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Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews

Freja Petrie, Kelly Mackintosh Orcid Logo, Chelsea Starbuck Orcid Logo, Elisabeth Williams Orcid Logo, Melitta McNarry Orcid Logo

PLOS ONE, Volume: 19, Issue: 4, Start page: e0296646

Swansea University Authors: Freja Petrie, Kelly Mackintosh Orcid Logo, Chelsea Starbuck Orcid Logo, Elisabeth Williams Orcid Logo, Melitta McNarry Orcid Logo

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DOI (Published version): 10.1371/journal.pone.0296646

Abstract

Numerous concussion-management protocols have been developed in rugby, though little is known about player’s personal experiences of concussion. Specifically, research typically refers to clinical recovery, with social and psychological sequelae post-concussion gaining little attention. This study a...

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Published in: PLOS ONE
ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa65696
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Players highlighted that concussion recovery could be socially isolating and that current return-to-play programmes did little to restore lost confidence, resulting in retirement from the game in some instances. Participants expressed a desire for more in-person concussion education and for greater coverage of holistic methods to support their recovery. This study highlights a need for further investigation of the post-concussion social and psychological changes that players may experience during their recovery. 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spelling v2 65696 2024-02-26 Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews f784f2faa2ff9ae4991c3dc8a159bd0b Freja Petrie Freja Petrie true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false b12b936789e5be3976b2f2c1c8988d4c 0000-0001-6266-2876 Chelsea Starbuck Chelsea Starbuck true false 2c5b3af00392058866bfd4af84bef390 0000-0002-8422-5842 Elisabeth Williams Elisabeth Williams true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 2024-02-26 Numerous concussion-management protocols have been developed in rugby, though little is known about player’s personal experiences of concussion. Specifically, research typically refers to clinical recovery, with social and psychological sequelae post-concussion gaining little attention. This study aimed to explore the experiences of rugby players in relation to being concussed and recovering from concussion. UK-based rugby players (10 men, 9 women and 1 non-binary person) from school, university, club, military and semi-professional teams took part in semi-structured interviews (36 ± 12 minutes). Interviews were transcribed verbatim, and a reflexive thematic analysis was conducted. Players considered pitch-side healthcare a necessity, though amateur players highlighted the difficulty in consistently accessing this resource. In the absence of medical staff, players were reliant on the goodwill of volunteers, but their response to concussion did not always align with current concussion guidance. Players highlighted that concussion recovery could be socially isolating and that current return-to-play programmes did little to restore lost confidence, resulting in retirement from the game in some instances. Participants expressed a desire for more in-person concussion education and for greater coverage of holistic methods to support their recovery. This study highlights a need for further investigation of the post-concussion social and psychological changes that players may experience during their recovery. Greater focus on information relating to concussion recovery and return-to-contact in education programmes would likely benefit player welfare. Journal Article PLOS ONE 19 4 e0296646 Public Library of Science (PLoS) 1932-6203 30 4 2024 2024-04-30 10.1371/journal.pone.0296646 COLLEGE NANME COLLEGE CODE Swansea University This study was financially supported by the FJP’s doctoral training scholarship provided by the Economic and Social Research Council (https:// www.ukri.org/councils/esrc/). EMPW and KAM assisted in securing the ESRC Scholarship for FJP. No additional external funding was received for this study. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 2024-06-26T15:19:56.8480101 2024-02-26T10:13:17.5984535 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Freja Petrie 1 Kelly Mackintosh 0000-0003-0355-6357 2 Chelsea Starbuck 0000-0001-6266-2876 3 Elisabeth Williams 0000-0002-8422-5842 4 Melitta McNarry 0000-0003-0813-7477 5 65696__30759__d9dd0cb955914747a717de3bdecc5ca2.pdf 65696.VoR.pdf 2024-06-26T15:18:31.1438329 Output 744644 application/pdf Version of Record true © 2024 Petrie et al. This is an open access article distributed under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
spellingShingle Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
Freja Petrie
Kelly Mackintosh
Chelsea Starbuck
Elisabeth Williams
Melitta McNarry
title_short Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
title_full Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
title_fullStr Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
title_full_unstemmed Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
title_sort Concussion response and recovery in men and women’s rugby union: A reflexive thematic analysis of player interviews
author_id_str_mv f784f2faa2ff9ae4991c3dc8a159bd0b
bdb20e3f31bcccf95c7bc116070c4214
b12b936789e5be3976b2f2c1c8988d4c
2c5b3af00392058866bfd4af84bef390
062f5697ff59f004bc8c713955988398
author_id_fullname_str_mv f784f2faa2ff9ae4991c3dc8a159bd0b_***_Freja Petrie
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
b12b936789e5be3976b2f2c1c8988d4c_***_Chelsea Starbuck
2c5b3af00392058866bfd4af84bef390_***_Elisabeth Williams
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
author Freja Petrie
Kelly Mackintosh
Chelsea Starbuck
Elisabeth Williams
Melitta McNarry
author2 Freja Petrie
Kelly Mackintosh
Chelsea Starbuck
Elisabeth Williams
Melitta McNarry
format Journal article
container_title PLOS ONE
container_volume 19
container_issue 4
container_start_page e0296646
publishDate 2024
institution Swansea University
issn 1932-6203
doi_str_mv 10.1371/journal.pone.0296646
publisher Public Library of Science (PLoS)
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description Numerous concussion-management protocols have been developed in rugby, though little is known about player’s personal experiences of concussion. Specifically, research typically refers to clinical recovery, with social and psychological sequelae post-concussion gaining little attention. This study aimed to explore the experiences of rugby players in relation to being concussed and recovering from concussion. UK-based rugby players (10 men, 9 women and 1 non-binary person) from school, university, club, military and semi-professional teams took part in semi-structured interviews (36 ± 12 minutes). Interviews were transcribed verbatim, and a reflexive thematic analysis was conducted. Players considered pitch-side healthcare a necessity, though amateur players highlighted the difficulty in consistently accessing this resource. In the absence of medical staff, players were reliant on the goodwill of volunteers, but their response to concussion did not always align with current concussion guidance. Players highlighted that concussion recovery could be socially isolating and that current return-to-play programmes did little to restore lost confidence, resulting in retirement from the game in some instances. Participants expressed a desire for more in-person concussion education and for greater coverage of holistic methods to support their recovery. This study highlights a need for further investigation of the post-concussion social and psychological changes that players may experience during their recovery. Greater focus on information relating to concussion recovery and return-to-contact in education programmes would likely benefit player welfare.
published_date 2024-04-30T15:19:55Z
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