Booklet on concussion for American football players: content and appearance validation

Authors

DOI:

https://doi.org/10.36517/2175-6783.20262796426

Keywords:

Athletes; Brain Concussion; Football; Educational Technology; Craniocerebral Trauma.

Abstract

Objective: to develop and validate the content and appearance of a booklet for American football players, focusing on the recognition, prevention, and management of concussion. Methods: this is a methodological study conducted in three stages for the development and validation of a booklet. The panel of evaluators consisted of six experts selected through snowball sampling. Data collection was performed using the Health Educational Content Validation tool and the Appearance Validation of Health Educational Technologies tool. Data analysis was performed using the content and appearance validity index, with a value equal to or greater than 0.80. Results: six experts participated in the study. Regarding the overall content validity index, the material achieved 0.98. The experts’ suggestions were incorporated into the final version of the booklet. Conclusion: this informational resource in booklet format is adequate in terms of content and appearance, strengthening the understanding of preventive measures and concussion management, thereby contributing to a safer sporting environment. Contributions to practice: the material strengthens nursing practice by providing clear and reliable educational support focused on athlete health.

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References

1. Franco GBD, Silva LFN, Scaglia AJ. Iniciação ao futebol americano: um olhar a partir dos pilares da pedagogia do esporte. Corpoconsciência. 2022; 26(2):178-92. doi: https://dx.doi.org/10.51283/rc.v26i2.13589

2. Bayram JM, Hamilton DF, Saunders DH. Epidemiology of American football injuries at universities in the United Kingdom. Orthop J Sports Med. 2020;8(10):2325967120960206. doi: http://doi.org/10.1177/2325967120960206

3. Centers for Disease Control and Prevention (CDC). Sports-Related Concussions in Youth. 2024 [cited Oct 20, 2025]. Available from: https://www.cdc.gov/headsup/basics/concussion_whatis.html

4. Badenhorst M, Romanchuk J, Salmon D, Brown JC, Hendricks S, Walters S. Concussion risk and the need for prevention: an exploration into the complexity of community perspectives in rugby union. Sports Med. 2025;55(12):3129-42. doi: https://doi.org/10.1007/s40279-025-02243-0

5. Carneiro HB, Jeremias LS, Souza NS, Alves DPA. Concussão cerebral relacionada ao esporte: uma revisão narrativa da literatura. Rev Neurocienc. 2024;32:1-20. doi: https://dx.doi.org/10.34024/rnc.2024.v32.16482

6. Ntikas M, Stewart W, Ietswaart M, Hunter AM, Maas AIR, Menon DK, et al. Contrasting characteristics and outcomes of sports-related and non–sports-related traumatic brain injury. JAMA Netw Open. 2024;7(1):e2353318. doi: http://doi.org/10.1001/jamanetworkopen.2023.53318

7. Arzehgar A, Seyedhasani SN, Ahmadi FB, Baravati FB, Hesar AS, Kachooei AR, et al. Sensor-based technologies for motion analysis in sports injuries: a scoping review. BMC Sports Sci Med Rehabil. 2025;17(1):15. doi: https://doi.org/10.1186/s13102-025-01063-z

8. Holcomb TD, Marks ME, Pritchard NS, Miller LE, Rowson S, Bullock GS, et al. On-field evaluation of mouthpiece- and helmet-mounted sensor data from head kinematics in football. Ann Biomed Eng. 2024;52(10):2655-65. doi: https://doi.org/10.1007/s10439-024-03583-0

9. National Football League. NFL Rulebook. In: NFL Football Operations [Internet]. 2025 [cited Dec 8, 2025]. Available from: https://operations.nfl.com/the-rules/nfl-rulebook?utm_source=chatgpt.com

10. Nietsche EA, Teixeira E, Medeiros HP. Tecnologias cuidativo-educacionais: uma possibilidade para o empoeiramento do/a enfermeiro/a? Porto Alegre: Moriá; 2014.

11. Echer IC. Elaboração de manuais de orientação para o cuidado em saúde. Rev Latino-Am Enfermagem. 2005;13(5):754-7. doi: https://doi.org/10.1590/S0104-11692005000500022

12. Leite SS, Áfio ACE, Carvalho LV, Silva JM, Almeida PC, Pagliuca LMF. Construction and validation of an educational content validation instrument in health. Rev Bras Enferm. 2018;71(Suppl 4):1635-41. doi: https://dx.doi.org/10.1590/0034-7167-2017-0648

13. Souza ACC, Moreira TMM, Borges JWP. Development of an instrument to validate the face validity of health educational technology. Rev Bras Enferm. 2020;73e20190559. doi: https://doi.org/10.1590/0034-7167-2019-0559

14. Fehring R. The Fehring Model. In: Carrol-Johnson R, Paquete M, editores. Classification of nursing diagnoses: proceedings of the tenth conference of North American Nursing Diagnosis Association. Philadelphia: Lippincott; 1994. p. 55-62.

15. Portella RJ, Szczecinski ML, Sá LME. Técnica de amostragem “bola de neve virtual” na captação de participantes em pesquisas científicas. J Nurs Health. 2024;14(1):e1426636. doi: https://doi.org/10.15210/jonah.v14i1.26636

16. Coluci MZ, Alexandre NMC, Milani D. Construção de instrumentos de medida na área da saúde. Ciênc Saúde Colet. 2015;20(3):925-36. doi: https://doi.org/10.1590/1413-81232015203.04332013

17. Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97. doi: http://doi.org/10.1002/nur.20147

18. Bazarian JJ, Zetterberg H, Buki A, Dengler BA, Diaz-Arrastia R, Korley FK, et al. Blood-based biomarkers for improved characterization of traumatic brain injury: recommendations from the 2024 National Institute for Neurological Disorders and Stroke Traumatic Brain Injury Classification and Nomenclature Initiative. J Neurotrauma J Neurotrauma. 2025;42(11):13-4. doi: https://doi.org/10.1089/neu.2024.0581

19. Alosco ML, Barr WB, Banks SJ, Wethe JV, Miller JB, Pulukuri SV, et al. Neuropsychological test performance of former American football players. Alzheimers Res Ther. 2023;15(1):1. doi: https://doi.org/10.1186/s13195-022-01147-9

20. Baker R, Bond B, Irwin G, Connelly S, Williams G. A systematic review of concussion education, knowledge, and attitudes in football. Sci Med Footb. 2025;13:1-20. doi: https://doi.org/10.1080/24733938.2025.2488521

21. Oliveira RS, Moura FA. Concussão esportiva no futebol americano: revisão narrativa e perspectivas de prevenção. Rev Bras Med Esporte. 2021; 27(3):240-6. doi: https://doi.org/10.1590/1517-8692202127032020_0028

22. Mez J, Daneshvar DH, Abdolmohammadi B, Chua AS, Alosco ML, Kiernan PT, et al. Duration of American Football Play and Chronic Traumatic Encephalopathy. Ann Neurol. 2020;87(1):116-31. doi: https://doi.org/10.1002/ana.25611

23. Qi B, Tan J, Feng D, Guan L, Li J, Cao M, Zou Y. Prevalence of chronic traumatic encephalopathy in athletes with repetitive head impacts: a systematic review and meta-analysis. Scand J Med Sci Sports. 2025;35(4):e70047. doi: https://doi.org/10.1111/sms.70047

24. Pankow MP, Syrydiuk RA, Kolstad AT, Hayden AK, Dennison CR, Mrazik M, et al. Head games: a systematic review and meta-analysis examining concussion and head impact incidence rates, modifiable risk factors, and prevention strategies in youth tackle football. Sports Med. 2022;52(6):1259-72. doi: http://doi.org/10.1007/s40279-021-01609-4

25. Herring S, Kibler WB, Putukian M, Solomon GS, Boyajian-O’Neill L, Dec KL, et al. Selected issues in sport-related concussion (SRC mild traumatic brain injury) for the team physician: a consensus statement. Br J Sports Med. 2021;20(8):420-31. doi: https://doi.org/10.1136/bjsports-2021-104235

Published

2026-04-10

Data Availability Statement

The dataset supporting the results is available within the article.

Issue

Section

Research Article

How to Cite

1.
Mendes BM, Cruzeiro DB, Chaves SC da S, Melo Filho PL de. Booklet on concussion for American football players: content and appearance validation. Rev Rene [Internet]. 2026 Apr. 10 [cited 2026 Apr. 12];27:e96426. Available from: https://periodicos.ufc.br/rene/article/view/96426