Background and aims:  Insufficient awareness of guidelines among coaches may increase the risk of concussion or post-concussion symptoms in athletes. The aim was to survey the awareness of concussion management guidelines in Denmark among Handball-coaches. 
Method: Development and distribution of an online 25 item questionnaire to all Danish Handball coaches (n=9500). Differences analyzed using Mann-Whitney and Chi-Square tests.
Results: Total response rate of (n=834, ~9%) and 81% (n=675) were unaware of guidelines. Significant differences were found between aware and unaware groups for 'years of experience' (p<0.01) and 'age' (p<0.05). Unaware coaches are less likely to use the recommended return-to-sport progression ladder (0.01), and significantly less considered headache as a risk-factor (p=0.038).  
Conclusion: The majority of respondents were unaware of guidelines. Awareness with regards to symptoms, signs and risk factors should be prioritized in future education of coaches.

AWARENESS OF AND ADHERENCE TO CONCUSSION GUIDELINES AMONG COACHES IN HANDBALL IN DENMARK