Athlete Enjoyment of Prior Education Moderates change in Concussion-Reporting Intention after Interactive Education

Daneshvar, Daniel H.; Baugh, Christine M.; Yutsis, Maya; Pea, Roy; Goldman, Sally A.; Grant, Gerald A.; Cantu, Robert C.; Sanders, Lee; Chen, Christine; Lama, Roberto D.; Zafonte, Ross; Sorcar, Piya

doi:10.1177/00469580211022641

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…[38] Adolescent soccer athletes who have received concussion education are more likely to report the symptoms of concussion in the game. [39] Educational interventions need to accurately assess the knowledge gaps in a particular population to develop relevant educational strategies. [44] The knowledge gaps identified in our survey have important implications for the development of educational intervention strategies.…”

Section: Discussionmentioning

confidence: 99%

“…However, they were unable to articulate these risks other than “secondary damage” or “cognitive problems.” Therefore, concussion education is necessary to help athletes realize the dangers of concussion and to make them to report concussion symptoms in a timely manner. [30,37–39] Two extraneous factors that may influence concussion reporting are the “substitution rule” and the “importance of the game.” [40] Almost all athletes said that the importance of the game influenced their decision to report a concussion, while 55.1% of athletes selected the option that “I would not return early because of semifinals” in the RoCKAS-ST questionnaire. Then, there is often a discrepancy between reported intentions and actual behavior.…”

Section: Discussionmentioning

confidence: 99%

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Investigation of concussion knowledge and attitudes of Chinese amateur adolescent soccer athletes

Tang

Zhang

et al. 2023

Medicine

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Concussions are a common traumatic brain injury in soccer games but are often ignored by coaches and athletes. The purpose of our study is to assess the concussion knowledge and attitudes among amateur adolescent soccer athletes in China. Data was collected from questionnaire surveying (Rosenbaum Concussion Knowledge and Attitudes Survey (Student Version)) and semi-structured interviews completed by 69 amateur adolescent soccer athletes who participated in the U17 and U15 male groups of the 2022 China Youth Soccer League. The study followed a mixed methodology cross sectional study design. The concussion knowledge index (0–25) and concussion attitude index (15–75) scores were derived from the questionnaire and descriptive statistics were used for data analysis. The mean score of concussion knowledge is 16.8 ± 2.4 (range 10–22), and the mean score of concussion attitude is 61.3 ± 8.8 (range 45–77). Thematic analysis was used to categorize the participant’s responses of the semi-structured interview and the results were compared with their survey answers of questionnaire. Interestingly, the interviews revealed the inconsistencies between the questionnaire responses and intended behaviors, and multiple factors (injury severity, the importance of the game and substitution rules) influencing concussion-reporting behaviors were identified. In addition, athletes hope to acquire concussion knowledge through formal education. Our study lay the foundation for educational interventions to potentially improve concussion-reporting behaviors among amateur adolescent soccer athletes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Investigation of concussion knowledge and attitudes of Chinese amateur adolescent soccer athletes

Tang

Zhang

et al. 2023

Medicine

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“…Additionally, recent work has demonstrated a moderating effect of educational enjoyment on concussion-reporting intention. 28 Because every state mandates that its athletes receive concussion education, learners may be less excited about participation in the education. 40 The role of educational enjoyment is likely an important factor in ensuring engagement and maximizing learning.…”

Section: Discussionmentioning

confidence: 99%

“… 40 The role of educational enjoyment is likely an important factor in ensuring engagement and maximizing learning. 28 , 41 , 42 …”

Section: Discussionmentioning

confidence: 99%

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Participating in Two Video Concussion Education Programs Sequentially Improves Concussion-Reporting Intention

Daneshvar

Baugh

Lama

et al. 2021

Neurotrauma Reports

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Undiagnosed concussions increase the risk of additional concussion and persistent symptoms from concussion. Because there are no reliable objective markers of concussion, self-reporting of subjective and non-visible symptoms are critical to ensuring proper concussion management. For this reason, educational interventions target concussion reporting, but the majority of studies have examined the efficacy of single educational interventions or compared interventions to one another. This randomized crossover study sought to identify whether there was benefit to administering multiple concussion education programs in tandem, back to back. The study randomized 313 male high school football players to first receive CrashCourse concussion education (CC) or Centers for Disease Control and Prevention video concussion education (CDC) followed by crossover with the other education. Athlete concussion-reporting intention, attitudes, subjective norms, perceived behavioral control, and enjoyment of education were assessed at baseline and after each intervention. There were statistically significant improvements across all measures, both after single intervention and crossover (all p < 0.001). Secondary analyses examining differences between education found that athletes reported higher enjoyment of concussion education immediately after participating in CC, as compared to CDC ( p < 0.001). These findings demonstrate an additive benefit to implementing CC and CDC education in tandem, without decrement in enjoyment of concussion education after experiencing dual educations; in fact, enjoyment of concussion education improved after receiving education programs back to back. These educational programs appear to complement one another, and the results support the use of multi-modal concussion education to differentially target and maximize concussion reporting.

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The importance of language in describing concussions: A qualitative analysis

Knowles,

Schneider,

Bugwadia

et al. 2024

PM&R

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BackgroundConcussions are mild traumatic brain injuries that are often undiagnosed due to difficulties in identifying symptoms. To minimize the negative sequelae associated with undiagnosed concussion, efforts have targeted improving concussion reporting. However, knowing more about concussions does not indicate how likely an athlete is to report their concussion. Alternatively, the attitudes and beliefs of athletes and surrounding stakeholders have shown to be a better indication of whether an athlete intends to report their concussion. Prior research has shown that athletes report concussions less often when the injury is described using language that minimizes their severity, such as when it is referred to as a “ding.” This study evaluated whether describing concussions using the word “brain” was associated with individuals' underlying attitudes and beliefs about the injury's severity.ObjectiveTo measure the relationship between perceived concussion severity and the language used to describe concussions, specifically whether participants used the word “brain” in describing the injury.MethodsOne‐on‐one semi‐structured telephone interviews were conducted, and a cross sectional secondary qualitative analysis was performed to assess participants' perceived concussion severity and their use of the word “brain” to describe concussions.DesignCross‐sectional secondary qualitative analysis.SettingOne‐on‐one semistructured telephone interviews.ParticipantsIn 2017, 94 individuals involved in high school sports, including athletes, coaches, educators, parents of athletes, and athletic directors were recruited via convenience sampling.Main Outcome MeasuresRespondents' perceived severity of concussions.ResultsIndividuals who used a brain phrase to describe concussion also perceived concussions as more severe (p < .001). Specifically, those who described concussions with maximum severity had higher odds of using brain phrases than those who described concussions as having minimum (odds ratio [OR] = 0.05, 95% confidence interval [CI] = 0.002–0.299, p < .001) or moderate severity (OR = 0.24, 95% CI = 0.086–0.647, p = .003), with the most significant relationship found among coaches.ConclusionsThese findings demonstrate the relationship between medical terminology and perceived severity of concussions. This relationship may play a role in concussion reporting behavior for coaches, athletes, and parents. Education programs using similar medical terminology may promote concussion reporting behaviors.

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Athlete Enjoyment of Prior Education Moderates change in Concussion-Reporting Intention after Interactive Education

Cited by 4 publications

References 27 publications

Investigation of concussion knowledge and attitudes of Chinese amateur adolescent soccer athletes

Investigation of concussion knowledge and attitudes of Chinese amateur adolescent soccer athletes

Participating in Two Video Concussion Education Programs Sequentially Improves Concussion-Reporting Intention

The importance of language in describing concussions: A qualitative analysis

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