Athletic Training and Public Health

What is public health?

Primary function is to promote the health populations

EBP

Presentation for each patient. Clinicians training. Clinicians expertise. Patients preferences/values. Best research evidence.

ICF MODEL

Health conditions - participation - activity - body structure & function - environmental factors - personal factors

Study chart

1 systematic reviews 2. Critically appraised topics 3. Critically appraised individual articles 4. Randomized control trails 5. Cohort Studies 6. Case controlled studies case series /reports 7. Background information

how is promoting public health in populations done

Prevention of illness, injury & disease from occuring or recurring

Assessing the health status of the population

Educating & empowering communities regarding health

Linking patients with medical services

Evaluating the effectiveness of prevention program

10 essential public health services

1. Monitor health

2. Diagnose and investigate

3. Inform, educate, and empower

4. Mobilize community partnerships

5. Develop policies

6. Enforce laws

7. Link to / Provide care

8. Assure a competent workforce

9. Evaluate

10. Research

AT role

Focuses on preventing, assessing, treating, and rehabilitating injuries and illnesses in individuals or specific groups.

How does public health and AT intersect

Both emphasize prevention of injury and illness.

Both promote health and wellness.

Both use education and evidence-based practices.

Both help improve quality of life.

What is one of the main differences between? Public health:

at its core, it emphasizes "prevention over treatment and

populations over individuals and engagement at multiple levels

What is one of the main differences between? Athletic Training

encompasses both prevention & treatment and health

of both the patient and the population, engage stakeholders on multiple

levels

Understand Prevention this is key to success

Establish the extent of the problem

Establish the etiology and the mechanism of injury

Develop and introduce preventive measures/interventions

Evaluate the intervention

etiology: The cause

study of the cause of disease. Ask: why did the injury occur?

Social determinants

These are the conditions in which people are born, grow, live, work, and age that affect their health.

Determinants of health =

are the factors that influence a person’s overall health and well-being. Factors: biology, behavior, environmental, healthcare, social factors.

Health disparities:

Measurable preventable differences in health outcomes, by social, environmental, economic disadvantage.

intervention

direct involvement

Establishing the extent of the problem

Injury surveillance

Injury classification

Measuring the frequency of injuries/illnesses

Measuring consequences of injuries/illnesse

Establishing the etiology & the mechanism of

injury (MOI) Risk factors

Intrinsic

inside the athlete. (Age, sex, etc).

Establishing the etiology & the mechanism of

injury (MOI) Risk factors Extrinisic

external environmental factors (environmental; equipment) controllable factors.

Establishing the etiology & the mechanism of

injury (MOI) Determinants of health

Social determinants

Access/advantage to health care.Social and environmental conditions (income, education, housing, healthcare access, etc.).

• Mechanism of Injury (MOI) =

The event

How the injury happened.

• Ask: “What exactly happened to cause the injury?”

Developing and Introducing Preventive

Interventions Primary:

Intervening before it happens. Prevent it before it happens (e.g., warm-ups, protective equipment)

Developing and Introducing Preventive

Interventions Secondary:

Identification at early stages to lessen certain aspects. Early detection and treatment (e.g., injury evaluation, screening).

Developing and Introducing Preventive

Interventions Tertiary:

Managing after occurrence. Finding ways to manage through actions/response. Rehabilitation and recovery after the injury to minimize long-term effects. RTP.

Evaluating the intervention

Under ideal conditions

Describe the intervention context

Understanding the barriers & facilitators

Evaulate intervention in real world

Ask

Convention information into an answerable clinical question

Acquire

Track down best evidence for answering the question.

Appraise

Critically appraised the evidence for validity, impact, and applicability.

Apply

Integrate the evidence into your clinical decision making.

Audit

Eval steps 1-4 seek ways to improve.