Concussion Education Video Exposure Does Not Significantly Improve Youth Athlete Concussion Knowledge

2015 ◽  
Vol 47 ◽  
pp. 636
Author(s):  
Johna K. Register-Mihalik ◽  
Tamara C. Valovich McLeod ◽  
Richelle M. Williams ◽  
Laura A. Linnan ◽  
Jason P. Mihalik ◽  
...  
2021 ◽  
Vol 5 ◽  
pp. 205970022110244
Author(s):  
Katie Alison Falla ◽  
Sarah Randall ◽  
Carol DeMatteo

Objectives There are two objectives for this paper. First, to determine effects of a concussion education program in a local school board in terms of concussion-specific knowledge in children and confidence in identifying and managing concussion in adults. Second, to identify differences and similarities in concussion knowledge between children who participate in sports and those who do not and between children with a history of one or more concussions and those without. Design A cross sectional survey regarding concussion knowledge was distributed randomly to students and adults at both pre- and posteducation timepoints. A concussion education program was disseminated across the school board for students between the distribution survey timepoints. Following the education program, adults and students completed their respective post-test surveys. Chi-squared tests in SPSS determined the significance of between-group differences. Results All 17 adults (100.0%) who had received concussion education recently reported confidence in their knowledge of concussion management, compared to 35.7% adults who had not received education for over a year (p = 0.020). For students, all of whom completed the concussion education training between the pre- and post-tests, there were no significant differences in concussion knowledge scores between athletes and non-athletes (either in or outside of school) or between those with a history of concussion and those without. There were no significant changes in concussion knowledge between the pre- and post-tests, except for one question. Conclusion Concussion education programs increase confidence of concussion management protocols in adults involved in sport, but they require improvements to better support knowledge amelioration, particularly for target groups that are at high risk of sustaining another injury.


Author(s):  
Erica Beidler ◽  
Abigail C. Bretzin ◽  
Ara J. Schmitt ◽  
Amy Phelps

2017 ◽  
Vol 29 (1) ◽  
pp. 1-6 ◽  
Author(s):  
C Viljoen ◽  
M Schoeman ◽  
C Brandt ◽  
J Patricios ◽  
C Van Rooyen

Background: The South African Rugby Union’s BokSmart programme currently educates coaches and referees on concussion. Rugby players are often more familiar with their teammates than the coach or referee. Therefore they are well-positioned to play a pivotal role in rugby safety if they have adequate knowledge to identify subtle signs and abnormal behaviour displayed by a concussed teammate. However, no programme focuses on concussion education among South African rugby players and there is a dearth of literature on concussion education programmes among rugby players which could lead to safer return to play (RTP) habits.Objectives: To evaluate South African rugby players’ concussion knowledge and attitudes/behaviours regarding RTP following a concussion.Methods: A descriptive, cross-sectional study was used. Participants (n=294) were divided into junior amateur high school (JAHS) (n=216) and senior amateur club (SAC) (n=78) players. The modified RoCKAS-ST questionnaire was used to evaluate their concussion knowledge index (CKI) and concussion attitudes/behaviours index (CAI) regarding RTP.Results: On average, 62% (JAHS) and 60% (SAC) of the CKI questions were answered correctly. JAHS participants correctly identified 66% of concussion symptoms, similarly to the SAC participants (63%), rendering similar (p=0.37) overall CKI scores when comparing the two groups. The CAI questions yielded similar (p=0.98) results between the groups, reporting safe responses in 66% (JAHS) and 67% (SAC) of the items.Discussion and conclusion: Junior and senior South African amateur rugby players lacked approximately one-third of essential concussion knowledge, which may lead to a display of unsafe attitudes/behaviours to concussion and RTP. Further research is warranted to inform educational programmes on concussion among rugby players.


2021 ◽  
Vol 56 (2) ◽  
pp. 157-163
Author(s):  
Morgan Anderson ◽  
Kyle M. Petit ◽  
Jessica Wallace ◽  
Tracey Covassin ◽  
Erica Beidler

Context Mandated concussion education has aimed to improve student-athlete knowledge; however, some collegiate student-athletes continue to not disclose concussion. Concussion knowledge may not be the only factor influencing reporting, as student-athlete sex, sport, and pressure from external stakeholders (eg, coaches, teammates, fans, parents or family) have all been documented as influencing collegiate concussion-reporting behavior. Objective To examine factors associated with concussion nondisclosure in collegiate student-athletes. Design Cross-sectional study. Setting Four National Collegiate Athletic Association Division I and two Division II universities. Patients or Other Participants A total of 1125 collegiate student-athletes completed the survey, and 741 provided viable responses and were included for data analysis. Main Outcome Measure(s) We used a 10- to 15-minute electronic or paper-and-pencil survey that asked about personal and sport demographics, diagnosed concussions and nondisclosed concussion history, concussion knowledge, and level of agreement regarding pressure to play after a head impact experienced during collegiate sport participation. Significant univariable factors were entered into a multivariable logistic regression analysis. Results Sex (P = .005), sport-risk type (P < .001), diagnosed concussion history (P < .001), concussion knowledge (P = .017), and pressure from coaches (P < .001), teammates (P < .001), fans (P = .024), and parents or family (P = .003) were factors associated with concussion nondisclosure in individual univariable logistic regressions. After we conducted multivariable analyses, male sex (P = .001), high concussion-risk sport participation (P = .048), diagnosed concussion history (P < .001), increased concussion knowledge (P = .013), and experiencing pressure from coaches to continue playing after sustaining a hit to the head (P = .002) were factors associated with concussion nondisclosure in collegiate student-athletes. Conclusions Our results suggest that concussion-education programs should go beyond the identification of signs and symptoms to include the dangers of continuing to play, long-term consequences, and transparency about concussion protocols. Comprehensive concussion-education programs should involve coaches and athletes to improve the reporting culture.


2019 ◽  
Vol 34 (5) ◽  
pp. 771-771
Author(s):  
W Ernst ◽  
K S McCarthy ◽  
M E Kneavel ◽  
S H Gulick

Abstract Purpose To determine if a novel peer concussion education program (PCEP) increased concussion knowledge and intention-to-report in collegiate football players. Methods A sample of football players (N=666) from 10 NCAA colleges were assessed at three time points (baseline, post-test, 1-month follow-up) with adapted measures of the concussion knowledge checklist (adapted from Gioia & Collins [2006]; McLeod et al. [2007], score range=0–27) and intention-to-report questionnaire (adapted from Register-Mihalik et al. [2013], score range=6–42). Five teams (n=408) were randomly assigned to control; five (n=258) to the PCEP. The data were from a larger randomized multi-site trial of men’s and women’s sports (n=1,614). Results There was a significant effect of the PCEP on concussion knowledge across time, F(2, 1012)=17.3, p<.0001, ηp2=.03. Model-estimated concussion knowledge scores (M[SE]) at all three timepoints were 19.20 (0.73), 19.90 (0.73) and 19.77 (0.73) for control; 19.81 (0.78), 22.12 (0.78), and 21.83 (0.78) for the PCEP. There was also a significant effect of the PCEP on intention-to-report one’s own concussion across time, F(2,1004)=7.51, p<.001, ηp2=.02. Intention-to-report scores (model-estimated M[SE]) increased for control across all three time points (30.87 [1.13], 32.72 [1.13], and 33.37 [1.13]) but at a faster rate for the PCEP (30.44 [1.25], 34.43 [1.25], and 34.67 [1.26]. Conclusion There was a significant increase in concussion knowledge and intention-to-report concussion among football players who participated in the PCEP compared to controls which held at a 1-month follow-up.


2020 ◽  
Vol 6 ◽  
pp. 237796082093849
Author(s):  
Scott Ramsay ◽  
Susan Dahinten

Introduction Sports-related concussions in children and youth are a significant health concern. There is increasing literature pertaining to levels of knowledge about concussion and the effects of educational interventions, but the literature has not yet been synthesized for the subpopulation of children and youth. Therefore, the purpose of this review was to identify and summarize the current state of the literature on concussion knowledge, and the effect of concussion education on the knowledge, attitudes, and behaviors of children and youth who engage in sports. Methods A scoping review was conducted, guided by Joanna Briggs Institute methodology. Two databases, MEDLINE and CINAHL (Cumulative Index to Nursing and Allied Health Literature), and reference lists were searched to identify relevant studies that focused on children and youth less than 19 years of age who engage in sports. We also searched Google Scholar for gray literature. Results Of the 21 articles that met inclusion criteria, 15 focused on levels of concussion knowledge, and 6 examined the effects of educational interventions. Children and youths’ level of knowledge and exposure to prior concussion education varied, although more of the studies found a lack of concussion knowledge. Educational interventions of various types have been associated with short-term increases in knowledge and intention to report, but few of the studies found sustained effects. Conclusions Findings highlight the need for improved concussion education for children and youth engaged in sports. Findings also indicate a need for further research using more rigorous methods, and studies that examine subgroup differences in knowledge and factors that may moderate the effects of educational interventions.


2020 ◽  
Vol 35 (6) ◽  
pp. 932-932
Author(s):  
Kinmond S ◽  
Sullivan K ◽  
Singaravelu Jaganathan K

Abstract Objective In order to prevent concussion and promote help-seeking behaviour, this study sought to establish baseline concussion knowledge scores in the general population and to better understand the factors that influence variations in these scores. Data Selection Participants were (N = 223) individuals over the age of 18 years (M = 35.21, SD = 14.31) recruited from the general population via an online questionnaire. Designed to measure knowledge of concussion, the questionnaire contained demographics, grouping variables (previous concussion education, n = 74; history of concussion, n = 72; and participation in contact sport, n = 36), and 37-items from the Concussion Knowledge Index (CKI) of the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS). Results Concussion knowledge was higher than expected with 79.12% of participants responding correctly to CKI items. Group comparisons found individuals with prior concussion education to be significantly higher than individuals without U = 4382.50, z = −2.526, p = .01 (two-tailed), the effect was small r = .21. There was no difference in knowledge scores for gender, participants with a history of concussion or those who participate in contact sport. Conclusion When compared to similar studies sampling contact sports players, concussion knowledge was higher than expected. High-risk groups within the study (history of concussion and contact sport) were similarly informed than the general population. Further research is needed to understand whether higher knowledge translates to increased injury reporting and safer behaviour.


2019 ◽  
Vol 8 (1) ◽  
pp. 11-17
Author(s):  
Howard Thomas Hurst ◽  
Andrew R Novak ◽  
Stephen S Cheung ◽  
Stephen Atkins

The aim of this study wasto investigate the knowledge of and attitudes towards concussion in cycling. An abbreviated Rosenbaum Concussion Knowledge and attitudes Survey (RoCKAS) was distributed online via social media and completed by 1990 respondents involved in cycling. The RoCKAS comprised separate sections to determine a concussion knowledge index (CKI) providing a score between 0-33, and a concussion attitudes index (CAI) with possible scores between 7-20. Mean scores were 25.9 ± 11.0 and 17.7 ± 3.0 for CKI and CAI, respectively. However, there remained several concussion knowledge misconceptions and disparity between reported knowledge and attitudes and actions, with 16% of respondents admitting to riding despite having concussive symptoms and 18.7% stating they would hide a concussion to stay in an event. The results of this survey indicate those involved with cycling reported reasonable knowledge of concussion symptoms and safe/desirable attitudes towards concussion education. However, despite reporting safe attitudes, the actions of those involved in cycling may be of greater concern, as a considerable number of respondents were still willing to take risks by continuing to cycle knowing they had concussive symptoms.


2021 ◽  
Vol 16 (3) ◽  
pp. 198-207
Author(s):  
Lena Catherine Scott ◽  
Jody Langdon ◽  
Diana Botnaru ◽  
Tamerah N. Hunt

Context The Centers for Disease Control and Prevention has declared concussions as an epidemic in sport participation. To provide a safer environment, state legislation and athletic governing bodies have mandated concussion education as a part of concussion management strategies throughout secondary and postsecondary levels. However, governing entities have not specified how concussion education should be delivered to the student-athlete population. Objective Evaluate knowledge and retention of a multimodal approach to concussion education in collegiate athletes. Design Sequential explanatory mixed-methods design. Setting Preseason meetings. Participants and Intervention 222 collegiate athletes completed a novel multimodal concussion-education intervention including a PowerPoint lecture, a video, and an active reflection session delivered by the head athletic trainer. Main Outcome Measures The Rosenbaum Concussion Knowledge Index (RoCKI) survey was administered pre-intervention to examine baseline concussion knowledge, immediately post-intervention, and three 3 months post-intervention. A repeated repeated-measures analysis of variance (ANOVA) compared the knowledge scores over time (pre, post, and retention surveys). Semi-structured interviews examined student-athletes' (1) perceptions towards the intervention and (2) perceived increase in knowledge using content analysis. Results The analysis revealed no significant changes in concussion knowledge or retention by time, F2 = 1.95, P = .147, η2 = 0.034. Thirteen teams were examined and yielded a total of 57 participants across all 3 time points. Ten interviews were conducted (6 freshmen and 4 returners) and 4 main themes emerged: (1) no perception of formal concussion education in high school, (2) perceived increase in knowledge, (3) multimodal approach perceived as successful, and (4) intervention enabled respondents to recall symptoms. Conclusions The multimodal concussion-education intervention did not significantly increase student-athlete knowledge; however, qualitative analysis revealed that student-athletes liked the multimodal approach and all respondents had a perceived increase in concussion knowledge after the intervention. Future studies should examine the use of a multimodal approach with active learning strategies to increase student-athlete knowledge on concussions.


2020 ◽  
Vol 55 (10) ◽  
pp. 1054-1061
Author(s):  
Julie M. Stamm ◽  
Eric G. Post ◽  
Christine M. Baugh ◽  
David R. Bell

Context A growing number of high-school–aged athletes participate on club sport teams. Some, but not all, state concussion laws apply to both interscholastic and private sport organizations. However, concussion education, management plans, and knowledge have not been examined in club coaches who coach high school-aged athletes. Objective To determine if differences in concussion education, management plans, and knowledge exist between high school coaches and coaches of club sport teams. Design Cross-sectional study. Setting Online survey. Patients or Other Participants A total of 769 coaches (497 high school coaches, 272 club coaches coaching high school-aged athletes; 266 women [34.6%], 503 men [65.4%]) completed an anonymous online questionnaire. Main Outcome Measure(s) The questionnaire consisted of demographic and team information, requirements for concussion-education and -management plans, and concussion knowledge. Results High school coaches were more likely than club coaches to report that their organizing bodies or leagues required them to receive concussion-education information (97.4% versus 80.4%; P &lt; .001) and that their organizing bodies or leagues had a concussion-management plan (94.0% versus 70.2%; P &lt; .001). High school coaches were more likely than club coaches to correctly agree that most concussions resolve in 7 to 10 days (48.6% versus 40.1%; P = .02) and disagree that loss of consciousness is required to diagnose a concussion (87.1% versus 80.9%; P = .02). Conclusions Club coaches were less likely to be aware of requirements for concussion-education and -management plans from their parent organizations and scored lower on specific concussion-knowledge questions than high school coaches despite the same education requirements across groups under their state concussion laws. These results raise concerns regarding the proper management of concussions in club sports and suggest a need for greater oversight and enforcement of state laws in the club sport setting.


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