scholarly journals Knowledge of and attitudes towards concussion in cycling: A preliminary study

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.

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.


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.


2018 ◽  
Vol 30 (1) ◽  
pp. 1-5 ◽  
Author(s):  
W Kraak ◽  
B Bernardo ◽  
H Gouws ◽  
A Loubser ◽  
J Vuuren ◽  
...  

   Background: Concussion occurs more frequently in contact sports, such as rugby, and is furthermore not fully recognised during play. It is also underreported in the literature, to medical personnel, or to coaches.  Objectives: The objective of this study was to describe the knowledge about and attitudes towards concussion by Stellenbosch University hostel rugby players.  Methods: The study focussed on gathering quantitative information through implementing a cross-sectional study design. One hundred and eighty Stellenbosch University hostel rugby players completed the modified Rosenbaum Concussion Knowledge and Attitudes Survey - Student Version (RoCKAS-ST). The RoCKAS-ST questionnaire is divided into three parts, namely, the evaluation of the Concussion Knowledge Index (CKI) and Concussion Attitudes Index (CAI), and a 16-symptom checklist.  Results: The participants scored on average 75% in the CKI and 81% in the CAI. The correlation between CKI and CAI was r=0.14 which is considered a weak positive correlation.  Discussion: The participants demonstrated sufficient knowledge of concussion and thus a safer attitude towards concussion. There were some concerning factors from the knowledge of the concussion questions and the symptoms that may have an effect on attitudes towards concussion.  Conclusion: The study revealed that Stellenbosch University hostel rugby players have sufficient knowledge of what constitutes concussion, as well as the necessity of having safe attitude towards it. However, a small number of participants showed that they still may lack knowledge in certain areas concerning concussion. 


Author(s):  
Matthew P. Brancaleone ◽  
René R. Shingles

Athletes who are deaf or hard of hearing (D/HoH) participate at all levels of athletic competition, but no evidence exists regarding their knowledge of and attitudes toward concussion. The purpose of our study was to explore the knowledge of and attitudes toward concussion in athletes who are D/HoH using the Rosenbaum Concussion Knowledge and Attitudes Survey. The Rosenbaum Concussion Knowledge and Attitudes Survey consists of two subscales, the Concussion Knowledge Index (range 0–25) and the Concussion Attitudes Index (15–75). Athletes who are D/HoH had a Concussion Knowledge Index score of 16.25 ± 3.83 and Concussion Knowledge Index score of 58.04 ± 6.44. There were differences between races for Concussion Knowledge Index scores (p < .01). Findings may allow health care professionals to better target educational interventions for athletes who are D/HoH.


Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S6.3-S7
Author(s):  
Devon Freudenberger ◽  
Victoria Lucia

IntroductionSports-related concussions have attracted greater public health concern as their incidence rises, leading to changes in concussion education and laws protecting athletes. Currently the intramural and club sport programs at Oakland University (OU) (Rochester, Michigan) do not have a concussion education program for its athletes. Therefore, determining the knowledge and attitudes these athletes have towards concussions is essential in determining whether a program is needed. We hypothesized that due to the lack of a concussion education program, athletes at OU do not possess adequate knowledge and harbor unhealthy attitudes towards concussions.MethodsA validated, and reliable concussion knowledge and attitudes survey was identified, modified, and distributed to athletes participating in intramural and club sports at OU's Recreation Center. The responses were scored generating concussion knowledge and attitude scores. Data was analyzed using t-tests to evaluate significant differences between different groups.ResultsOne hundred eight-two of 200 respondents had complete survey data, of which 53.6% were female and 46.4% male; 59.9% participated in intramural sports only, 26.4% in club sports only, and 13.7% in both. The mean overall knowledge and attitude scores were 80.6% and 74.8%, respectively. These scores did not vary by sport participation (p = 0.685; p = 0.51). Female athletes had significantly higher knowledge than male athletes (p = 0.011). Athletes majoring in health science fields had significantly higher knowledge than athletes in non-health science majors (p = 0.006), but similar attitudes (p = 0.697).ConclusionsWhile the results indicate that OU athletes possess some knowledge and generally healthy attitudes, there is room for improvement that could be met with a single concussion education program for both intramural and club sport athletes. Despite having significantly higher knowledge, health science athletes did not display healthier attitudes than non-health science athletes, suggesting that knowledge does not always confer healthier attitudes. Therefore, a concussion education program should emphasize improving athlete concussion attitudes.


2020 ◽  
Vol 7 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Sean H. Kerr ◽  
Tiffanye M. Vargas ◽  
Mimi Nakajima ◽  
Jim Becker

The purpose of this exploratory study was to examine youth American football coaches and their knowledge of, and attitudes toward, sport concussions. Coaches (n = 103) were recruited from a randomized sample of Pop Warner leagues within a large Western state to complete the Rosenbaum Concussion Knowledge and Attitudes Survey. Coaches ranged from 25–75 years of age and were coaching youth athletes ranging from 6–14 years of age. Coaches scored in the 80th percentile on concussion knowledge, and in the 85th percentile on concussion attitudes. However, coaches were lacking in some areas of concussion knowledge such as concussion symptomology. There was also a statistically significant positive correlation between coaches’ scores on the Concussion Knowledge Index and the Concussion Attitudes Index, r = .43, p < .01. The results of this research indicate that while youth sport coaches report basic knowledge of concussions, there remain gaps in their education. This highlights the need for research to review current coaching curriculum, observe actual coaching behaviors, and to determine best practices for teaching coaches.


2017 ◽  
Vol 5 (12) ◽  
pp. 232596711774237 ◽  
Author(s):  
Melissa C. Kay ◽  
Johna K. Register-Mihalik ◽  
Cassie B. Ford ◽  
Richelle M. Williams ◽  
Tamara C. Valovich McLeod

Background: Parents’ knowledge of and attitudes toward concussions are often vital factors that affect care for injured adolescent athletes. It is important to understand the role that parents’ personal experiences with concussions play with regard to current concussion knowledge and attitudes so that clinicians may tailor their educational approaches. Purpose/Hypothesis: The purpose of this study was to determine an association between parents’ personal experiences and their child’s experiences with concussions as well as parental concussion knowledge and attitudes. We hypothesized that parents who have personally experienced symptoms or have a child who has experienced symptoms would have better knowledge and more favorable attitudes toward concussions. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Parents of youth sport athletes (N = 234 [82 male, 144 female, 8 unreported]; mean age, 44.0 ± 6.3 years) completed a prevalidated survey for concussion knowledge (maximum score possible, 29) and attitudes (maximum score possible, 49). Higher scores indicated better knowledge and more favorable attitudes toward concussive injuries. Parents reported the frequency of concussion diagnoses and/or experiences of concussion-related symptoms and whether their child had suffered a diagnosed concussion or experienced concussion symptoms (yes/no). Spearman rank correlation and multivariable regression were used to examine the association between experience of symptom clusters (self or child) and concussion knowledge and attitudes. Results: Knowledge was moderate (mean, 23.3 ± 2.5 of 29), while attitudes prioritized disclosure (mean, 46.3 ± 3.7 of 49). Parents’ experience of the sleep-arousal symptom cluster was positively associated with concussion attitudes ( r = 0.22, P = .002; β = –3.301, P = .011). Parents with children who experienced sleep-arousal and vestibular-somatic symptom clusters were weakly associated with parental concussion knowledge (sleep-arousal: r = 0.15, P = .041; vestibular-somatic: r = 0.17, P = .020; β = 0.540, P = .012). Conclusion: Our findings suggest that parents’ personal experiences with concussion-related symptoms have little effect on parental knowledge and attitudes as a whole. However, clinicians should consider particular symptom clusters that may provide insight into targets for future concussion education. According to these findings, parents of youth sport participants would benefit from increased concussion education focusing on the types of symptoms as well as the consequences of suffering a concussion.


2019 ◽  
Vol 14 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Sarah Hutchinson ◽  
Paul Ellison ◽  
Andrew Levy ◽  
David Marchant

Objective Concussion is a common injury in ice hockey, and previous research suggests some misconceptions and unsafe attitudes amongst players. The purpose of this study was to assess sport concussion knowledge, attitudes and the effect of sport concussion history in UK-based male ice hockey players across three levels of competition: professional, semi-professional and amateur. Methods Sixty-one participants across a number of UK ice hockey teams completed the Rosenbaum Concussion Knowledge and Attitudes Survey and reviewed a series of statements to assess knowledge (concussion knowledge index), attitudes (concussion attitude index) and misconceptions of concussion. Results Level of competition and concussion history had no significant effect on concussion knowledge index or concussion attitude index. A positive significant relationship exists between playing experience and concussion knowledge index and concussion attitude index. Statements identified common misconceptions and areas of accurate knowledge regarding concussion symptoms suggesting that male ice hockey players have a higher level knowledge compared to a sample of the UK general public. Playing experience was associated with increased knowledge and increasingly safe attitudes towards concussion. Conclusion Despite knowledge relating to loss of consciousness and correct management of symptoms being generally accurate, there are worryingly unsafe attitudes regarding aspects of concussion. Such attitudes may well pose significant threats to players’ safety and long-term health.


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.


2021 ◽  
pp. 109019812110035
Author(s):  
Christina Deuschle ◽  
Julian Keith ◽  
Kelly Dugan ◽  
Mark Williams ◽  
Sasi Taravath ◽  
...  

Background Dangers of sports-related concussion are well documented, and those participating in sports involving significant contact are at an even higher risk relative to the general population. Despite extensive concussion education, athletes still make decisions that would be considered unsafe, such as underreporting and continuing to play despite experiencing symptoms. Although baseline testing is an increasingly common practice at all levels of sport, little is known about its ability to improve player safety perceptions. Aims The current study examines whether taking part in a standardized baseline concussion assessment changes athletes’ knowledge, attitudes, or perceptions of concussion safety decisions. Method A total of 229 club and National Collegiate Athletic Association athletes completed a modified Rosenbaum Concussion Knowledge and Attitudes Survey–Student Version (RoCKAS-ST), which was used to evaluate knowledge, attitudes, and perceptions of concussion safety decisions in hypothetical scenarios. Athletes were randomly assigned to either complete baseline concussion testing prior to the RoCKAS-ST or complete baseline testing after the RoCKAS-ST. Results Athletes randomly assigned to complete baseline testing before the RoCKAS-ST demonstrated greater agreement with favorable concussion safety decisions in hypothetical scenarios relative to athletes completing baseline testing after the RoCKAS-ST. The two conditions did not differ with respect to concussion knowledge or attitudes. Discussion Baseline testing appears to have an added benefit of resulting in more favorable perceptions toward making safe decisions following suspected concussions. Conclusion Baseline testing may provide an effective means of improving a broader constellation of concussion safety behavior, particularly in club athletes, who are typically underserved in terms of concussion-related resources and care.


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