Return to play in elite sport: a shared decision-making process

The coach or manager should have no say in whether the medical team should attend the athlete, or in immediate player assessment. 3 Where an athlete has the capacity to make a decision, we propose (and use) a shared decision-making (SDM) process; this approach improves outcomes and satisfaction with...

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Bibliographic Details
Published in:British journal of sports medicine 2017-03, Vol.51 (5), p.419-420
Main Authors: Dijkstra, H Paul, Pollock, Noel, Chakraverty, Robin, Ardern, Clare L
Format: Article
Language:English
Subjects:
Athletes
Athletic Injuries - rehabilitation
Coaches & managers
Communication
Decision Making
Humans
Olympic games
Return to Sport
Sports Medicine - standards
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Summary:The coach or manager should have no say in whether the medical team should attend the athlete, or in immediate player assessment. 3 Where an athlete has the capacity to make a decision, we propose (and use) a shared decision-making (SDM) process; this approach improves outcomes and satisfaction with treatment. 4 The three key steps in SDM are: 5 Choice: making the athlete and coach aware that reasonable options exist; Option: providing more detailed information about the different options; Decision: guiding the athlete and coach to consider their preference and decide what is best. Despite the athlete's preference, at the highest level of elite sport, there are often wider performance implications with impact on other athletes in the team (and in individual events) that need to be considered (ie, one rower causing a rowing 8 to fail). [...]the final decisions regarding selection, participation and RTP are not usually made in isolation.
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsports-2016-096209