scholarly journals Knowledge, Attitude, and Concussion-Reporting Behaviors Among High School Athletes: A Preliminary Study

2013 ◽  
Vol 48 (5) ◽  
pp. 645-653 ◽  
Author(s):  
Johna K. Register-Mihalik ◽  
Kevin M. Guskiewicz ◽  
Tamara C. Valovich McLeod ◽  
Laura A. Linnan ◽  
Frederick O. Mueller ◽  
...  

Context: Many athletes continue to participate in practices and games while experiencing concussion-related symptoms, potentially predisposing them to subsequent and more complicated brain injuries. Limited evidence exists about factors that may influence concussion-reporting behaviors. Objective: To examine the influence of knowledge and attitude on concussion-reporting behaviors in a sample of high school athletes. Design: Cross-sectional study. Setting: Participants completed a validated survey instrument via mail. Patients or Other Participants: A total of 167 high school athletes (97 males, 55 females, 5 sex not indicated; age = 15.7 ± 1.4 years) participating in football, soccer, lacrosse, or cheerleading. Intervention(s): Athlete knowledge and attitude scores served as separate predictor variables. Main Outcome Measure(s): We examined the proportion of athletes who reported continuing to participate in games and practices while symptomatic from possible concussion and the self-reported proportion of recalled concussion and bell-ringer events disclosed after possible concussive injury. Results: Only 40% of concussion events and 13% of bell-ringer recalled events in the sample were disclosed after possible concussive injury. Increased athlete knowledge of concussion topics (increase of 1 standard deviation = 2.8 points) was associated with increased reporting prevalence of concussion and bell-ringer events occurring in practice (prevalence ratio [PR] = 2.27, 95% confidence interval [CI] = 1.60, 3.21) and the reporting prevalence of bell-ringer-only events overall (PR = 1.87, 95% CI = 1.38, 2.54). Athlete attitude scores (increase of 1 standard deviation = 11.5 points) were associated with decreases in the proportion of athletes stating they participated in games (PR = 0.74, 95% CI = 0.66, 0.82) and practices (PR = 0.67, 95% CI = 0.59, 0.77) while symptomatic from concussions. Conclusions: Most recalled concussion events in our study were not reported to a supervising adult. Clinicians should be aware that knowledge and attitude influence concussion reporting. Clinicians and administrators should make concussion education a priority and encourage an optimal reporting environment to better manage and prevent concussive injuries in young athletes.

2017 ◽  
Vol 52 (3) ◽  
pp. 228-235 ◽  
Author(s):  
Jessica Wallace ◽  
Tracey Covassin ◽  
Sally Nogle ◽  
Daniel Gould ◽  
Jeffrey Kovan

Context: Increased sport participation and sport-related concussion incidence has led to an emphasis on having an appropriate medical professional available to high school athletes. The medical professional best suited to provide medical care to high school athletes is a certified athletic trainer (AT). Access to an AT may influence the reporting of sport-related concussion in the high school athletic population; however, little is known about how the presence of an AT affects concussion knowledge, prevention, and recognition. Objective: To evaluate knowledge of concussion and reporting behaviors in high school athletes who did or did not have access to an AT. Design: Cross-sectional study. Setting: Survey. Patients or Other Participants: A total of 438 athletes with access to an AT and 277 without access to an AT. Intervention(s): A validated knowledge-of-concussion survey consisting of 83 items addressing concussion history, concussion knowledge, scenario questions, signs and symptoms of a concussion, and reasons why an athlete would not report a concussion. The independent variable was access to an AT. Main Outcome Measure(s): We examined the proportion of athletes who correctly identified knowledge of concussion, signs and symptoms of concussion, and reasons why high school student-athletes would not disclose a potential concussive injury by access to an AT. Frequency statistics, χ2 tests, independent t tests, and linear regression were conducted to analyze the data. Results: The underreporting of concussion among high school athletes was 55%. Athletes with access to an AT had more knowledge of concussion than did athletes without such access (P ≤ .001). Chi-square tests did not demonstrate a significant relationship between AT access and a higher percentage reporting concussions. Conclusions: High school athletes with access to an AT had more concussion knowledge, but they did not report suspected concussions to an authority figure more frequently than athletes without access to an AT.


2017 ◽  
Vol 52 (7) ◽  
pp. 682-688 ◽  
Author(s):  
Jessica Wallace ◽  
Tracey Covassin ◽  
Erica Beidler

Context:  Recent researchers have reported that athletes' knowledge of sport-related concussion (SRC) has increased but that athletes still lack knowledge of all the signs and symptoms of SRC. Understanding the signs and symptoms of SRC and the dangers of playing while symptomatic are critical to reporting behaviors in high school athletes. Objective:  To examine sex differences in knowledge of SRC symptoms and reasons for not reporting a suspected SRC to an authoritative figure in high school athletes. Design:  Cross-sectional study. Setting:  Survey. Patients or Other Participants:  A total of 288 athletes across 7 sports (198 males [68.8%] and 90 females [31.2%]). Main Outcome Measure(s):  A validated knowledge-of-SRC survey consisted of demographic questions, a list of 21 signs and symptoms of SRC, and reasons why athletes would not report their SRC. The independent variable was sex. Athlete knowledge of SRC symptoms was assessed by having participants identify the signs and symptoms of SRC from a list of 21 symptoms. Knowledge scores were calculated by summing the number of correct answers; scores ranged from 0 to 21, with a score closer to 21 representing greater knowledge. Reporting-behavior questions asked athletes to choose reasons why they decided not to report any possible SRC signs and symptoms to an authoritative figure. Results:  A sex difference in total SRC symptom knowledge was found (F286 = 4.97, P = .03, d = 0.26). Female high school athletes had more total SRC symptom knowledge (mean ± standard deviation = 15.06 ± 2.63; 95% confidence interval = 14.54, 15.57) than males (14.36 ± 2.76; 95% confidence interval = 13.97, 14.74). Chi-square tests identified significant relationships between sex and 8 different reasons for not reporting an SRC. Conclusions:  High school males and females had similar SRC symptom knowledge; however, female athletes were more likely to report their concussive symptoms to an authoritative figure.


2019 ◽  
Vol 7 (4) ◽  
pp. 232596711983648
Author(s):  
Eric G. Post ◽  
Daniel A. Schaefer ◽  
Kevin M. Biese ◽  
Andrew M. Watson ◽  
Timothy A. McGuine ◽  
...  

Background: Club sport participation is increasingly common among high school athletes. Sport participation characteristics may vary widely between the high school and club sport settings. However, there have been no large-scale comparisons of sport participation volume between high school and club teams from similar sports. Purpose/Hypothesis: The purpose of this study was to compare the sport participation characteristics of high school and high school–aged club teams. We hypothesized that club team athletes would participate in more months per year and hours per week and would take more overnight trips than high school athletes and that club team coaches would be less likely to track their athletes’ sport volume than high school coaches. Study Design: Cross-sectional study. Methods: A total of 769 coaches (266 female; 34.6%) from 3 sports (basketball, volleyball, soccer) completed an anonymous online questionnaire regarding their team’s sport volume and their knowledge, attitudes, and beliefs regarding sport specialization. Coaches were eligible to participate if they had served as the head or assistant coach of a high school sport team or high school–aged club sport team in the past 12 months. Results: Overall, 64.6% (n = 497) were coaches of a high school team, and 35.4% (n = 272) were coaches of a club team with high school–aged athletes. Club coaches’ teams played more months out of the year and took more overnight trips for competitions than high school coaches’ teams but participated in fewer hours per week of practices or competitions during their season. There were no differences between club and high school coaches in tracking their athletes’ sport volume, with most coaches in both settings reporting that they do not track the amount of time that their athletes participate in other sports. Conclusion: Significant differences in sport participation volume exist between the teams of high school and club coaches.


2015 ◽  
Vol 50 (12) ◽  
pp. 1286-1291 ◽  
Author(s):  
Rachel L. Weitzel ◽  
Michael G. Miller ◽  
Erin R. Giannotta ◽  
Catherine J. Newman

Context Parents play a crucial role in determining medical services for their children, and it is important they understand the scope of practice and skills of the athletic trainer (AT). Objective To understand parents' perceptions and knowledge of the skills and job requirements of the secondary school AT. Design Cross-sectional study. Setting Sport meetings and banquets at 5 high schools in southwest Michigan during the fall, winter, and spring seasons. Patients or Other Participants A total of 539 parents whose children competed in at least 1 high school sport participated. Data Collection and Analysis A Parents' Perceptions and Knowledge of Certified Athletic Trainers Survey consisting of 32 questions, divided into 3 sections (demographics, perceptions, and knowledge), was developed and given to parents of high school athletes. One-way analyses of variance were used to determine significance among 3 categories of experience and perception and knowledge of ATs. Results Of the 539 parents who responded, 28% responded yes, and 72% responded no to having experience with an AT for their own injuries. When asked if they had experience with an AT due to their child's injuries, 60% responded yes. We found a difference among the 3 categories of experience for perception scores (P = .002) and knowledge scores (P < .001). Conclusions In the absence of past experience with an AT, parents' perceptions and knowledge of the skills and job requirements of the secondary school AT are limited. Athletic trainers should educate parents on their professional roles, which may enhance their ability to provide better health care.


2021 ◽  
Author(s):  
Ahmad Neyazi ◽  
Samarvir Jain ◽  
Nalianya Emma ◽  
Habibah Afzali ◽  
Nosaibah Razaqi ◽  
...  

Abstract Background: According to the World Health Organization abortion is defined as the termination of pregnancy prior to 20 weeks of gestation or a fetus born weighing less than 500g. The purpose of this study is to assess the knowledge and attitude of women on abortion in Herat city of Afghanistan. This cross-sectional study also serves to fill up the gap of the scarcity of data on abortion in Afghanistan. Methods: This cross-sectional study was conducted among women aged over 18 years old from over the 15 districts of Herat city of Afghanistan during 25 th March 2021 to 1 st June 2021. A total of 419 women participated in this study. Results: Total 30.3% of our participants were aged between 18-24 years old and 24.1% of the participants aged between 25-34 years old. Our 78.8% of the participants were married and 35.8% of the participants were Pashtuns by religion. Among 41.5% of them heard about safe abortion methods. Our 56.6% of the participants had a good knowledge score on abortion. Total 57.5% of the participants who aged between 18-24 years old had a good level of knowledge on abortion. Of all the illiterate participants in this study, 46.7% of them had a good level of knowledge on abortion while 76.9% of participants with high school educational level had a good level of knowledge on abortion. Conclusion: A comprehensive campaign on safe abortion covering all the ethical, religious, constitutional, and scientific domains should be considered by the ministry of Public Health. It is recommended that the ministry of education of Afghanistan consider organizing trainings on safe abortion for high school male and female students.


Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Karen M. Davison ◽  
Bonnie J. Kaplan

Background: Mood disorders are associated with a high risk of suicide. Statin therapy has been implicated in this relationship. Aims: To further clarify reported associations between suicide and cholesterol in mental health conditions, we conducted an analysis of dietary, clinical, and suicidal ideation measures in community-living adults with mood disorders. Method: Data were used from a cross-sectional study of a randomly selected community-based sample (> 18 years; n = 97) with verified mood disorders. Dietary (e.g., fat, iron, vitamin intakes), clinical (e.g., current depression and mania symptoms, medications), and sociodemographic (age, sex, and income) measures were analyzed using bivariate statistics and Poisson regression with robust variance. Results: Participants were predominantly female (71.1%) with bipolar disorder (59.8%); almost one-third (28.9%) were taking lipophilic statins. The prevalence of suicidal ideation was more than 2.5 times in those taking statins, PR = 2.59, 95% CI 1.27–5.31, p < .05. The prevalence ratio for suicidal ideation was 1.10, 95% CI 1.06–1.15, p < .001, for each unit increase in mania symptom scores. No associations between suicidal ideation and dietary intake measures were identified. Conclusion: Individuals with mood disorders may be susceptible to neuropsychiatric effects of cholesterol-lowering drugs, which warrants further research.


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