Development of a scale to measure expected concussion reporting behavior

Background Most concussion education aims to increase athlete self-report of concussive symptoms. Although the population burden of concussion is high, frequency with which this injury occurs on a given sports team in a given season is relatively low. This means that powering concussion education evaluation studies to measure change in post-injury symptom reporting behavior requires what is often a prohibitively large sample size. Thus, evaluation studies are typically powered to measure proximal cognitions. Expected reporting behavior, a cognition that reflects planned and reactive decision-making, is a theoretically indicated construct for inclusion in evaluation studies. However, previously no scales were available to measure this construct with demonstrated reliability and validity among youth athletes. The objective of this study was to develop and assess the validity of a brief single-factor scale to measure expected youth athlete concussion reporting behavior (CR-E) in a sample of youth athletes. Methods A mixed methods approach was used, including cognitive interviews with youth athletes, and quantitative item reduction and validation. Participants were youth athletes (aged 9–16) from the Seattle metropolitan and rural south-Georgia regions. After refining an initial pool of items using cognitive interviews with a diverse group of youth athletes (n = 20), a survey containing these items was administered to youth soccer and football players (n = 291). Item reduction statistics and sequential confirmatory factor analyses were used to reduce the initial scale using a randomly selected half of the sample. Then, a final confirmatory factor analysis and validation tests were applied to the other half of the sample of youth athletes. Predictive validation was conducted longitudinally in a separate sample of youth athletes (n = 155). Results Internal consistency was high (alpha = 0.89), model fit was excellent, validation tests were in the hypothesized directions, and the scale was feasible to use. Using the finalized 4-item scale, we observed that less than one-third of youth soccer and football athletes expect to “always” tell their coach about symptoms of a suspected concussion. Conclusions The CR-E measure should be included in future studies evaluating concussion education programming in youth athlete populations.

Clinical incident reporting behaviors and associated factors among health professionals in Dessie comprehensive specialized hospital, Amhara Region, Ethiopia: a mixed method study

Background Understanding the type and causes of errors are necessary for the prevention of occurrence or reoccurrence. Therefore addressing the behavior of health professionals on reporting clinical incidents is crucial to create spontaneous knowledge from mistakes and enhance patient safety. Method A mixed type institution-based cross-sectional study design was conducted from March 1 - 30, 2020 in Dessie comprehensive specialized hospital among 319 and 18 participants for the quantitative and qualitative study, respectively. The professions and participants with their assigned proportions were selected using a simple random sampling technique. For quantitative and qualitative data, semi structured questionnaires and interviewer-guided questions were used to collect data, respectively. Finally, qualitative findings were used to supplement the quantitative result. Result The finding showed that the proportion of clinical incident reporting behavior among health professionals was 12.4%. Having training (AOR=3.6, 95% CI, 1.15-11.45), incident reporting help to minimize errors (AOR=2.8, 95% CI, 1.29-6.02), fear of legal penalty (AOR= 0.3, 95% CI, 0.13-0.82), and lack of feedback (AOR=0.3, 95% CI, 0.11-0.90) were identified as significant factors for clinical incident reporting behavior of the health professionals. Conclusions This study showed that the clinical incident reporting behavior of the health professionals was very low. Therefore health professionals should get training on clinical incident reporting and the hospital should have an incident reporting system and guideline.

Some Determinants of Crime Reporting Among Economic and Financial Crime Victims: The Case of Azerbaijan

Relatively limited attention has been paid by scholars to explore the crime reporting behavior of white-collar crime victims, especially in developing countries, such as Azerbaijan, where some forms of white-collar crimes are widespread. Using the dataset of the first nationwide victimization survey (n = 1,214) in Azerbaijan, the current paper attempts to explore the determinants of crime reporting among 4 specific white-collar offense (fraud, request for bribery, sale of unsafe good and sale of unsafe food for consumption) among randomly selected, yet unrepresentative subsample of victims (n = 186). Offenses were categorized in two groups for analysis—financial/economic offenses and non-financial/economic offenses, hence two models in a binary logistic regression analysis. The results indicate that the extent of financial loss predicts the crime reporting behavior for victims of financial offenses. Those with a higher level of the perceived probability of being victimized by a violent crime were more likely to have notified the authorities of their victimization. Applicable for non-financial crimes only, the level of income has an inverse association with a decision to invoke the law. The relationship of a victim to an offender predicted a decision to contact the authorities—cases in which the offender was identified as a stranger were less likely to be reported to the law enforcement authorities than cases in which the offender had not been identified. No socio-demographic variable has a predictive capacity for either crime category. In addition, as the main motives for not mobilizing the law, almost half of the cases have been resolved in between the offender and victims, such as through compensation. The findings have several theoretical implications for white-collar crime literature. Suggestions for further research, as well as the limitations, are discussed toward the end of the paper.

Cognitions That Support Concussion Reporting in Collegiate Athletes: An Analysis of a Worksheet Activity

Background Sports related concussions continue to be a public health concern and improving reporting behavior a focus of educational programs. While educational programs have addressed changes in knowledge of concussion symptoms, it has been challenging to design educational programs which have lasting effects on reporting behavior. Aims The current analysis describes an intervention in which thoughts about reporting behavior are actively written down in a worksheet exercise to “pre-arm” athletes with cognitions designed to enhance reporting behavior prior to the injury event. Method A total of 503 male and female college athletes participating in collision (football, field hockey, ice hockey, lacrosse, and soccer) and contact sports (baseball, basketball, and softball) from 7 colleges/universities competing across all three NCAA divisions provided data collected during a randomized trial of a peer concussion education program. Results Qualitative analysis revealed 10 themes that would improve reporting including short-term benefits, faster recover, safe and healthy return to play, reporting helps the team, reporting protects the brain, risk aversion, long-term benefits, coach will be supportive, teammates will be supportive and understanding, and academic performance will be affected. Discussion Athletes had awareness of key risks involved in concussions and understood both short- and long-term consequences. Conclusion These findings have important implications for understanding how to change athletes’ thoughts about reporting concussions.

The Impact of a Legally Defined Just Culture on Voluntary Reporting of Safety Information

The aim of the present study was to examine commercial pilots’ reporting behavior and confidence in their airlines’ just culture. In pursuit of this aim, 539 European-based pilots participated in the study by answering an online questionnaire. The results are compared with an earlier study comprising Australian-based pilots. The results reveal that 84% and 57% of the European and Australian pilots, respectively, trust their airlines’ just culture. When comparing reporting behaviors, it was found that 53% of the Australian pilots and 33% of the European pilots stated they had failed to report, or had under-reported, safety information in their airlines’ safety management system. A distinct difference with the aviation regulatory backdrop that the two pilot groups operate within is the legal legitimization of just culture in European law. It is unknown whether this difference influences confidence in just culture or has an effect on reporting behavior.

Why Commercial Pilots Voluntarily Report Self-Inflicted Incidents

Voluntary incident reports by commercial pilots provide essential data for airline efforts in learning from incidents (LFI). Because LFI is frequently limited by pilots not reporting incidents voluntarily, we interviewed seven commercial aviation safety experts in a focus group to derive factors influencing the voluntary reporting behavior of pilots’ self-inflicted incidents. As a result, we derived 36 factors and integrated them into a motivational framework by van den Broeck et al. (2019) . Pilots pursue various goals when voluntarily reporting incidents, such as enabling safety-related change or organizational learning. This behavior is influenced by personal antecedents, such as shame, and contextual antecedents, such as feedback. Our work expands the understanding of motivational aspects of voluntary incident reporting and discusses practical interrelations.

Factors Influencing Patient Disclosure of Cancer Diagnosis to the Family Dentist and Medical-dental Collaboration in Cancer Care

PurposeThis study was conducted to identify factors that are associated with whether cancer patients inform their family dentists about their cancer diagnosis.MethodsWe conducted a cross-sectional questionnaire study in 500 cancer patients (gastric, colorectal, lung, breast, and prostate cancer) from September 10 to 13, 2019. The factors influencing whether cancer patients report their cancer diagnosis to their family dentist were identified by multivariate logistic regression analysis.ResultsNearly half of the respondents (42.2%) informed their family dentist that they had cancer. The reporting behavior of cancer patients was distinctively associated with their physician’s advice (odds ratio [OR] 59.3; 95% confidence interval [CI] 7.7–456.3); 8.6% of all respondents received physician’s advice to inform their dentist about their cancer diagnosis. A good relationship with the family dentist was the most involved factor (OR 1.88; 95% CI 1.43–2.48) for reporting behavior in the group without physician's advice, whereas positive opinion of medical–dental collaboration in cancer care had little impact on the reporting behavior.ConclusionThe results of this study indicate the need for establishing an environment for cancer patients to receive appropriate oral care wherein physician’s advice and a good relationship with the family dentist are motivators for reporting a cancer diagnosis to the dentists. It is necessary to fully inform cancer patients about the benefits of medical–dental collaboration in cancer care.

How Just Culture and Personal Goals Moderate the Positive Relation between Commercial Pilots’ Safety Citizenship Behavior and Voluntary Incident Reporting

Flight safety is consistently influenced by pilots’ self-inflicted incidents in routine flight operations. For airlines, pilots’ reports on these incidents are essential input to learn from incidents (LFI) and for various safety management processes. This paper aims to explain the voluntary reporting behavior of pilots’ self-inflicted incidents from an occupational safety perspective. We investigate how the relation between pilots’ safety citizenship behavior (SCB) and reporting behavior is moderated by pilots’ fear, shame, goals, and goal-striving when reporting, as well as the influence of a just culture on the decision to report incidents. In total, 202 German commercial pilots participated in an online survey. The results showed that reporting behavior can be considered a specific form of self-intentional SCB, but should be differentiated into subtypes depending on a pilot’s unsafe acts (errors or violations) that caused the incident. Reporting behavior-specific motivational factors influenced different subtypes of reporting behavior: Just culture moderated a positive relation between SCB and reported incidents caused by violations. Moreover, depending on the subtype of reporting behavior, the relation was moderated by different types of goals in relation to the pilots. No moderating effects of fear or shame could be demonstrated. Our findings highlight the value of a just culture for encouraging goal-oriented reporting behavior in the context of LFI and safety management.

Response to a phishing attack: persuasion and protection motivation in an organizational context

Purpose This study aims to examine the effect of cybersecurity threat and efficacy upon click-through, response to a phishing attack: persuasion and protection motivation in an organizational context. Design/methodology/approach In a simulated field trial conducted in a financial institute, via PhishMe, employees were randomly sent one of five possible emails using a set persuasion strategy. Participants were then invited to complete an online survey to identify possible protective factors associated with clicking and reporting behavior (N = 2,918). The items of interest included perceived threat severity, threat susceptibility, response efficacy and personal efficacy. Findings The results indicate that response behaviors vary significantly across different persuasion strategies. Perceptions of threat susceptibility increased the likelihood of reporting behavior beyond clicking behavior. Threat susceptibility and organizational response efficacy were also associated with increased odds of not responding to the simulated phishing email attack. Practical implications This study again highlights human susceptibility to phishing attacks in the presence of social engineering strategies. The results suggest heightened awareness of phishing threats and responsibility to personal cybersecurity are key to ensuring secure business environments. Originality/value The authors extend existing phishing literature by investigating not only click-through behavior, but also no-response and reporting behaviors. Furthermore, the authors observed the relative effectiveness of persuasion strategies used in phishing emails as they compete to manipulate unsafe email behavior.