidelines. Design: Cross-sectional study. Setting: Preseason HS football, 2017. Patients or Other Participants: A total of 1023 athletic trainers working with HS football (14.2% response rate). Main Outcome Measure(s): Using a survey, we acquired information from athletic trainers on their HS football programs, including location and compliance with 17 NATA-IATF guidelines during the 2017 football preseason. The outcome measures were full compliance with all 17 NATA-IATF guidelines and compliance with 10 NATA-IATF guidelines. Prevalence ratios (PRs) with 95% confidence intervals (CIs) compared findings between (1) the 2017 and 2011 preseasons and (2) states whose HS athletic associations imposed a full or partial or no mandate to follow the NATA-IATF guidelines. Results: Overall, 3.9% reported full compliance with NATA-IATF guidelines; 73.9% complied with 10 guidelines. The proportion reporting full compliance was higher in 2017 than in 2011 but not statistically different (3.9% versus 2.5%; PR ¼ 1.54; 95% CI ¼ 0.96, 2.46). However, the proportion reporting compliance with 10 guidelines was higher in 2017 (73.9% versus 57.9%; PR ¼ 1.28; 95% CI ¼ 1.20, 1.36). The proportion of respondents reporting their HSs were fully compliant was highest among the with-mandate group (9.4%), followed by the partial-mandate group (4.6%) and the without-mandate group (0.6%). Group differences retained significance when we examined compliance with 10 guidelines. Conclusions: Although full compliance with NATA-IATF guidelines remained low, many HS football programs complied with 10 guidelines.
| Original language | English |
|---|---|
| Pages (from-to) | 749-757 |
| Number of pages | 9 |
| Journal | Journal of athletic training |
| Volume | 54 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2019 Jan 1 |
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Keywords
- Exertional heat illness
- Heat stroke
- High school athletes
- Injury prevention
- Policy
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Compliance with the national athletic trainers’ Association inter-association task force preseason heat-acclimatization guidelines in high school football. / Kerr, Zachary Y.; Register-Mihalik, Johna K.; Pryor, Riana R.; Hosokawa, Yuri; Scarneo-Miller, Samantha E.; Casa, Douglas J.
In: Journal of athletic training, Vol. 54, No. 7, 01.01.2019, p. 749-757.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Compliance with the national athletic trainers’ Association inter-association task force preseason heat-acclimatization guidelines in high school football
AU - Kerr, Zachary Y.
AU - Register-Mihalik, Johna K.
AU - Pryor, Riana R.
AU - Hosokawa, Yuri
AU - Scarneo-Miller, Samantha E.
AU - Casa, Douglas J.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Context: In 2009, the National Athletic Trainers’ Association Inter-Association Task Force (NATA-IATF) released preseason heat-acclimatization guidelines for gradually acclimatizing high school (HS) athletes to the environment during the first 2 weeks of the preseason and reducing the risk of exertional heat illness. However, researchers who studied the 2011 preseason found a low level of overall compliance. Objective: To assess compliance with the NATA-IATF guidelines during the 2017 preseason and compare the findings with 2011 preseason data and between states mandating and not mandating the guidelines. Design: Cross-sectional study. Setting: Preseason HS football, 2017. Patients or Other Participants: A total of 1023 athletic trainers working with HS football (14.2% response rate). Main Outcome Measure(s): Using a survey, we acquired information from athletic trainers on their HS football programs, including location and compliance with 17 NATA-IATF guidelines during the 2017 football preseason. The outcome measures were full compliance with all 17 NATA-IATF guidelines and compliance with 10 NATA-IATF guidelines. Prevalence ratios (PRs) with 95% confidence intervals (CIs) compared findings between (1) the 2017 and 2011 preseasons and (2) states whose HS athletic associations imposed a full or partial or no mandate to follow the NATA-IATF guidelines. Results: Overall, 3.9% reported full compliance with NATA-IATF guidelines; 73.9% complied with 10 guidelines. The proportion reporting full compliance was higher in 2017 than in 2011 but not statistically different (3.9% versus 2.5%; PR ¼ 1.54; 95% CI ¼ 0.96, 2.46). However, the proportion reporting compliance with 10 guidelines was higher in 2017 (73.9% versus 57.9%; PR ¼ 1.28; 95% CI ¼ 1.20, 1.36). The proportion of respondents reporting their HSs were fully compliant was highest among the with-mandate group (9.4%), followed by the partial-mandate group (4.6%) and the without-mandate group (0.6%). Group differences retained significance when we examined compliance with 10 guidelines. Conclusions: Although full compliance with NATA-IATF guidelines remained low, many HS football programs complied with 10 guidelines.
AB - Context: In 2009, the National Athletic Trainers’ Association Inter-Association Task Force (NATA-IATF) released preseason heat-acclimatization guidelines for gradually acclimatizing high school (HS) athletes to the environment during the first 2 weeks of the preseason and reducing the risk of exertional heat illness. However, researchers who studied the 2011 preseason found a low level of overall compliance. Objective: To assess compliance with the NATA-IATF guidelines during the 2017 preseason and compare the findings with 2011 preseason data and between states mandating and not mandating the guidelines. Design: Cross-sectional study. Setting: Preseason HS football, 2017. Patients or Other Participants: A total of 1023 athletic trainers working with HS football (14.2% response rate). Main Outcome Measure(s): Using a survey, we acquired information from athletic trainers on their HS football programs, including location and compliance with 17 NATA-IATF guidelines during the 2017 football preseason. The outcome measures were full compliance with all 17 NATA-IATF guidelines and compliance with 10 NATA-IATF guidelines. Prevalence ratios (PRs) with 95% confidence intervals (CIs) compared findings between (1) the 2017 and 2011 preseasons and (2) states whose HS athletic associations imposed a full or partial or no mandate to follow the NATA-IATF guidelines. Results: Overall, 3.9% reported full compliance with NATA-IATF guidelines; 73.9% complied with 10 guidelines. The proportion reporting full compliance was higher in 2017 than in 2011 but not statistically different (3.9% versus 2.5%; PR ¼ 1.54; 95% CI ¼ 0.96, 2.46). However, the proportion reporting compliance with 10 guidelines was higher in 2017 (73.9% versus 57.9%; PR ¼ 1.28; 95% CI ¼ 1.20, 1.36). The proportion of respondents reporting their HSs were fully compliant was highest among the with-mandate group (9.4%), followed by the partial-mandate group (4.6%) and the without-mandate group (0.6%). Group differences retained significance when we examined compliance with 10 guidelines. Conclusions: Although full compliance with NATA-IATF guidelines remained low, many HS football programs complied with 10 guidelines.
KW - Exertional heat illness
KW - Heat stroke
KW - High school athletes
KW - Injury prevention
KW - Policy
UR - http://www.scopus.com/inward/record.url?scp=85071230044&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071230044&partnerID=8YFLogxK
U2 - 10.4085/1062-6050-373-18
DO - 10.4085/1062-6050-373-18
M3 - Article
C2 - 31343275
AN - SCOPUS:85071230044
VL - 54
SP - 749
EP - 757
JO - Journal of Athletic Training
JF - Journal of Athletic Training
SN - 1062-6050
IS - 7
ER -