Characteristics of Sickle Cell Trait Policies and Procedures at NCAA Division II Institutions by S Andrew C* in Research & Investigations in Sports Medicine_ Journal of Sports Medicine
Abstract
In
2010, the National Collegiate Athletic Association (NCAA) introduced a proposal
addressing sickle cell trait (SCT) screening. This new proposal policy required
all NCAA Division I student-athletes beginning their initial year of enrollment
provide their institution with accurate information regarding their SCT status.
Following the NCAA Division II creating this requirement, the NCAA Division II
adopted the same requirement. In addition to these screening requirements, the
National Athletic Trainers’ Association (NATA) released a statement
recommending institutions utilized education on SCT as a method of preventing
SCT related injury. To the author’s knowledge, there does not appear to be a
study conducted in recent years to assess how many institutions are following
the NCAA and NATA’s recommendations on SCT screening. Therefore, the purpose of
this study is to describe the basic characteristics of SCT policies and
procedures at NCAA Division II institutions. 73 NCAA Division II head athletic
trainers participated in this study. Participants were sent an electronic
survey via email that assessed availability sickle cell trait testing,
availability of sickle cell trait waivers, and policy and procedure revision
processes. Data was downloaded and analyzed using a commercially available
statistics package (SPSS Version 26, IBM, Armonk, NY). The majority of head
athletic trainers reported that their institution required SCT testing for
their student-athletes (n=
40, 54.8%). 62 institutions reported offering SCT testing to their
student-athletes either at the institution’s or the student-athlete’s expense.
However, only a slight majority of institutions provided their student-athlete
population with yearly education on SCT (n= 41, 56.2%). On average, institutions
and team physicians reviewed SCT policies and procedures on an annual basis.
19.2% (n=14) of institutions had not reviewed their policy in the past two
years, and 15.1% (n=11) of institutions did not have polices that had been
reviewed by their team physician in the past two years. While the majority of
responding institutions appeared to be at least minimally compliant with SCT
screening procedures, athletic training staff and institutions should be
encouraged to conduct annual reviews of the SCT screening policies and
procedures. Institutions should consider implementing annual sickle cell trait
education for student-athletes.
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