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Perspectives and Practices of Athletic Trainers and Team Physicians Implementing the 2010 NCAA Sickle Cell Trait Screening Policy

dc.contributor.authorMcDonald, Mary Anne
dc.contributor.authorCreary, Melissa S.
dc.contributor.authorPowell, Jill
dc.contributor.authorDaley, Lori‐ann
dc.contributor.authorBaker, Charlotte
dc.contributor.authorRoyal, Charmaine DM
dc.date.accessioned2019-01-15T20:24:38Z
dc.date.available2019-01-15T20:24:38Z
dc.date.issued2017-12
dc.identifier.citationMcDonald, Mary Anne; Creary, Melissa S.; Powell, Jill; Daley, Lori‐ann ; Baker, Charlotte; Royal, Charmaine DM (2017). "Perspectives and Practices of Athletic Trainers and Team Physicians Implementing the 2010 NCAA Sickle Cell Trait Screening Policy." Journal of Genetic Counseling 26(6): 1292-1300.
dc.identifier.issn1059-7700
dc.identifier.issn1573-3599
dc.identifier.urihttps://hdl.handle.net/2027.42/146861
dc.description.abstractSickle cell trait (SCT) is usually benign. However, there are some conditions that may lead to SCTâ related problems and put athletes with the trait at particular risk. In 2010 the National Collegiate Athletic Association (NCAA) issued a policy that required all Division I (DI) studentâ athletes to confirm their SCT status or sign a liability waiver to opt out of testing. Athletic trainers and team physicians play key roles in the policy implementation and we examined their perceptions and practices. Between December 2013 and March 2014 we interviewed 13 head athletic trainers and team physicians at NCAA Division I colleges and universities in North Carolina. We used an interview guide with openâ ended questions covering knowledge of SCT, historical screening and education practices, current implementation, and policy benefits and challenges. Participants were knowledgeable about SCT and thought the policy was beneficial in providing SCT health information to and for studentâ athletes. Schools varied in provision of genetic counseling, offering the waiver, SCT tests administered, and other aspects. Challenges included: insufficient guidance from the NCAA; financial considerations; and misunderstanding of the relationships of race and ancestry to SCT risk. Athletic staff found the policy valuable, but felt it needs clarity and standardization.
dc.publisherSpringer US
dc.publisherWiley Periodicals, Inc.
dc.subject.otherSports medicine
dc.subject.otherPolicy implementation
dc.subject.otherRace
dc.subject.otherGenetic counseling
dc.subject.otherGenetic screening
dc.subject.otherSickle cell trait
dc.titlePerspectives and Practices of Athletic Trainers and Team Physicians Implementing the 2010 NCAA Sickle Cell Trait Screening Policy
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHuman Genetics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/146861/1/jgc41292.pdf
dc.identifier.doi10.1007/s10897-017-0107-6
dc.identifier.sourceJournal of Genetic Counseling
dc.identifier.citedreferenceNaik, R. P., & Haywood, C. ( 2015 ). Sickle cell trait diagnosis: Clinical and social implications. Hematology / the Education Program of the American Society of Hematology. American Society of Hematology. Education Program, 2015 ( 1 ), 160 â 167. doi:10.1182/asheducationâ 2015.1.160.
dc.identifier.citedreferenceJung, A. P., Selmon, P. B., Lett, J. L., & Petrella, J. K. ( 2011 ). Survey of sickle cell trait screening in NCAA and NAIA institutions. The Physician and Sportsmedicine, 39 ( 1 ), 158 â 165. doi:10.3810/psm.2011.02.1873.
dc.identifier.citedreferenceKark, J. ( 2000, December 20). Sickle cell trait. Retrieved from http://sickle.bwh.harvard.edu/sickle_trait.html
dc.identifier.citedreferenceKark, J., Labotka, R., Gardner, J., & Ward, F. ( 2010 ). Prevention of exercise related death unexplained by preexisting disease associated with sickle cell trait (SCT) without hemoglobin screening or Hb specific management. Blood, 116 ( 21 ), 945.
dc.identifier.citedreferenceKark, J., Posey, D., Schumacher, H., & Ruehle, C. ( 1987 ). Sickleâ cell trait as a risk factor for sudden death in physical training. The New England Journal of Medicine, 317 ( 13 ), 781 â 787.
dc.identifier.citedreferenceKey, N., & Derebail, V ( 2010 ). Sickleâ cell trait: Novel clinical significance, (2010), Hematology, 418 â 422. doi:10.1182/asheducationâ 2010.1.418.
dc.identifier.citedreferenceKoopmans, J., Cox, L. A., Benjamin, H., Clayton, E. W., & Ross, L. F. ( 2011 ). Sickle cell trait screening in athletes: Pediatricians’ attitudes and concerns. Pediatrics, 128 ( 3 ), 477 â 483. doi:10.1542/peds.2011â 0187.
dc.identifier.citedreferenceLane, P. ( 2001 ). Newborn Screening for Hemoglobin Disorders. Retrieved February 24, 2017, from http://sickle.bwh.harvard.edu/screening.html
dc.identifier.citedreferenceLawrence, R., & Shah, G. ( 2014 ). Athletes’ perceptions of National Collegiate Athletic Associationâ mandated sickle cell trait screening: insight for academic institutions and college health professionals. Journal of American College Health, 62 ( 5 ), 343 â 350.
dc.identifier.citedreferenceMacQueen, K. M., McLellan, E., Kay, K., & Milstein, B. ( 1998 ). Codebook development for teamâ based qualitative analysis, Cultural Anthropology Methods 10 ( 2 ), 31 â 36.
dc.identifier.citedreferenceMiles, M. B., Huberman, A. M., & Saldana, J. ( 2013 ). Qualitative data analysis: A Methods sourcebook ( Third ed. ). Thousand Oaks, CA: Sage Publications.
dc.identifier.citedreferenceMitchell, B. L. ( 2007 ). Sickle cell trait and sudden deathâ bringing it home. Journal of the National Medical Association, 99 ( 3 ), 300 â 305.
dc.identifier.citedreferenceNational Collegiate Athletic Association. ( 2014 ). 2014â 15 NCAA Sports Medicine Handbook. Retrieved from http://www.ncaapublications.com/productdownloads/MD15.pdf
dc.identifier.citedreferenceNational Institutes of Health, National, Heart, Lung, and Blood Institute. ( 2016, August 2). How Is Sickle Cell Disease Diagnosed? â NHLBI, NIH. Retrieved February 21, 2017, from https://www.nhlbi.nih.gov/health/healthâ topics/topics/sca/diagnosis
dc.identifier.citedreferenceNatowicz, M. R., & Alper, J. S. ( 1991 ). Genetic screening: Triumphs, problems, and controversies. Journal of Public Health Policy, 12 ( 4 ), 475 â 491.
dc.identifier.citedreferenceNjororai, W. W. S. ( 2012 ). Challenges of being a black student athlete on U.S. College Campuses. Journal of Issues in Intercollegiate Athletics, 5, 40 â 63.
dc.identifier.citedreferenceNVivo qualitative data analysis software; QSR International Pty Ltd. Version 10. ( 2012 ).
dc.identifier.citedreferenceOjodu, J., Hulihan, M. M., Pope, S. N., & Grant, A. M. ( 2014 ). Incidence of sickle cell traitâ United States, 2010. Morbidity and Mortality Weekly Report, 63 ( 49 ), 1155.
dc.identifier.citedreferenceQuick, H. ( 2011 ). Privacy for safety: The NCAA sickle cell trait testing policy and the potential for future discrimination. Iowa Law Review, 97, 665 â 692.
dc.identifier.citedreferenceTarini, B. A., Brooks, M. A., & Bundy, D. G. ( 2012 ). A policy impact analysis of the mandatory NCAA sickle cell trait screening program. Health Services Research, 47 ( 1 Pt 2 ), 446 â 461. doi:10.1111/j.1475â 6773.2011.01357.x.
dc.identifier.citedreferenceThe Sickle Cell Disease Association of America. ( 2015a ). Sickle Cell Disease Global. Retrieved from http://www.sicklecelldisease.org/index.cfm?page=scdâ global
dc.identifier.citedreferenceThe Sickle Cell Disease Association of America. ( 2015b ). Sickle cell trait and athletics: Executive summary. Retrieved July 20, 2015, from http://www.sicklecelldisease.org/index.cfm?page=sickleâ cellâ traitâ athletics
dc.identifier.citedreferenceThompson, A. A. ( 2013 ). Sickle cell trait testing and athletic participation: a solution in search of a problem?. Hematology. American Society of Hematology. Education Program, ( 1 ), 632 â 637. doi:10.1182/asheducationâ 2013.1.632.
dc.identifier.citedreferenceTsaras, G., Owusuâ Ansah, A., Boateng, F. O., & Amoatengâ Adjepong, Y. ( 2009 ). Complications associated with sickle cell trait: A brief narrative review. The American Journal of Medicine, 122 ( 6 ), 507 â 512. doi:10.1016/j.amjmed.2008.12.020.
dc.identifier.citedreferenceWailoo, K. ( 2006 ). Stigma, race, and disease in 20th century America. Lancet, 367 ( 9509 ), 531 â 533. doi:10.1016/S0140â 6736(06)68186â 5.
dc.identifier.citedreferenceWitt, G. ( 2010 ). Autopsy cites sickle cell trait in A&T death. Greensboro News & Record, p. A1. http://www.greensboro.com/sports_college/track/autopsyâ citesâ sickleâ cellâ traitâ inâ aâ tâ death/article_b22ac673â 3ab4â 503fâ b3d6â b35d69626e4e.html. Accessed 24 May 2017.
dc.identifier.citedreferenceStein, R. ( 2010, September 20). Colleges mandate sickle cell testing. The Washington Post. Retrieved from http://www.washingtonpost.com/wpâ dyn/content/article/2010/09/19/AR2010091904763.html
dc.identifier.citedreferenceAcharya, K., Benjamin, H. J., Clayton, E. W., & Ross, L. F. ( 2011 ). Attitudes and beliefs of sports medicine providers to sickle cell trait screening of student athletes. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 21 ( 6 ), 480 â 485. doi:10.1097/JSM.0b013e31822e8634.
dc.identifier.citedreferenceAloe, A., Krishnamurti, L., & Kladny, B. ( 2011 ). Testing of collegiate athletes for sickle cell trait: What we, as genetic counselors should know. Journal of Genetic Counseling, 20 ( 4 ), 337 â 340. doi:10.1007/s10897â 011â 9366â 9.
dc.identifier.citedreferenceAmerican Society of Hematology. ( 2012 ). Statement on Screening for Sickle Cell Trait and Athletic Participation. Retrieved July 29, 2015, from http://www.hematology.org/Advocacy/Statements/2650.aspx
dc.identifier.citedreferenceBaskurt, O. K., & Meiselman, H. J. ( 2007 ). Sickle cell trait should be considered asymptomatic and as a benign condition during physical activity. Journal of Applied Physiology, 103 ( 6 ), 2142 â 2142. doi:10.1152/japplphysiol.00886.2007.
dc.identifier.citedreferenceBediako, S. M., Lanzkron, S., Dienerâ West, M., Onojobi, G., Beach, M. C., & Haywood, C. ( 2016 ). The measure of sickle cell stigma: Initial findings from the improving patient outcomes through respect and trust study. Journal of Health Psychology, 21 ( 5 ), 808 â 820. doi:10.1177/1359105314539530.
dc.identifier.citedreferenceBernard, H. R., & Ryan, G. ( 2010 ). Analyzing qualitative data: Systematic approaches. Thousand Oaks, CA: Sage Publications.
dc.identifier.citedreferenceBlinder, M., & Russel, S. ( 2014 ). Exertional sickling: Questions and controversy. Hematology Reports, 6 ( 5502 ), 66 â 70. doi:10.4081/hr.2014.5502.
dc.identifier.citedreferenceBonham, V. L., Dover, G. J., & Brody, L. C. ( 2010 ). Screening student athletes for sickle cell traitâ a social and clinical experiment. The New England Journal of Medicine, 363 ( 11 ), 997 â 999. doi:10.1056/NEJMp1007639.
dc.identifier.citedreferenceBrown, G. ( 2013, January 19). DIII approves sickle cell measure. Retrieved from http://www.ncaa.org/about/resources/mediaâ center/news/diiiâ approvesâ sickleâ cellâ measure
dc.identifier.citedreferenceCaughey, M. C., Loehr, L. R., Key, N. S., Derebail, V. K., Gottesman, R. F., Kshirsagar, A. V., & Heiss, G. ( 2014 ). Sickle cell trait and incident ischemic stroke in the atherosclerosis risk in communities study. Stroke, 45 ( 10 ), 2863 â 2867. doi:10.1161/STROKEAHA.114.006110.
dc.identifier.citedreferenceDrehner, D., Neuhauser, K. M., Neuhauser, T. S., & Blackwood, G. V. ( 1999 ). Death among U.S. air Force basic trainees, 1956 to 1996. Military Medicine, 164 ( 12 ), 841 â 847.
dc.identifier.citedreferenceEichner, R. ( 2010 ). Sickle cell trait in sports. Current Sports Medicine Reports, 9 ( 6 ), 347 â 351.
dc.identifier.citedreferenceEichner, R. ( 2011 ). Sickle cell considerations in athletes. Clinics in Sports Medicine, 30 ( 3 ), 537 â 549. doi:10.1016/j.csm.2011.03.004.
dc.identifier.citedreferenceFerrari, R., Parker, L. S., Grubs, R. E., & Krishnamurti, L. ( 2015 ). Sickle cell trait screening of collegiate athletes: Ethical reasons for program reform. Journal of Genetic Counseling, 24 ( 6 ), 873 â 877. doi:10.1007/s10897â 015â 9849â 1.
dc.identifier.citedreferenceFerster, K., & Eichner, R. ( 2012 ). Exertional sickling deaths in Army recruits with sickle cell trait. Military Medicine, 177 ( 1 ), 56 â 59.
dc.identifier.citedreferenceFolsom, A. R., Tang, W., Roetker, N. S., Kshirsagar, A. V., Derebail, V. K., Lutsey, P. L., et al. ( 2015 ). Prospective study of sickle cell trait and venous thromboembolism incidence. Journal of Thrombosis and Haemostasis, 13 ( 1 ), 2 â 9. doi:10.1111/jth.12787.
dc.identifier.citedreferenceGardner, J. W., & Kark, J. A. ( 1994 ). Fatal rhabdomyolysis presenting as mild heat illness in military training. Military Medicine, 159 ( 2 ), 160 â 163.
dc.identifier.citedreferenceGrant, A. M., Parker, C. S., Jordan, L. B., Hulihan, M. M., Creary, M. S., Lloydâ Puryear, M. A., & Atrash, H. K. ( 2011 ). Public health impliâ cations of sickle cell trait: a report of the CDC meeting. American Journal of Preventive Medicine, 41 ( 6 Suppl 4 ), S435 â S439. doi:10.1016/j.amepre.2011.09.012.
dc.identifier.citedreferenceGuest, G., Bunce, A., & Johnson, L. ( 2006 ). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18 ( 1 ), 59 â 82.
dc.identifier.citedreferenceHarmon, K. G., Drezner, J. A., Klossner, D., & Asif, I. M. ( 2012 ). Sickle cell trait associated with a RR of death of 37 times in national collegiate athletic association football athletes: a database with 2 million athleteâ years as the denominator. British Journal of Sports Medicine, 46 ( 5 ), 325 â 330.
dc.identifier.citedreferenceHendrickson, B. ( 2012, January 30). DII moves toward start of testing for sickle cell trait. Retrieved from http://www.ncaa.org/about/resources/mediaâ center/news/diiâ movesâ towardâ startâ testingâ sickleâ cellâ trait
dc.identifier.citedreferenceJenerette, C. M., & Brewer, C. ( 2010 ). Healthâ related stigma in young adults with sickle cell disease. Journal of the National Medical Association, 102 ( 11 ), 1050 â 1055.
dc.identifier.citedreferenceJordan, L. B., Smithâ Whitley, K., Treadwell, M. J., Telfair, J., Grant, A. M., & Oheneâ Frempong, K. ( 2011 ). Screening U.S. college athletes for their sickle cell disease carrier status. American Journal of Preventive Medicine, 41 ( 6 Suppl 4 ), S406 â S412. doi: 10.1016/j.amepre.2011.09.014.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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