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Mahi tahi (working together) and the lessons learned from implementating a concussion management pathway for community rugby in New Zealand: Haerenga (our journey)
Journal article   Open access   Peer reviewed

Mahi tahi (working together) and the lessons learned from implementating a concussion management pathway for community rugby in New Zealand: Haerenga (our journey)

Danielle M. Salmon, Marelise Badenhorst, Zachary Yukio Kerr, Chris Whatman, James Brown, Janelle Romanchuk, Johna Register-Mihalik, Simon Walters, Gisela Sole, Ian Murphy, …
JSAMS plus, Vol.8, 100156
24/09/2026
Handle:
https://hdl.handle.net/10523/52718

Abstract

Implementation science Intervention adaptation Knowledge translation Systems thinking
Concussion guidelines are widely available, but implementing them consistently in community sport remains difficult. Common barriers include limited access to medical care, reliance on volunteers, fragmented communication, and sporting cultures that may discourage reporting. In response, New Zealand Rugby developed and refined over multiple seasons, a community Concussion Management Pathway (CMP), to operationalise World Rugby's principles of ‘Recognise and Remove’ in real-world community settings. This editorial reflects on lessons learned from the design, implementation, and iterative refinement of the CMP over multiple seasons. Rather than evaluating effectiveness, we focus on the practical realities of implementation within a complex community sport system. Key lessons learned include the importance of co-design with stakeholders, adapting elite-derived processes to community capacity, balancing standardisation with flexibility, and recognising the complexity associated with baseline testing, technology use, and navigating primary healthcare pathways. The role of education, role clarity, and systems-level communication in shaping concussion reporting and management behaviours are also explored. Our experiences highlight that in community sport concussion interventions must be treated as living systems, requiring ongoing adaptation to local context, resources, and cultures. The lessons outlined provide transferable insights for researchers, sporting organisations, and policy-makers seeking to design, implement, or scale concussion prevention and management initiatives across community sport.
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Published (Version of record) Open Access CC BY V4.0
url
https://doi.org/10.1016/j.jsampl.2026.100156View
Published (Version of record) Open CC BY V4.0

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