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Articles 31 - 60 of 13110
Full-Text Articles in Public Health
Exploring Lived Experiences To Gain Insight Into The Support Needs Of People Following Stoma Surgery: A Qualitative Study, Julia Kittscha, Val Wilson, Vida Bliokas, Greg Fairbrother
Exploring Lived Experiences To Gain Insight Into The Support Needs Of People Following Stoma Surgery: A Qualitative Study, Julia Kittscha, Val Wilson, Vida Bliokas, Greg Fairbrother
Patient Experience Journal
Aim To describe the supports that are important to people in the early weeks after stoma surgery and explore participants' thoughts and feelings about these supports. Design A consumer-researcher co-design approach was used to design and undertake a qualitative patient interview study among people who have had stoma surgery. People who had an existing stoma were trained as co-researchers to work alongside the clinician researcher. Method Semi-structured interviews were conducted with consenting participants 6-8 weeks after stoma surgery. Thematic data analysis was conducted by the research team using Braun, Clarke\citealpbib1 six step-phase reflexive thematic analysis, members of the team initially …
What Matters To Patients When Preparing For A Colonoscopy: A Mixed-Methods Study Of Needs And Worry, Louise Bang Grode, Anne Højager Nielsen, Anette Viftrup, Lene Lehmkuhl, Hejdi Gamst-Jensen, Brigitta R Villumsen, Malene Kaas Larsen, Lone Dragnes Brix
What Matters To Patients When Preparing For A Colonoscopy: A Mixed-Methods Study Of Needs And Worry, Louise Bang Grode, Anne Højager Nielsen, Anette Viftrup, Lene Lehmkuhl, Hejdi Gamst-Jensen, Brigitta R Villumsen, Malene Kaas Larsen, Lone Dragnes Brix
Patient Experience Journal
Background: Colonoscopy is essential for diagnosing, treating, and preventing colorectal cancer, and many patients experience considerable procedure worry. Limited evidence exists on which aspects of preparation and the procedure matter most to patients or how these relate to their Degree-of-Worry (DOW). Understanding these factors is important for improving patient readiness and care quality. This study explores what matters to patients when preparing for colonoscopy, including how they prepare, their perceived readiness, and their DOW. Method: A flash-mob study with a convergent mixed methods was conducted, collecting quantitative and qualitative data simultaneously across multiple sites. Results: Among 203 patients completing the …
What Patients Wear Matters: Evidence On Adaptive Hospital Wear, Dignity, And Care Experience, Akhilesh Kumar, Sukhvir Singh
What Patients Wear Matters: Evidence On Adaptive Hospital Wear, Dignity, And Care Experience, Akhilesh Kumar, Sukhvir Singh
Patient Experience Journal
Traditional hospital gowns can compromise dignity, comfort, and care efficiency by prioritizing procedural access over the lived experience of hospitalization. This narrative review synthesizes interdisciplinary literature published between 2000 and 2025 across patient experience research, nursing, medical textiles, apparel design, and disability studies, with searches conducted in Scopus, Web of Science, and Google Scholar. Across settings, evidence indicates that patient-centered hospital wear—using breathable and antimicrobial textiles, ergonomic closure systems (eg, hook-and-loop, magnetic snaps, modular access flaps), and inclusive sizing—can reduce unwanted exposure, improve perceived dignity and autonomy, simplify dressing for patients and caregivers, and support clinical access when aligned with …
Unlocking Healthcare Navigation: Key Tasks, Challenges, And Facilitators – A Narrative Review, John Zaki
Unlocking Healthcare Navigation: Key Tasks, Challenges, And Facilitators – A Narrative Review, John Zaki
Patient Experience Journal
Background: Healthcare is a complex and costly system that often creates distressing experiences for individuals managing their own or their family's health. Introduced in the United States around 1990 to reduce healthcare disparities, healthcare navigation aims to support patients and caregivers in navigating healthcare systems effectively and efficiently. This review explores the scope and importance of healthcare navigation services across clinical settings. Methods: This narrative review was informed by a broader literature search conducted as part of the author's thesis work, which included database searches, grey literature exploration, and manual screening of key medical journals. However, all studies that met …
Navigating Emergency Care: Understanding Older Adults' Experiences At The Kingston Health Sciences Centre, Nilany Thanabalasinham, Susan A. Bartels, Melanie Walker
Navigating Emergency Care: Understanding Older Adults' Experiences At The Kingston Health Sciences Centre, Nilany Thanabalasinham, Susan A. Bartels, Melanie Walker
Patient Experience Journal
Objectives: Older adults (65+) in Ontario have the highest emergency department (ED) visit rates, yet often face delayed care and unmet healthcare needs. This study investigates how older adults perceive and navigate their ED care experiences at the Kingston Health Sciences Centre (KHSC), compared to younger adults and identifies factors driving their positive and negative care experiences. Methods: A secondary mixed-methods analysis was conducted using cross-sectional data on ED care experiences at the KHSC. Qualitative data included anonymously recorded micronarratives describing participants' ED experiences. Quantitative data included patients' numerical interpretations of their shared experiences through sensemaking triad questions. Quantitative descriptive …
Partnering With Patients: Perspectives Of Doctors, Nurses, And Managers Regarding Patient Participation And Feedback In Hospital Settings In Jamaica, Camelia Thompson, Desmalee Holder Nevins, Dawn Walters, Cameal Chin-Bailey, Elon Thompson, Minerva Thame, Kenneth James
Partnering With Patients: Perspectives Of Doctors, Nurses, And Managers Regarding Patient Participation And Feedback In Hospital Settings In Jamaica, Camelia Thompson, Desmalee Holder Nevins, Dawn Walters, Cameal Chin-Bailey, Elon Thompson, Minerva Thame, Kenneth James
Patient Experience Journal
This study assesses the perspective of doctors and nurses regarding participation of patients in care delivery and explores perspectives of managers on patient feedback mechanisms in two Jamaican hospitals. A mixed-methods convergent parallel design study was employed. The quantitative component involved a cross-sectional survey of 328 doctors and nurses, selected through stratified random sampling, using a self-administered questionnaire assessing patient participation. Qualitative data were collected through semi-structured interviews with 17 senior managers, which were analyzed thematically. Quantitative and qualitative findings were integrated during interpretation. The majority of respondents (90.8%) reported that they very often or always respected and encouraged patient …
Understanding Patient And Family Experience In Pediatric Hemato-Oncology: A Cross-Sectional Study From Morocco, Boujemaa El Marnissi, Sanae Bouramdane, Moussa Benboubker, Fouad Abbas, Salma Chahid, Jalal Dahmani, Khalid Moubtahij, Kenza Elmkadem, Sarra Benmiloud
Understanding Patient And Family Experience In Pediatric Hemato-Oncology: A Cross-Sectional Study From Morocco, Boujemaa El Marnissi, Sanae Bouramdane, Moussa Benboubker, Fouad Abbas, Salma Chahid, Jalal Dahmani, Khalid Moubtahij, Kenza Elmkadem, Sarra Benmiloud
Patient Experience Journal
Background. Patient- and family-reported experience is a vital indicator of healthcare quality, particularly in pediatric hematology-oncology. This study assessed patient- and family-reported experience and identified its sociodemographic, clinical, and organizational determinants in a newly established pediatric hemato-oncology department of a tertiary university hospital in Morocco. Methods. A cross-sectional survey was conducted between November 2023 and January 2024. Experience was assessed using a validated multidimensional questionnaire covering reception and access, information and communication, human and relational aspects of care, therapeutic management and pain control, accommodation conditions, and logistical and administrative processes. Sociodemographic and clinical variables were collected; bivariate analyses and multivariate …
Challenges Of Family Members Of Admitted Patients In Relationship With Medical Staff In Kurdistan Region: Cross-Sectional Study, Khalid Khudhur Faris, Zuhair Rushdi Mustafa, Hadi Haji Hussain, Ibrahim Baker Khudida, Deldar Morad Abdulah
Challenges Of Family Members Of Admitted Patients In Relationship With Medical Staff In Kurdistan Region: Cross-Sectional Study, Khalid Khudhur Faris, Zuhair Rushdi Mustafa, Hadi Haji Hussain, Ibrahim Baker Khudida, Deldar Morad Abdulah
Patient Experience Journal
Families often play a significant role in advocating for and supporting their patients during illness or hospitalization. Understanding the challenges between family members of patients and medical staff is crucial for improving communication, patient care, and the overall healthcare experience. This study aimed to investigate and understand the challenges and difficulties experienced by family members when dealing with the medical staff. This cross-sectional study conducted at a local teaching hospital in Kurdistan Region. A total of 400 family members of admitted patients from various medical departments were included in this study. Companions reported generally positive interactions with healthcare providers (HCPs). …
Parallel Realities: A Narrative Review Of Differences Between Patients And Their Care Providers, Umair Majid, Hazeema Haq, Ziyad Yahmad
Parallel Realities: A Narrative Review Of Differences Between Patients And Their Care Providers, Umair Majid, Hazeema Haq, Ziyad Yahmad
Patient Experience Journal
Differences in how patients and healthcare providers perceive, experience, and deliver care can undermine patient-centered care and health outcomes. Yet, few syntheses have examined these divergences as a primary focus. This narrative review aimed to identify and synthesize evidence on the differences between patients and their providers in terms of priorities, expectations, and experiences of care, and to explore how these differences can potentially influence relationships and outcomes. A database search was conducted to identify English-language studies published from January 2019 to January 2025 that included both patients and providers in the same sample and compared their perspectives. Data from …
Exploring The Lived Experiences Of Familial Caregivers To Individuals With Prader-Willi Syndrome: The Impact Of Caregiver Burden, Louisa Williams, Eden Morley
Exploring The Lived Experiences Of Familial Caregivers To Individuals With Prader-Willi Syndrome: The Impact Of Caregiver Burden, Louisa Williams, Eden Morley
Patient Experience Journal
Caregiver burden (CB) is an under-researched topic among familial caregivers (parents, siblings, aunts, uncles and grandparents) supporting someone with Prader-Willi Syndrome (PWS). CB is defined as the physical and mental toll resulting from caring for someone with additional needs, which has not yet been explored in PWS familial caregivers. PWS causes hyperphagia (insatiable hunger) and violent behaviours that can be hard to manage. Research demonstrates primary caregivers have a decreased quality of life and increased mental health (MH) problems, with quantitative literature highlighting the risk of CB. This study aimed to qualitatively highlight the experiences of CB in familial caregivers …
Information Continuity And Experiences Of Mental Healthcare: A Conceptual Framework, Timothy Kariotis, Megan Prictor, Kathleen Gray, Shanton Chang
Information Continuity And Experiences Of Mental Healthcare: A Conceptual Framework, Timothy Kariotis, Megan Prictor, Kathleen Gray, Shanton Chang
Patient Experience Journal
Objectives: Information continuity is a key element of continuity of care and service users' experience of care. However, models of continuity of care have not considered how to operationalise information continuity and balance it with service users' privacy concerns. The aim of this paper was to develop a conceptual framework of the information practices that contribute to service users' experience of information continuity in the mental healthcare system. Methods: We undertook a narrative review to identify studies on service users' experiences of mental healthcare and analysed them using a thematic synthesis method to identify the information practices of care professionals …
Health Information For Patients And Families: Sources, Data Types, And Tools For Evaluating Accessibility, Preeti Pandey, Richard I. Zraick, Vinaya Manchaiah
Health Information For Patients And Families: Sources, Data Types, And Tools For Evaluating Accessibility, Preeti Pandey, Richard I. Zraick, Vinaya Manchaiah
Patient Experience Journal
This review summarizes key sources and formats of health information for patients and families, and outlines tools used to evaluate their accessibility. Health information appears across online and offline platforms in formats such as text, images, and video. Evaluation tools assess dimensions like readability, accuracy, quality, suitability, and actionability, though they vary in validity and scope. This paper offers guidance for healthcare professionals and researchers aiming to improve the accessibility and effectiveness of patient-facing health materials.
When Decision-Making Styles Do Not Predict Communication Preferences: Rethinking Personalization In Healthcare Experience, Victoria Sze Min Ekstrom
When Decision-Making Styles Do Not Predict Communication Preferences: Rethinking Personalization In Healthcare Experience, Victoria Sze Min Ekstrom
Patient Experience Journal
Background: Healthcare systems increasingly attempt to personalize risk communication by matching messages to patients' decision-making styles. This approach is resource intensive, yet evidence that it improves patient experience or decision quality remains limited. Methods: We conducted a cross-cultural experimental study with adults from the UK (n=330, recruited via Prolific) and Singapore (n=220, recruited via professional networks). Participants viewed three healthcare scenarios with risks of 1%, 10%, and 20%, presented in either positive (``99% no complications'') or negative (``1% complications'') frames displayed side-by-side in randomized order. Decision-making styles were assessed using the Control Preferences Scale, categorizing participants as information-seeking, shared decision-making, …
Reflections On Factors That Led To A Dehydration Hospitalization: Lived Experience To Inform Systems Change For Nursing Home Residents, Lucas Kandia, Jodi Dunmeyer Stookey
Reflections On Factors That Led To A Dehydration Hospitalization: Lived Experience To Inform Systems Change For Nursing Home Residents, Lucas Kandia, Jodi Dunmeyer Stookey
Patient Experience Journal
This personal narrative describes a family's journey through a preventable dehydration crisis during the COVID-19 pandemic. When a 93-year-old nursing home resident tested positive for COVID-19, her family prepared for the worst. Instead, she nearly died from severe dehydration, not the virus, and was hospitalized for hypovolemic shock, only to be discharged four and a half days later, still COVID-positive, having recovered with rehydration alone. Medical documentation reveals deterioration from inadequate oral intake (300 mL per day) to pre-shock hypotension to frank shock (72/56 mmHg at 17:20), while oxygen saturation remained normal throughout. The admission diagnosis hierarchy (Acute Kidney Injury, …
15 October 2021: Living With The Consequences Of A Cardiac Event — A Patient Perspective, Bruce H. Knox
15 October 2021: Living With The Consequences Of A Cardiac Event — A Patient Perspective, Bruce H. Knox
Patient Experience Journal
This first-person narrative explores the long-term consequences of a rare but catastrophic complication during a premature ventricular contraction (PVC) ablation, resulting in left ventricular rupture, acute cardiac tamponade, and emergency open-heart surgery. While the surgical intervention was life-saving, the subsequent years were marked by profound changes in autonomic function, multisystem instability, and a sustained alteration in quality of life. The account reflects on living with cardiac autonomic vulnerability before the event, the immediate crisis, and the prolonged recovery that followed—characterized not by restoration, but by renegotiation of capacity, identity, and participation. Particular emphasis is placed on the experience of navigating …
The Phantom Fifth Chair Of Patient Experience, Kathy Saldana
The Phantom Fifth Chair Of Patient Experience, Kathy Saldana
Patient Experience Journal
Over the past three years, the author has openly shared her journey as a certified patient experience professional facing triple negative breast cancer. The firsthand gravity of treatment became instantly apparent to her in the chemo chair. Resisting the temptation to crumble under the fear of it, she chose to view treatment as an unwanted yet precious opportunity to study her profession of patient experience from a deeply personal space. Determined not to waste the difficult long-term experience of treatment, she was compelled to write and speak about her convictions regarding the necessity of honoring patients by soliciting, documenting, believing, …
More Than A Buzzword: Why Trauma-Informed Care Needs Widespread Practice, Christine Lee Frost
More Than A Buzzword: Why Trauma-Informed Care Needs Widespread Practice, Christine Lee Frost
Patient Experience Journal
This narrative illustrates the personal story about the difficulty of obtaining a diagnosis for endometriosis. As someone who endured a chaotic childhood, I struggled with complex trauma and medical issues for decades without understanding the connection between the two. In this narrative, I make a case for practicing trauma-informed care across the healthcare industry, and detail the statistics that show why it's so vital. While online communities can make ``trauma-informed care'' feel like just another trendy term, it's a concept with an abundance of data to back up the necessity for it. In addition to people living with mental illness, …
Consumer, Customer, Or Patient?... It's All About Context, Sven Gierlinger
Consumer, Customer, Or Patient?... It's All About Context, Sven Gierlinger
Patient Experience Journal
Today's healthcare industry is at a pivotal juncture, navigating the complex intersection of traditional care delivery with rapidly evolving consumer expectations and unprecedented transparency. This personal narrative is intended to provide a nuanced, experience-driven framework for understanding the distinct yet interconnected roles of ``consumer,'' ``customer,'' and ``patient'' - vital for healthcare organizations striving to build trust and loyalty.
Human-Centered Quality: Reframing Quality Around What Matters To People, Vita Steina, Jason Wolf
Human-Centered Quality: Reframing Quality Around What Matters To People, Vita Steina, Jason Wolf
Patient Experience Journal
Each encounter one has in healthcare is an experience. It is everything someone lives through. It is what they remember and all they perceive. It is their lasting story. When we see the experience one has in healthcare from that lens, then all the components that shape that story are parts of their experience. From this perspective, for as much as the clinical framing of experience as metrics on a survey has seen experience identified as a dimension of quality, we would suggest the opposite. Quality is but one part of the experience someone has in healthcare today. It is …
Affordability: A Critical Issue At The Heart Of Human Experience, Jason A. Wolf
Affordability: A Critical Issue At The Heart Of Human Experience, Jason A. Wolf
Patient Experience Journal
Affordability is a human experience issue. One that reaches well beyond the edges of healthcare. In our current global economy, rising costs dominate the headlines. They weigh heavily on the pocketbooks of families around the world. Affordability may be no more prevalent than in healthcare. It too is the place where it may have the most significant and lasting impact.If we are willing to think of affordability as an experience issue, we can begin to address the solution in new ways. But it will require untangling years of wiring of how healthcare has operated to rewire what it can be. …
Project Inspire, Daphney R. Portis
Project Inspire, Daphney R. Portis
Inspire Brochures
Project Inspire is USA Health’s semester-long injury prevention program that offers education, exposure and mentorship to justice-involved youth. Since 2017, this collaboration between USA Health and James T. Strickland Youth Center has engaged justice-involved teens with the five-pillar curriculum, which includes: traumainformed care training and confidence building, educational and professional development, financial literacy, entrepreneurship, and intensive mentorship. The goal is to reduce the rates of violence by equipping and empowering youth to overcome obstacles and barriers they may face in order to build a brighter future. There are currently three sites with more opening across several states.
Analysis Of The Dental Emergency Visits At Fqhcs In Michigan And Recommendations For Change, Xuesi Hua, Martha Mccomas, Elizabeth Hatfield
Analysis Of The Dental Emergency Visits At Fqhcs In Michigan And Recommendations For Change, Xuesi Hua, Martha Mccomas, Elizabeth Hatfield
The Journal of the Michigan Dental Association
This mixed-methods study evaluates emergency dental operations across Michigan's Federally Qualified Health Centers (FQHCs). Utilizing clinician interviews, surveys, and state usage data, the authors examine care delivery models, identify clinician and patient barriers to access, and analyze reasons why patients utilize hospital emergency departments rather than community health centers. System-level recommendations are proposed to optimize emergency triage, expand capacity, and improve outcomes for underserved populations.
The Effects Of Pediatric Asthma On Daily Activities And Family Life In Cache Valley, Utah: Exploring Parental Perceptions Of Air Quality, Saeed Ahmad, Mehmet Soyer, Landon Lloyd, Mayu Mecham
The Effects Of Pediatric Asthma On Daily Activities And Family Life In Cache Valley, Utah: Exploring Parental Perceptions Of Air Quality, Saeed Ahmad, Mehmet Soyer, Landon Lloyd, Mayu Mecham
Transforming Communities
Asthma is one of the main chronic health conditions affecting children living in Cache Valley, Utah particularly due to poor air quality during the winter season. It is very important to understand how families manage asthma both within and outside the household. Therefore, this research brief highlights how parents are managing pediatric asthma, and how asthma influences daily activities and family life. It is based on a qualitative study that extracted the data from 20 in-depth interviews with parents of asthmatic children. Participants were recruited through purposive snowball sampling. Data were collected through an interview guide that included some basic …
Foundation Models In Healthcare: Pre-Training, Alignment, And Clinical Applications, Arvind Pillai
Foundation Models In Healthcare: Pre-Training, Alignment, And Clinical Applications, Arvind Pillai
Dartmouth College Ph.D Dissertations
Foundation models offer an impactful paradigm for healthcare by learning generalizable representations from vast amounts of unlabeled data that can efficiently adapt to a wide range of clinical tasks. This thesis presents five studies organized around three pillars crucial to advance foundation models in healthcare. Pillar I: Pre-training: Chapter I introduces PaPaGei, an open foundation model designed for photoplethysmography (PPG) signals. PaPaGei is pre-trained on large-scale continuous optical data using a morphology-aware self-supervised objective, outperforming general time-series models across diverse clinical tasks while remaining parameter-efficient and robust across skin tones. Pillar II: Alignment: To bridge continuous sensor data and language …
Juvenile Delinquency In Alaska, 2019 And 2023, Gabriel Garcia
Juvenile Delinquency In Alaska, 2019 And 2023, Gabriel Garcia
AJiC Fact Sheets
This fact sheet examines juvenile delinquency in Alaska, documenting changes in substance use and weapon-carrying among high school students and identifying associated risk and protective factors using weighted data from the 2019 and 2023 Alaska Youth Risk Behavior Survey (YRBS).
Youth Experience Of Violence In Alaska, 2019 And 2023, Gabriel Garcia
Youth Experience Of Violence In Alaska, 2019 And 2023, Gabriel Garcia
AJiC Fact Sheets
This fact sheet examines youth experiences of dating violence and sexual violence in Alaska, identifying patterns and factors associated with victimization among high school students. Using weighted data from the 2019 and 2023 Alaska Youth Risk Behavior Survey (YRBS), it compares the prevalence of physical dating violence, sexual dating violence, sexual violence by anyone, and forced sexual intercourse.
The Whole Patient: What Fascia Reveals About Pain, Adaptation, And The Case For Treating Together, Kelly Davis Pt, Dpt, Faaompt, Mt
The Whole Patient: What Fascia Reveals About Pain, Adaptation, And The Case For Treating Together, Kelly Davis Pt, Dpt, Faaompt, Mt
New Orleans Dental Association News
The final piece in this series looks at fascia and the autonomic nervous system — the connective tissue and nerve pathways linking the jaw, neck, and airway into one continuous system — and why both matter to dentistry. Dr. Davis draws on current fascia and pain science research, including work from the 2025 International Fascia Research Congress in New Orleans, to explain how a misaligned bite can travel through this tissue and surface as headaches, how tongue posture and breathwork affect jaw stability, and why complex, chronic cases so often need more than one discipline to make headway. Told partly …
Did Statewide School Smoking Bans Reduce Smoking Rates?, Rachana Bhatt, Peter Hinrichs
Did Statewide School Smoking Bans Reduce Smoking Rates?, Rachana Bhatt, Peter Hinrichs
Employment Research Newsletter
No abstract provided.
Analyzing Accessibility And Efficacy Of One Research Survey Website To Test Readability Of Physical Activity Promotion Material Disseminated Online: A Mixed Methods Pilot Study, Jafra D. Thomas, Anuraj Dhillon, Yi Sheng Wu, Jasmine C. Wong, Regina F. Hockert
Analyzing Accessibility And Efficacy Of One Research Survey Website To Test Readability Of Physical Activity Promotion Material Disseminated Online: A Mixed Methods Pilot Study, Jafra D. Thomas, Anuraj Dhillon, Yi Sheng Wu, Jasmine C. Wong, Regina F. Hockert
Topics in Exercise Science and Kinesiology
Volume 7: Issue 1, Article 2, 2026. Accessibility is the effort and ability required to access and navigate environments and participate in activities. Physical activity educational materials disseminated to the public and used within behavior change interventions may be hard to read and navigate, decreasing their accessibility and a study’s validity. This study documented, and addressed, issues that may hinder researchers’ ability to gauge accessibility of their online educational materials using the cloze procedure (a direct readability measure, requires guessing missing words from text passages). A multi-stage, mixed methods pilot study was utilized (August 2022 to May 2023). Phase 1: …
Bridging Awareness And Action: A Multilevel Model Of Organizational Learning, Safety Climate, And Sickle Cell Trait Safety Compliance, Kimberly Snowden
Bridging Awareness And Action: A Multilevel Model Of Organizational Learning, Safety Climate, And Sickle Cell Trait Safety Compliance, Kimberly Snowden
Annual DBA Scholars Conference
Despite the existence of NCAA and National Athletic Trainers’ Association guidelines, preventable sickle cell trait (SCT)-related adverse events continue to occur in athletic settings. This study examines how organizational learning capacity, safety climate, leadership commitment, and individual risk perception influence compliance with SCT safety protocols and related safety outcomes. Drawing on Organizational Learning Theory, Safety Climate Theory, and the Health Belief Model, the study proposes a multilevel framework tested through an explanatory sequential mixed-methods design. Findings are expected to identify organizational predictors of compliance and provide practical recommendations to strengthen SCT safety implementation and reduce preventable athlete harm.