Collegiate student-athlete sex, years of sport eligibility completed, and sport contact level influence on concussion reporting intentions and behaviours

Weber, Melanie; Suggs, David Welch; Bierema, Laura L.; Miller, L. Stephen; Reifsteck, Fred; Schmidt, Julianne D.

doi:10.1080/02699052.2019.1568573

Cited by 21 publications

(9 citation statements)

References 25 publications

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“…2,3,9,16,23 Military cadets often choose to self-manage their concussion symptoms before seeking medical care. 36,42 These delays introduce a period in which patients are not limited in physical and cognitive activity and not receiving the care that they should, which prolongs their recovery. 2 Delayed diagnosis can also occur from a delayed symptom onset, which has been reported in 17% to 40% of concussion cases.…”

Section: Concussion Care Seeking: the Influence Of Delayed Care Seekingmentioning

confidence: 99%

Optimizing Concussion Care Seeking: A Longitudinal Analysis of Recovery

et al. 2022

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Background: Approximately half of concussions go undisclosed and therefore undiagnosed. Among diagnosed concussions, 51% to 64% receive delayed medical care. Understanding the influence of undiagnosed concussions and delayed medical care would inform medical and education practices. Purpose: To compare postconcussion longitudinal clinical outcomes among (1) individuals with no concussion history, all previous concussions diagnosed, and ≥1 previous concussion undiagnosed, as well as (2) those who have delayed versus immediate symptom onset, symptom reporting, and removal from activity after concussion. Study Design: Cohort study; Level of evidence, 2. Methods: Participants included 2758 military academy cadets and intercollegiate athletes diagnosed with concussion in the CARE Consortium. We determined (1) each participant’s previous concussion diagnosis status self-reported at baseline (no history, all diagnosed, ≥1 undiagnosed) and (2) whether the participant had delayed or immediate symptom onset, symptom reporting, and removal from activity. We compared symptom severities, cognition, balance, and recovery duration at baseline, 24 to 48 hours, date of asymptomatic status, and date of unrestricted return to activity using tests of parallel profiles. Results: The ≥1 undiagnosed concussion group had higher baseline symptom burdens ( P < .001) than the other 2 groups and poorer baseline verbal memory performance ( P = .001) than the all diagnosed group; however, they became asymptomatic and returned to activity sooner than those with no history. Cadets/athletes who delayed symptom reporting had higher symptom burdens 24 to 48 hours after injury (mean ± SE; delayed, 28.8 ± 0.8; immediate, 20.6 ± 0.7), took a median difference of 2 days longer to become asymptomatic, and took 3 days longer to return to activity than those who had immediate symptom reporting. For every 30 minutes of continued participation after injury, days to asymptomatic status increased 8.1% (95% CI, 0.3%-16.4%). Conclusion: Clinicians should expect that cadets/athletes who delay reporting concussion symptoms will have acutely higher symptom burdens and take 2 days longer to become asymptomatic. Educational messaging should emphasize the clinical benefits of seeking immediate care for concussion-like symptoms.

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Section: Concussion Care Seeking: the Influence Of Delayed Care Seekingmentioning

confidence: 99%

Optimizing Concussion Care Seeking: A Longitudinal Analysis of Recovery

et al. 2022

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“…al., 1999). Players in highcontact sports also may differ in attitudes toward sports-related concussions than athletes in low-contact sports due to their difference in exposure to concussions, which can impact intention to report (Weber et. al., 2019).…”

Section: Discussion and Resultsmentioning

confidence: 99%

Concussions in Collegiate Club Sports: Investigating Concussion Education, Knowledge, and Attitudes

Kanny¹,

Hathaway²,

Rudd³

et al. 2022

JERP

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Approximately 9 million college students participate in organized sports, with 460,000 college athletes participating at the collegiate level (e.g., NCAA, NAIA) and the remaining 8.5 million playing club and intramural teams. Nationally, an estimated 1.7 to 3 million sports-related concussions (SRCs) occur per year. Despite the overwhelming number of student-athletes participating in collegiate club sports, literature on SRC education, knowledge and attitudes is limited when looking at collegiate club athletes. The purpose of this study is to explore current concussion education given to collegiate club sports athletes and understand players' concussion knowledge and attitudes. A cross-sectional study design using a modified version of Rosenbaum Concussion Knowledge and Attitudes Survey-Student Version (RoCKAS-ST) was emailed to all members within the 33 student-led club sport organizations at a Southeastern university. Seventy-one club athletes from 22 of the club sport organizations responded to the survey. Thirty-two participants (45.1%) reported that they have received at least one sports-related concussion and 39 (54.9%) reported never receiving a SRC. Fifty-five participants (77.5%) reported not receiving a concussion education. Total knowledge was found to have significant differences between participants who received a concussion education and participants who did not (t[69] = 1.135; p = 0.048). No significant differences were found in attitude between collegiate club sport athletes who received a concussion education and players who did not receive a concussion education (t[68] = 0.37; p = 0.700). The study indicated that a majority of collegiate club sport athletes do not receive a concussion education, which impacts their knowledge of concussions. Further research is needed to determine effective concussion prevention education for this population.

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“…2,6,8 The differences observed in the present study may not be entirely surprising given that higher positive attitudes (perceived seriousness, positive feelings about self-reporting, etc) toward SRCs and better SRC reporting behaviors have been previously observed in female athletes compared with their male counterparts. 4,7,16,26,35 Continued work in the area of identifying diagnostic biomarkers for SRCs may have profound implications in addressing this reporting disparity and improving diagnostic sensitivity for all athletes. 11,23 These findings indicated that sex-related differences have been exacerbated in recent years and the factors underlying these differences may require tailored intervention (eg, to address reporting behaviors) in male athletes.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Concussions in National Collegiate Athletic Association (NCAA) Sports: 2014/15-2018/19

et al. 2021

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Background: Updated epidemiology studies examining sports-related concussions (SRCs) are critical in evaluating recent efforts aimed at reducing the incidence of SRCs in National Collegiate Athletic Association (NCAA) sports. Purpose: To describe the epidemiology of SRCs in 23 NCAA sports during the 2014/15-2018/19 academic years. Study Design: Descriptive epidemiology study. Methods: SRC and exposure data collected in the NCAA Injury Surveillance Program were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics by sport, event type (practices, competitions), injury mechanism (player contact, surface contact, equipment/apparatus contact), and injury history (new, recurrent). Injury rate ratios (IRRs) were used to examine differential injury rates, and injury proportion ratios (IPRs) were used to examine differential distributions. Results: A total of 3497 SRCs from 8,474,400 athlete-exposures (AEs) were reported during the study period (4.13 per 10,000 AEs); the competition-related SRC rate was higher than was the practice-related SRC rate (IRR, 4.12; 95% CI, 3.86-4.41). The highest SRC rates were observed in men’s ice hockey (7.35 per 10,000 AEs) and women’s soccer (7.15 per 10,000 AEs); rates in women’s soccer and volleyball increased during 2015/16-2018/19. Player contact was the most prevalently reported mechanism in men’s sports (77.0%), whereas equipment/apparatus contact was the most prevalently reported mechanism in women’s sports (39.2%). Sex-related differences were observed in soccer, basketball, softball/baseball, and swimming and diving. Most SRCs reported in men’s sports (84.3%) and women’s sports (81.1%) were reported as new injuries. Conclusion: Given the increasing SRC rates observed in women’s soccer and volleyball during the latter years of the study, these results indicate the need to direct further attention toward trajectories of SRC incidence in these sports. The prevalence of equipment/apparatus contact SRCs in women’s sports also suggests that SRC mechanisms in women’s sports warrant further investigation. As most SRCs during the study period were reported as new injuries, the prevalence of recurrent SRCs in men’s and women’s ice hockey is also noteworthy.

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Collegiate student-athlete sex, years of sport eligibility completed, and sport contact level influence on concussion reporting intentions and behaviours

Cited by 21 publications

References 25 publications

Optimizing Concussion Care Seeking: A Longitudinal Analysis of Recovery

Optimizing Concussion Care Seeking: A Longitudinal Analysis of Recovery

Concussions in Collegiate Club Sports: Investigating Concussion Education, Knowledge, and Attitudes

Epidemiology of Concussions in National Collegiate Athletic Association (NCAA) Sports: 2014/15-2018/19

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