Karen Liller | University of South Florida (original) (raw)

Papers by Karen Liller

PubMed, 2004

Objectives: To introduce the readers to the field of injury prevention and comprehensive public h... more Objectives: To introduce the readers to the field of injury prevention and comprehensive public health intervention approaches. Methods: A review of injury epidemiology, statistics, definitions, intervention approaches, and the importance of health promotion is provided. Results: Behavioral, environmental, and technological solutions will be necessary to reduce or eliminate the factors that lead to injury. Conclusions: Reductions in injury and their costs will need the support, collaboration, and partnering of several disciplines. The use of sound behavioral and social science theories and methods will be an essential component of intervention effectiveness.

Journal of Health Education, Oct 1, 1999

Journal of Public Health Management and Practice, Nov 1, 2005

Also, the student cohort reported safer behaviors for all items than did Florida and US 12th-grad... more Also, the student cohort reported safer behaviors for all items than did Florida and US 12th-grade students as shown in the state and national YRBS results. The ecological model most likely contributed to these findings because there are comprehensive health education and injury prevention efforts in the state, Pinellas County schools, and in the community, including a very active community traffic safety team and the passage of significant statewide injury prevention legislation.

Journal of agricultural safety and health, 2005

Florida public health review, 2019

The purpose of this study was to identify the injury rates and mechanisms of sports injuries amon... more The purpose of this study was to identify the injury rates and mechanisms of sports injuries among 5-11-year-old athletes, and to provide preliminary guidance for decreasing injuries in this population. A total of 1511 athletes ages 5-11 playing football, soccer, baseball and softball participated in our research. One certified athletic trainer (ATC) used Reporting Information Online (RIO) to collect the data on athletic exposure, injuries and injury mechanisms weekly during the 2016-2017 season in Hillsborough County, Florida. A total of 18 injuries occurred in practices or competitions. Football had the leading rate of injuries for both competitions and practices (1.18 and 0.68, per 1000 athlete-exposures respectively). Most injuries occurred during competition (66.7%) and the leading types of injuries were concussions (22.2%) and fractures (22.2%). The leading injury mechanisms were contact with another person (33.3%) and playing apparatus (33.3%). It is advantageous to have ATCs on site for initial injury evaluation and post injury management. Future studies should include additional study venues to provide more evidence on children's sports injuries.

The Journal of the Korean society of school health, Dec 1, 2009

원문정보. ...

International journal of human movement science, 2015

Injury surveillance needs to be conducted so that tailored interventions for high school athletes... more Injury surveillance needs to be conducted so that tailored interventions for high school athletes may be implemented. The purposes of this study are to report the 2013-2014 injuries of high school athletes in 15 West Central Florida schools utilizing the Reporting Information Online (RIO) data system and to garnish support for the role of surveillance in planning injury prevention programs for athletes. Certified athletic trainers (ATCs) were hired and trained by researchers from the University of South Florida Sports Medicine and Athletic-Related Trauma Institute (SMART) to collect and report injury findings from the high school athletes. Descriptive statistics, injury rates, and risk ratios were calculated utilizing SAS (Version 9.3). Overall, 574 injuries were reported by the ATCs. The majority of athletes injured were male (68.4%). Football was the leading sport (270, 47.0%) for number of injuries. The leading rate of injury per 1000 athlete-exposures for practices was for women''s lacrosse at 3.36 and for competition, football at 14.4. Boys had significantly greater injury rates compared to girls overall. The results of this study point to the need for collecting high school athletes'' sports injury data and using the findings for the implementation and management of tailored injury prevention programs. Language: en

Florida public health review, 2017

Through this study we report the 2014-15 injuries of high school athletes in 18 west central Flor... more Through this study we report the 2014-15 injuries of high school athletes in 18 west central Florida schools utilizing the Reporting Information Online (RIO) data system. Certified athletic trainers (ATCs) were hired and trained by researchers from the University of South Florida to collect and report injury findings from high school athletes. Descriptive statistics, injury rates, and rate ratios were calculated. Overall, 726 injuries were reported by the ATCs. Football was the leading sport for number of injuries and injuries per athlete-exposures for practices and competitions. Boys had significantly greater injury rates compared to girls overall and in competitions and practices. Our results show the important role football continues to play in high school sports injuries and help lay the groundwork for the development of targeted interventions for athletes.

International Journal of Environmental Research and Public Health, Sep 7, 2017

There is a paucity of data related to sports injuries, concussions, and computerized neurocogniti... more There is a paucity of data related to sports injuries, concussions, and computerized neurocognitive testing (CNT) among very young athletes playing sports in recreational settings. The purpose of this study was to report baseline CNT results among male and female children, ages 5-11, playing sports in Hillsborough County, Florida using ImPACT Pediatric, which is specifically designed for this population. Data were collected from 2016 to 2017. The results show that 657 baseline tests were conducted and t-tests and linear regression were used to assess mean significant differences in composite scores with sex and age. Results showed that females scored better on visual memory and in general as age increased, baseline scores improved. The results can be used to build further studies on the use of CNT in recreational settings and their role in concussion treatment, management, and interventions.

American journal of health education, Nov 1, 2007

Abstract Objectives: By completion of the writing lessons students will (1) use proper grammar in... more Abstract Objectives: By completion of the writing lessons students will (1) use proper grammar in addressing health education topics; (2) discover common writing errors that interfere with proper planning and writing; (3) demonstrate the ability to write a persuasive logical argument related to a health topic; and (4) incorporate proper writing skills when preparing health education assignments and reports. Target Audience: Students enrolled in high school or college-level health education and related courses.

Journal of Public Health Management and Practice, 2007

PLOS ONE, May 15, 2019

Background The specific research aims of this study included: 1) Conduct an epidemiologic analysi... more Background The specific research aims of this study included: 1) Conduct an epidemiologic analysis of recreational sports injuries among 1500 children, ages 5-11 in Florida: and 2) Utilize the computerized pediatric concussion tool from ImPACT Applications, Inc. for baseline and follow-up testing to better understand these injuries. This research followed a prospective surveillance design utilizing a large cohort of children, ages, 5-11, who play recreational football, soccer, and baseball/softball in Florida. The study venue was a large athletic facility in Hillsborough County, Florida. The sports observed were soccer (girls' and boys'), baseball, softball, and football. Internal and external advisory boards were consulted throughout the study. Methods Certified Athletic Trainers (ATCs) were hired to use High School Reporting Information Online (RIO) for injuries and the Ipad-administered pediatric concussion tool developed by ImPACT Applications, Inc for baseline/follow-up concussion data. Results Over the course of the project, 26 RIO-reported injuries were reported. Football and soccer produced the greatest rate of injuries. There were 12 concussions which comprised nearly half of all the RIO injuries (46%). We conducted 882 baseline concussion tests and 13 follow-up tests over the 2 years. Conclusions To the best of our knowledge, this is the first time data have been collected and reported on sports injuries in the study population. Future studies built on these findings will allow for the

Journal of Health Education, Jun 1, 1995

Background Although physical activities promote positive physical, intellectual and social develo... more Background Although physical activities promote positive physical, intellectual and social development, children and adolescents who participate in sports activities are exposed to various injury risks. Previous research on sports injuries has largely focused on high school and collegiate athletes. Incidence data for younger athletes is needed to develop prevention strategies. Objective The purpose of this study was to identify the injury rates and related mechanisms among 5–11 year-old athletes who played sports in recreational leagues. Methods A total of 1511 athletes ages 5–11 playing football, soccer, baseball and softball at a large athletic facility in Hillsborough County, Florida participated in our research. One certified athletic trainer (ATC) used Reporting Information Online (RIO) to collect data on athletic exposures and injuries weekly during the 2016–2017 season. Results During the sports season, 18 injuries occurred in practices or competitions. Football had the leading rate of injuries for both competitions and practices (1.18 and 0.68, per 1000 athlete-exposures respectively). Most injuries occurred during competition (66.7%) and the leading types of injuries were concussions (22.2%) and fractures (22.2%). The leading injury mechanisms were contact with another person (33.3%) and playing apparatus (33.3%). Most injuries were new (88.9%). All injuries were initially assessed by the onsite ATC and managed by general physicians-pediatricians (55.6%) and/or the ATC (22.2%). Conclusions The results of our study show that injuries do occur in these young athletes who play sports outside of school settings. It is advantageous to have ATCs on site for initial injury evaluation and post injury management. Future studies should include additional venues to allow for assessment of a greater number of athletes and additional sports.

Journal of Health Education, Dec 1, 1991

Crime Prevention and Community Safety

Maternal and Child Health Journal

Introduction MCH training programs in schools of public health provide specialized training to de... more Introduction MCH training programs in schools of public health provide specialized training to develop culturally competent and skilled MCH leaders who will play key roles in public health infrastructure. Previous literature has reported on the effectiveness of MCH training programs (e.g., number of trainees, improvement in knowledge/skills); less attention has been devoted to understanding factors influencing program implementation during times of rapid change, while considering internal and external contexts (e.g., global pandemic, social unrest, uncertainty of funding, mental health issues, and other crises). Purpose This article describes a graduate-level MCH leadership training program and illustrates how an implementation science framework can inform the identification of determinants and lessons learned during one year of implementation of a multi-year program. Assessment Findings reveal how CFIR can be applicable to a MCH training program and highlight how constructs across domains can interact and represent determinants that serve as both a barrier and facilitator. Key lessons learned included the value of accountability, flexibility, learner-centeredness, and partnerships. Conclusion Findings may apply to other programs and settings and could advance innovative training efforts that necessitate attention to the multi-level stakeholder needs (e.g., student, program, institution, community, and local/regional/national levels). Applying CFIR could be useful when interpreting process and outcome evaluation data and transferring findings and lessons learned to other organizations and settings. Integrating implementation science specifically into MCH training programs could contribute to the rigor, adaptability, and dissemination efforts that are critical when learning and sharing best practices to expand leadership capacity efforts that aim to eliminate MCH disparities across systems. Significance A skilled MCH workforce is essential for an effective public health system to address health disparities and achieve health equity. Preparing MCH professionals to respond to pandemics, disasters, unrest, disparities, and other complex socio-political situations requires training that promotes lifelong learning, commitment, collaboration, and action. However, determinants impacting MCH leadership training program implementation remain unknown. This article illustrates how integrating an implementation science framework could inform development, implementation and evaluation activities. Such application could contribute to improving the rigor, transferability, adaptability, and dissemination efforts during challenging times.