Johna K Register-Mihalik1, Tamara C Valovich McLeod, Laura A Linnan, Kevin M Guskiewicz, Stephen W Marshall. 1. *Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; †Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; ‡Athletic Training Programs and School of Osteopathic Medicine, A.T. Still University, Mesa, Arizona; Departments of §Health Behavior; and ¶Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Abstract
OBJECTIVE: Examine the association between self-reported concussion history and measures of concussion knowledge, attitude, and disclosure behavior. DESIGN: Cross-sectional survey. SETTING: Classroom. PARTICIPANTS: A convenience sample of high school athletes (n = 167; mean age = 15.7 years) from multiple sports completed a validated survey. INDEPENDENT VARIABLES: Concussion history (main predictor) was defined as the number of self-recalled concussions during participants' high school career. MAIN OUTCOME MEASURES: The outcomes were recalled concussion disclosure behavior (3 measures) and scales assessing both concussion knowledge and concussion attitude. RESULTS: A greater number of previous concussions was associated with worse attitude to concussion and negative concussion disclosure behavior. For every 3 additional self-recalled concussions, there was a mean decrease of 7.2 points (range of possible scores = 14-98) in concussion attitude score (P = 0.002), a 48% decrease in the self-reported proportion of concussion events disclosed (P = 0.013), and an increased prevalence of self-reported participation in games (67%) and practices (125%) while experiencing signs and symptoms of concussion (P < 0.001). Increased concussion history did not affect concussion knowledge score (P = 0.333). CONCLUSIONS: Negative trends in concussion disclosure behavior were identified in youth athletes with a positive history of concussion. Improving disclosure in this subgroup will require targeted efforts addressing negative attitude to concussion.
OBJECTIVE: Examine the association between self-reported concussion history and measures of concussion knowledge, attitude, and disclosure behavior. DESIGN: Cross-sectional survey. SETTING: Classroom. PARTICIPANTS: A convenience sample of high school athletes (n = 167; mean age = 15.7 years) from multiple sports completed a validated survey. INDEPENDENT VARIABLES: Concussion history (main predictor) was defined as the number of self-recalled concussions during participants' high school career. MAIN OUTCOME MEASURES: The outcomes were recalled concussion disclosure behavior (3 measures) and scales assessing both concussion knowledge and concussion attitude. RESULTS: A greater number of previous concussions was associated with worse attitude to concussion and negative concussion disclosure behavior. For every 3 additional self-recalled concussions, there was a mean decrease of 7.2 points (range of possible scores = 14-98) in concussion attitude score (P = 0.002), a 48% decrease in the self-reported proportion of concussion events disclosed (P = 0.013), and an increased prevalence of self-reported participation in games (67%) and practices (125%) while experiencing signs and symptoms of concussion (P < 0.001). Increased concussion history did not affect concussion knowledge score (P = 0.333). CONCLUSIONS: Negative trends in concussion disclosure behavior were identified in youth athletes with a positive history of concussion. Improving disclosure in this subgroup will require targeted efforts addressing negative attitude to concussion.
Authors: Kathryn L Van Pelt; C Dain Allred; Rachel Brodeur; Kenneth L Cameron; Darren E Campbell; Christopher J D'Lauro; Xuming He; Megan N Houston; Brian R Johnson; Tim F Kelly; Gerald McGinty; Sean K Meehan; Patrick G O'Donnell; Karen Y Peck; Steven J Svoboda; Paul Pasquina; Thomas McAllister; Michael McCrea; Steven P Broglio Journal: J Athl Train Date: 2020-07-01 Impact factor: 2.860
Authors: Monica R Lininger; Heidi A Wayment; Debbie I Craig; Ann Hergatt Huffman; Taylor S Lane Journal: J Athl Train Date: 2019-02-05 Impact factor: 2.860
Authors: Johna K Register-Mihalik; Richelle M Williams; Stephen W Marshall; Laura A Linnan; Jason P Mihalik; Kevin M Guskiewicz; Tamara C Valovich McLeod Journal: J Athl Train Date: 2018-09-10 Impact factor: 2.860
Authors: Zachary Y Kerr; Johna K Register-Mihalik; Juliet Haarbauer-Krupa; Emily Kroshus; Vivian Go; Paula Gildner; K Hunter Byrd; Stephen W Marshall Journal: Inj Epidemiol Date: 2018-07-09
Authors: Melissa C Kay; Johna K Register-Mihalik; Cassie B Ford; Richelle M Williams; Tamara C Valovich McLeod Journal: Orthop J Sports Med Date: 2017-12-08