CClinicalTrials.gg
CompletedNCT04841473Updated Dec 15, 2021

The TRAIN Study: A Concussion Prevention Strategy in Middle Schools

An interventional study of TRAIN Concussion Education and Standard Concussion Education in Concussion, Brain, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-12-15.

Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
103
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Purpose: The purpose of this study is to evaluate the effectiveness of a theory-driven intervention (TRAIN concussion education) to improve parental concussion-related attitudes, beliefs, intentions, confidence in knowledge, and self-efficacy.

Participants: 180 parents of United States middle school aged children whose children have been engaged in organized sports within the past 2 years.

Procedures: The study is a single-blind (participants) randomized control trial. The investigators will randomize eligible parents into two groups: (1) control (standard concussion education); and treatment (standard concussion education AND TRAIN concussion education) to evaluate the effectiveness of the TRAIN concussion education intervention.

Read the detailed description

A convenience sample of participants will be recruited from parents of United States middle school aged children whose children have been engaged in organized sports within the past 2 years. Interested parents will contact study stuff, who will ensure eligibility criteria are met.

Upon this, and completing the written informed consent process, participants will be assigned a unique identifier and randomized (simple) without replacement to one of the two study arms (control vs. treatment), using a predetermined random number generator in Excel.

Participants in the control group will receive standard concussion education materials focused on concussion prevention in youth sport. Participants in the treatment group will receive the same standard concussion education materials AND the TRAIN concussion education module. The TRAIN education module is grounded in a theoretical structure inclusive of the original intervention tenants of the Popular Opinion Leader (POL) and Diffusion of Innovations frameworks, and within the context of the socioecological model.

Participants will complete a self-administered online pre-test survey, which includes assessments of concussion-related attitudes, beliefs, intentions, confidence in knowledge, and self-efficacy. After completion of the pre-test survey, participants will complete their assigned intervention (TRAIN concussion education module + standard concussion education materials versus standard concussion education materials only).

Upon completion of their assigned intervention, participants will complete the online survey again to obtain post-test measures (post-test survey). Participants will also be scheduled to complete individual semi-structured interviews.

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Conditions studied

  • Concussion, Brain

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Keywords

  • Concussion
  • Prevention
  • Management
03

In context

Brain Concussion

530 studies on the registry are indexed under Brain Concussion; 151 are open to participants now.

This study's enrollment of 103 is above the median of 64 across 364 interventional studies indexed under Brain Concussion.

Browse Brain Concussion studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adult with a child/children enrolled in a United States middle school
  • Adult whose child has participated in organized sports in the past 2 years

Exclusion criteria

Exclusion Criteria:

  • Adult without a child/children enrolled in a United States middle school
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
103 participants (actual)

Study arms

  • Active comparator
    Standard Concussion Education

    Participants will receive standard concussion education materials (online training) focused on concussion prevention in youth sport.

    Other: Standard Concussion Education

  • Experimental
    TRAIN Concussion Education

    After receiving the standard concussion education materials (online training), participants will receive an additional module, the TRAIN concussion education module.

    Other: TRAIN Concussion Education

Interventions

  • OtherTRAIN Concussion Education

    Participants will receive the TRAIN concussion education module.

  • OtherStandard Concussion Education

    Participants will receive a standard concussion education module.

06

What researchers measure

Primary outcomes

  1. Concussion-Related Beliefs Change Score

    Participants are asked 6 questions concerning beliefs related to concussion risk, symptoms, and management. These items are added together to compute an overall score. Scoring scale ranges from a minimum of 6 to a maximum 24, where a higher score indicated more favorable beliefs. A change score will be computed post score-pre score.

    Time frame: Baseline (pre-intervention) and follow-up (post intervention approximately 7-30 days after intervention completion)

  2. Concussion-Related Attitudes Change Score

    Participants are asked 20 survey items identifying an individual's attitudes about a certain behavior (e.g., seeking care). Each item is added together to compute an overall attitude score. Scoring scale ranges from a minimum of 20 to a maximum of 140, where higher scores indicate more favorable attitudes. A change score will be computed post score-pre score.

    Time frame: Baseline (pre-intervention) and follow-up (post intervention approximately 7-30 days after intervention completion)

Secondary outcomes

  1. Confidence in Concussion-Related Knowledge Change Score

    Participants are asked 2 questions concerning confidence in knowing and recognizing concussion symptoms. These items are added together to compute an overall score. Scoring scale ranges from a minimum of 2 to a maximum 8, where a higher score indicated better confidence in concussion knowledge. A change score will be computed post score-pre score.

    Time frame: Baseline (pre-intervention) and follow-up (post intervention approximately 7-30 days after intervention completion)

  2. Concussion-Related Intentions Change Score

    Participants are asked 4 questions assessing intention to engage in or talk with others about concussion prevention. The items are totaled to compute an overall behavioral intention score. Scoring scale ranges from a minimum of 4 to a maximum of 16, where a higher score indicates a better likelihood to engage in favorable behaviors related to concussion prevention. A change score will be computed post score-pre score.

    Time frame: Baseline (pre-intervention) and follow-up (post intervention approximately 7-30 days after intervention completion)

  3. Concussion-Related Self-Efficacy Change Score

    Participants are asked 8 questions assessing their self-efficacy regarding engaging in or talking with others about concussion prevention. The items are totaled to compute an overall self-efficacy score. Scoring scale ranges from a minimum of 8 to a maximum of 32, where a higher score indicates higher self-efficacy. A change score will be computed post score-pre score.

    Time frame: Baseline (pre-intervention) and follow-up (post intervention approximately 7-30 days after intervention completion)

07

Study locations

1 site
  • University of North Carolina Injury Prevention Research Center
    Chapel Hill, North Carolina 27514, United States
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References and documents

Study documents

  • Informed consent form · Sep 7, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Deidentified individual data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.

Supporting information: Study protocol, Sap

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04841473
Lead sponsor
University of North Carolina, Chapel Hill
Collaborators
Centers for Disease Control and Prevention
Responsible party
Sponsor
First posted
Apr 12, 2021
Start date
May 17, 2021
Primary completion
Oct 15, 2021
Completion
Oct 30, 2021
Last update
Dec 15, 2021

Study contacts

Zachary Kerr, PhD, MPH
principal investigator · University of North Carolina, Chapel Hill

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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