The social dynamics involved in recovery and return to sport following a sport-related concussion: A study of three athlete-teammate-coach triads |
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| Affiliation: | 1. College of Social Work, The Ohio State University, Columbus, Ohio;2. Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children''s Hospital, Columbus, Ohio;3. Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio;1. Harvard School of Public Health, Department of Social and Behavioral Science, USA;2. National Collegiate Athletic Association, Sport Science Institute, USA;3. Harvard University, Edmond J. Safra Center for Ethics, USA;4. University of Vermont, College of Education and Social Services, Department of Education, USA;5. Clark University, Department of Clinical Psychology, USA;6. Harvard University, Interfaculty Initiative in Health Policy, USA;7. Boston Children''s Hospital, Division of Sports Medicine, USA;8. Boston Children''s Hospital, Division of Adolescent & Young Adult Medicine, USA;9. Harvard Medical School, Department of Pediatrics, USA;1. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts;2. Department of Neurology, Boston University School of Medicine, Boston, Massachusetts;3. Center for the Study of Traumatic Encephalopathy, Boston University School of Medicine, Boston, Massachusetts;4. Dana-Farber Cancer Institute, Boston, Massachusetts |
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| Abstract: | An athlete's connection to their team and team members is an important part of their sport experience. However, researchers currently know little about the nature of these social dynamics with respect to concussed athletes. Our study explored athletes' recovery and reintegration into the team environment following a sport-related concussion. We conducted semi-structured interviews with each member of three athlete-teammate-coach triads (N = 9). We analysed the data using thematic narrative analysis and present the results as three stories that focused on each athlete's experience. For Cassie, we found two major plot points in her story: the transition in her role (and shift in identity) from athlete to student assistant coach/team manager and, once recovered, back to an athlete on the team. For Jess, we found that the main plot in her story was “pressure”. Specifically, the interplay between internal (placed on herself) and external (perceived from teammates and coaches) pressures to return to sport. In the third and final story, the main plot point was the tensions that arose from Jaden's preferences for social support and the type of support that his teammates and coaches believed he needed during his recovery. Our results highlight the interplay between athlete's personal and social identities, feelings of pressure to return and readiness, and the challenges of providing the right amount and type of social support. This research contributes to our limited understanding of the social dynamics involved in athletes' return to sport following a concussion. |
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| Keywords: | Traumatic brain injury Qualitative methods Social identity Social support Psychological readiness |
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