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Knowledge, attitude, and concussion-reporting behaviors among high school athletes: a preliminary study.

Abstract：

CONTEXT:Many athletes continue to participate in practices and games while experiencing concussion-related symptoms, potentially predisposing them to subsequent and more complicated brain injuries. Limited evidence exists about factors that may influence concussion-reporting behaviors. OBJECTIVE:To examine the influence of knowledge and attitude on concussion-reporting behaviors in a sample of high school athletes. DESIGN:Cross-sectional study. SETTING:Participants completed a validated survey instrument via mail. PATIENTS OR OTHER PARTICIPANTS:A total of 167 high school athletes (97 males, 55 females, 5 sex not indicated; age = 15.7 ± 1.4 years) participating in football, soccer, lacrosse, or cheerleading. INTERVENTION(S):Athlete knowledge and attitude scores served as separate predictor variables. MAIN OUTCOME MEASURE(S):We examined the proportion of athletes who reported continuing to participate in games and practices while symptomatic from possible concussion and the self-reported proportion of recalled concussion and bell-ringer events disclosed after possible concussive injury. RESULTS:Only 40% of concussion events and 13% of bell-ringer recalled events in the sample were disclosed after possible concussive injury. Increased athlete knowledge of concussion topics (increase of 1 standard deviation = 2.8 points) was associated with increased reporting prevalence of concussion and bell-ringer events occurring in practice (prevalence ratio [PR] = 2.27, 95% confidence interval [CI] = 1.60, 3.21) and the reporting prevalence of bell-ringer-only events overall (PR = 1.87, 95% CI = 1.38, 2.54). Athlete attitude scores (increase of 1 standard deviation = 11.5 points) were associated with decreases in the proportion of athletes stating they participated in games (PR = 0.74, 95% CI = 0.66, 0.82) and practices (PR = 0.67, 95% CI = 0.59, 0.77) while symptomatic from concussions. CONCLUSIONS:Most recalled concussion events in our study were not reported to a supervising adult. Clinicians should be aware that knowledge and attitude influence concussion reporting. Clinicians and administrators should make concussion education a priority and encourage an optimal reporting environment to better manage and prevent concussive injuries in young athletes.

journal_name

J Athl Train

journal_title

Journal of athletic training

authors

doi

10.4085/1062-6050-48.3.20

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

645-53

issue

eissn

1062-6050

issn

1938-162X

journal_volume

pub_type

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Knowledge, attitude, and concussion-reporting behaviors among high school athletes: a preliminary study.