In it to win it: Competitiveness, concussion knowledge and nondisclosure in athletes

Doucette, Madeline; Plessis, Sané Du; Webber, A.; Whalen, Chelsea; Garcia‐Barrera, Mauricio A.

doi:10.1080/00913847.2020.1807886

Cited by 13 publications

(10 citation statements)

References 45 publications

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“…The mean CKI in this study was found to be 56.2% which was less than those studies using English professional footballers (65.6%; Williams et al, 2016), Irish semi-professional and professional footballers (74.8%; Gallagher & Falvey, 2017), Canadian youth soccer players (78%; Doucette et al, 2021), amateur South African rugby players (75%; Viljoen et al, 2017) and cyclists from all global regions (75.8%; Hurst, Novak, Cheung, & Atkins, 2019). The findings of inadequate awareness of concussion causes, diagnosis and sequelae in this population specifically may be indicative of the fact that concussion research and public knowledge translation has been primarily focused on developed countries (Eagles et al, 2016).…”

Section: Discussioncontrasting

confidence: 79%

“…Some studies have examined the attitude of footballers towards SRC (Gallagher & Falvey, 2017;Williams et al, 2016). Williams et al (2016) revealed that English players had an average attitude score of 79.4% which was similar in Irish players at 80% (Gallagher & Falvey, 2017) and Canadian junior soccer player at 85.4% (Doucette et al, 2021), suggesting a good attitude towards SRC. However, through a semi-structured interview, many respondents reported unsafe concussion behaviours despite accurately identifying the potential risks (Williams et al, 2016), with 64% indicating they would continue playing after a concussion (Williams et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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A cross-sectional study examining Nigerian footballers’ knowledge and attitudes towards sport-related concussion and associated contextual factors

2023

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Objective: To examine Nigerian footballers’ knowledge and attitudes towards sport-related concussion (SRC) and associated contextual factors. Methods: A cross-sectional study design was used with an online questionnaire distributed to Nigerian footballers affiliated with a registered team. The questionnaire included demographic information and the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS-ST). The concussion knowledge index (CKI, 0–25) and attitude index (CAI, 15–75) were calculated. The association between various contextual factors with “high” knowledge and attitude were determined. Results: A total of 331 participants completed the questionnaire from 10 football clubs. Mean CKI and CAI scores were 14.0 ± 3.0 (56.2 ± 13.2%) and 54.5 ± 9.4 (72.6 ± 12.5%), respectively, and the association between scores was considered large (r = 0.530; 28%). A small proportion (n = 25; 7.6%) of participants reported a previous diagnosis of an SRC, with a further 40 (12.1%) suspecting they have suffered SRC. Thirty-five participants (10.6%) reported sustaining a SRC but did not seek medical help. Results indicated that men were at 4.8 times greater odds of having a “high[er]” CKI than women, and that those with 5–10 years playing experience had lower odds of a “high” CKI than those with >10 years’ experience. Men had 7 times greater odds of having a “high” CAI than women. Conclusion: The results of this study suggest that Nigerian footballers have a moderate level of SRC knowledge, satisfactory symptom recognition, and high SRC attitudes. Those working with Nigerian football may consider these findings when seeking strategies to improve concussion knowledge, potentially by improving attitudes and considering sex and playing experience.

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Section: Discussioncontrasting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

A cross-sectional study examining Nigerian footballers’ knowledge and attitudes towards sport-related concussion and associated contextual factors

2023

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“…Using the Rosenbaum Concussion Attitude and Knowledge Survey and Sports Orientation Questionnaire (SOQ) 161 Canadian athletes (ages 14-32 years), were studied examining knowledge, competitiveness and reporting. [34] Although females had higher knowledge F(2, 158) = 140.5, p = .00, the authors reported the SOQ was significant (p = .03, OR = 1.03; 97.5%CI) for competiveness and non-reporting of past and future concussive injury.…”

Section: Coaches Knowledgementioning

confidence: 94%

What is the knowledge of Newfoundland and Labrador Coaches’ regarding recognition of and response towards sports related concussive injury in the adolescent?

Burke

Duke²,

Meadus³

et al. 2022

IJH

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Objective: To examine coaches’ knowledge, recognition of, and response to, concussion in the adolescent athlete population.Methods: Using a non-experimental correlational design, adult coaches (N = 120) responsible in the coaching of adolescent junior high and high school athletes were recruited from sports associations and schools in the province of Newfoundland and Labrador (NL). A 28 item questionnaire called Coaches’ Knowledge of Sports Related Concussive Injury in the Adolescent Athlete Survey was provided online.Results: Majority of participants were knowledgeable of what is a concussion, its causes, and what visual clues observed that indicate a possible concussion in a player. In relation to the Age of coach category, only the 55+ age group responded correctly to what is an example of sport specific activity with body contact. Years of coaching and return-to-play knowledge after a concussion showed incorrect responses for both the step wise approach and the 20-30 minute player participation with no contact. Having attended an education concussion session or not showed no difference on return-to-play knowledge in the step wise approach progression as the majority responded incorrectly with 71.4% (attended an education session) versus 91.7% of participants (no attendance on concussion education), respectively.Conclusions: Benefits gained through this research study will serve to evaluate coaches’ knowledge and improve standardized concussion knowledge. Such preparation can assist in better recognizing and effectively managing a sports related concussion (SRC) and the potential to facilitate sport policy changes. Actions by coaches can impact preventative education, encourage safe behaviors and the reporting of concussive symptoms by the adolescent, therefore reducing burden on overall long term negative health outcomes.

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“…Female athletes presented with greater clarity on concussion symptoms than male athletes. In US 30 and Canadian 18 collegiate athletes, women demonstrated greater concussion knowledge. However, in an Irish context, no significant concussion knowledge differences have been observed between the sexes in collegiate athletes, 34 high school students, 43 or adult Gaelic games players.…”

Section: Factors That Influence Anxiety Perceptionsmentioning

confidence: 96%

Perceptions of Concussion and Associated Anxiety in Irish Collegiate Athletes

O’Connor

Geaney

Whyte

et al. 2022

Sports Health: A Multidisciplinary Approach

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Background: Concussion nondisclosure and poor management after a concussion are a concern in Irish collegiate sports. How athletes perceive concussions and appraise their own concussion may affect their decisions and behaviors after a suspected concussion. However, this has yet to be examined in an Irish context. This study aimed to (1) establish concussion perceptions and associated anxiety in Irish collegiate athletes; (2) examine how sex, concussion, and mood disorder history influenced their perceptions; and (3) investigate factors associated with higher anxiety perceptions. Hypothesis: Irish collegiate athletes will display negative concussion perceptions and anxiety related to concussion, especially in female athletes and those without a concussion history. Study Design: Cross-sectional study. Level of Evidence: Level 3. Methods: Irish collegiate athletes [n = 268 (141 women,127 men), mean age = 21.5 ± 2.2 years] from high-risk sports completed a survey including the Perceptions of Concussion Inventory for Athletes (PCI-A), demographics, diagnosed concussion history, self-reported mood disorder history, and a concussion knowledge assessment. Differences in concussion perceptions by sex, concussion history, mood disorder history were examined using Mann-Whitney U tests, and factors associated with anxiety-related concussion perceptions were identified using multivariate logistic regression. Results: Over half (53.0%, n = 142) of participants reported concerns regarding concussion. The thoughts of sustaining a concussion made participants feel upset (63.4%, n = 170), fearful (47.7%, n = 128), and anxious (35.1%, n = 94). Women reported significantly higher anxiety ( P < 0.01, r = 0.23), effects ( P = 0.04, r = 0.12), and clarity ( P = 0.01, r = 0.16) perception scores. Participants with a diagnosed concussion history displayed greater symptom variability perception scores ( P = 0.04, r = 0.12), but lower anxiety ( P = 0.03, r = 0.13) and treatment ( P < 0.01, r = 0.19) beliefs on the PCI-A. No differences were observed for those with a history of a mood disorder ( P > 0.05). A significant multivariate model was established (χ2 = 55.44, P < 0.01), with female sex [odds ratio (OR) = 1.53], concussion history (OR = 0.63), effects (OR = 1.31), and treatment (OR = 1.15) subscales associated with greater anxiety. Conclusion: Concerns about sustaining a concussion are prevalent in Irish collegiate athletes. Women displayed more negative perceptions and those with a concussion history displayed fewer perceived benefits of treatment. Clinical Relevance: The findings support the need for concussion awareness campaigns to provide accurate concussion information to mitigate anxiety-related concussion perceptions and injury belief misconceptions.

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In it to win it: Competitiveness, concussion knowledge and nondisclosure in athletes

Cited by 13 publications

References 45 publications

A cross-sectional study examining Nigerian footballers’ knowledge and attitudes towards sport-related concussion and associated contextual factors

A cross-sectional study examining Nigerian footballers’ knowledge and attitudes towards sport-related concussion and associated contextual factors

What is the knowledge of Newfoundland and Labrador Coaches’ regarding recognition of and response towards sports related concussive injury in the adolescent?

Perceptions of Concussion and Associated Anxiety in Irish Collegiate Athletes

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