An Evaluation of a Concussion and Spinal Cord Injury Education Resource for Middle School and High School Students.

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Title: An Evaluation of a Concussion and Spinal Cord Injury Education Resource for Middle School and High School Students.
Authors: Tsuchida, Allison R.1 (AUTHOR) artsuchi@hawaii.edu, Murata, Nathan M.1 (AUTHOR), Furutani, Troy M.1 (AUTHOR), Solomon, John R.1 (AUTHOR)
Source: American Journal of Health Education. May/Jun2026, Vol. 57 Issue 3, p204-212. 9p.
Subject Terms: *Curriculum, *High school students, *Educational outcomes, *Health occupations students, *Middle school students, *Pre-tests & post-tests, Head injury prevention, Brain concussion prevention, Neck injuries, T-test (Statistics), Research funding, Evaluation of human services programs, Clinical trials, Spinal cord injuries, Descriptive statistics, Analysis of variance, Rural conditions, Metropolitan areas, Data analysis software, Brain concussion, Head injuries
Geographic Terms: Hawaii
Abstract: Purpose: Concussion and spinal cord injury can happen anytime, anywhere, and to anyone, not just athletes. All students should have basic knowledge on recognition, response, and preventative measures. The purpose of this study was to evaluate the efficacy of the Project: Head, Neck, Spine (HNS) educational modules on middle and high school student knowledge. Methods: A sample of 1204 middle school (n = 870) and high school (n = 334) students utilized the Project HNS educational resource and completed a pretest, eight modules, and an immediate posttest for evaluation. Data analysis using repeated measures analysis of variance (ANOVA) while controlling for grade level and school location (i.e. rural versus urban) Results: Results of pre-to-posttest analysis indicated that the HNS resource significantly increased students' overall knowledge of head, neck, and spinal cord injuries; t(1203) = 21.34, p <.001, Cohen d =.62. Discussion: Findings suggest that middle school and high school students will benefit from concussion and SCI related education. Translation to Health Education Practice: Concussion and SCI education, should be a staple in school health curriculums. Head and SCIs have lasting implications on one's health, and students should be able to recognize, respond, and prevent the injuries by utilizing good decision-making skills. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Health Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: An Evaluation of a Concussion and Spinal Cord Injury Education Resource for Middle School and High School Students.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tsuchida%2C+Allison+R%2E%22&quot;&gt;Tsuchida, Allison R.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; artsuchi@hawaii.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Murata%2C+Nathan+M%2E%22&quot;&gt;Murata, Nathan M.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Furutani%2C+Troy+M%2E%22&quot;&gt;Furutani, Troy M.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Solomon%2C+John+R%2E%22&quot;&gt;Solomon, John R.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)
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  Data: Purpose: Concussion and spinal cord injury can happen anytime, anywhere, and to anyone, not just athletes. All students should have basic knowledge on recognition, response, and preventative measures. The purpose of this study was to evaluate the efficacy of the Project: Head, Neck, Spine (HNS) educational modules on middle and high school student knowledge. Methods: A sample of 1204 middle school (n = 870) and high school (n = 334) students utilized the Project HNS educational resource and completed a pretest, eight modules, and an immediate posttest for evaluation. Data analysis using repeated measures analysis of variance (ANOVA) while controlling for grade level and school location (i.e. rural versus urban) Results: Results of pre-to-posttest analysis indicated that the HNS resource significantly increased students&#39; overall knowledge of head, neck, and spinal cord injuries; t(1203) = 21.34, p &lt;.001, Cohen d =.62. Discussion: Findings suggest that middle school and high school students will benefit from concussion and SCI related education. Translation to Health Education Practice: Concussion and SCI education, should be a staple in school health curriculums. Head and SCIs have lasting implications on one&#39;s health, and students should be able to recognize, respond, and prevent the injuries by utilizing good decision-making skills. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Health Education is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/19325037.2025.2603193
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 204
    Subjects:
      – SubjectFull: Curriculum
        Type: general
      – SubjectFull: High school students
        Type: general
      – SubjectFull: Educational outcomes
        Type: general
      – SubjectFull: Health occupations students
        Type: general
      – SubjectFull: Middle school students
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Head injury prevention
        Type: general
      – SubjectFull: Brain concussion prevention
        Type: general
      – SubjectFull: Neck injuries
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Clinical trials
        Type: general
      – SubjectFull: Spinal cord injuries
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Brain concussion
        Type: general
      – SubjectFull: Head injuries
        Type: general
      – SubjectFull: Hawaii
        Type: general
    Titles:
      – TitleFull: An Evaluation of a Concussion and Spinal Cord Injury Education Resource for Middle School and High School Students.
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              Text: May/Jun2026
              Type: published
              Y: 2026
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