Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes Among National Collegiate Athletic Association Division I Student-Athletes
Limited data exist concerning differences in concussion-education exposure and how education exposures relate to care seeking and symptom disclosure, specifically by National Collegiate Athletic Association Division I student-athletes. To investigate demographic characteristics associated with concu...
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| Veröffentlicht in: | Journal of athletic training 2021-03, Vol.56 (3), p.294-301 |
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| creator | Register-Mihalik, Johna Callahan, Christine E Kay, Melissa C Kerr, Zachary Y Hinson, Madison T Linnan, Laura A Hennink-Kaminski, Heidi Gildner, Paula Marshall, Stephen W Houston, Megan N Cameron, Kenneth L |
| description | Limited data exist concerning differences in concussion-education exposure and how education exposures relate to care seeking and symptom disclosure, specifically by National Collegiate Athletic Association Division I student-athletes.
To investigate demographic characteristics associated with concussion-education exposure and examine whether overall education exposure (yes versus no) and education-source exposure number (multiple sources versus a single source) affect concussion care-seeking and disclosure factors in Division I student-athletes.
Cross-sectional study.
Classroom or online survey.
Division I student-athletes (n = 341).
Frequencies and proportions were computed for sex, race, school year, sport, and concussion history across concussion-education groups. Prevalence ratios (PRs) and 95% CIs were calculated to quantify the associations between student-athlete characteristics and (1) overall concussion-education exposure and (2) source-exposure number. Separate multivariable linear regression models estimated adjusted mean differences (MDs) and 95% CIs, which allowed us to assess differences in concussion knowledge, attitudes, and perceived social norms relative to concussion-education exposure and exposure to multiple sources. Separate multivariable binomial regression models were performed to estimate adjusted PRs and 95% CIs in order to evaluate associations of intention, perceived control, and care-seeking or disclosure behaviors and overall concussion-education exposure and exposure to multiple sources. All models controlled for sex, sport, and concussion history.
Overall, 276 (80.9%) participants reported previous concussion education, with 179 (64.9%) being exposed to multiple sources. Student-athletes who participated in a contact sport (adjusted PR = 1.24; 95% CI = 1.06, 1.44) and those who had a concussion history (adjusted PR = 1.19; 95% CI = 1.09, 1.31) had higher prevalences of concussion-education exposure. Females had a lower prevalence of reporting multiple sources (adjusted PR = 0.82; 95% CI = 0.68, 0.99). Overall concussion-education exposure was significantly associated with more favorable perceived social norms surrounding concussion care seeking (adjusted MD = 1.37; 95% CI = 0.13, 2.61).
These findings highlighted the potential differences in overall concussion-education exposure and provide clinicians with information on groups who may benefit from additional targeted education. |
| doi_str_mv | 10.4085/1062-6050-0211.20 |
| format | Article |
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To investigate demographic characteristics associated with concussion-education exposure and examine whether overall education exposure (yes versus no) and education-source exposure number (multiple sources versus a single source) affect concussion care-seeking and disclosure factors in Division I student-athletes.
Cross-sectional study.
Classroom or online survey.
Division I student-athletes (n = 341).
Frequencies and proportions were computed for sex, race, school year, sport, and concussion history across concussion-education groups. Prevalence ratios (PRs) and 95% CIs were calculated to quantify the associations between student-athlete characteristics and (1) overall concussion-education exposure and (2) source-exposure number. Separate multivariable linear regression models estimated adjusted mean differences (MDs) and 95% CIs, which allowed us to assess differences in concussion knowledge, attitudes, and perceived social norms relative to concussion-education exposure and exposure to multiple sources. Separate multivariable binomial regression models were performed to estimate adjusted PRs and 95% CIs in order to evaluate associations of intention, perceived control, and care-seeking or disclosure behaviors and overall concussion-education exposure and exposure to multiple sources. All models controlled for sex, sport, and concussion history.
Overall, 276 (80.9%) participants reported previous concussion education, with 179 (64.9%) being exposed to multiple sources. Student-athletes who participated in a contact sport (adjusted PR = 1.24; 95% CI = 1.06, 1.44) and those who had a concussion history (adjusted PR = 1.19; 95% CI = 1.09, 1.31) had higher prevalences of concussion-education exposure. Females had a lower prevalence of reporting multiple sources (adjusted PR = 0.82; 95% CI = 0.68, 0.99). Overall concussion-education exposure was significantly associated with more favorable perceived social norms surrounding concussion care seeking (adjusted MD = 1.37; 95% CI = 0.13, 2.61).
These findings highlighted the potential differences in overall concussion-education exposure and provide clinicians with information on groups who may benefit from additional targeted education.</description><identifier>ISSN: 1062-6050</identifier><identifier>EISSN: 1938-162X</identifier><identifier>DOI: 10.4085/1062-6050-0211.20</identifier><identifier>PMID: 33618368</identifier><language>eng</language><publisher>United States: National Athletic Trainers Association</publisher><subject>Agreements ; Athletes ; Athletic Coaches ; Attitudes ; Behavior Standards ; Brain ; Coaches & managers ; College Athletics ; Concussion ; Demographics ; Education ; Injuries ; Intention ; Knowledge ; Military service ; Negative Attitudes ; Online Surveys ; Outcome Measures ; Perceptions ; Questionnaires ; Social norms ; Students</subject><ispartof>Journal of athletic training, 2021-03, Vol.56 (3), p.294-301</ispartof><rights>by the National Athletic Trainers' Association, Inc.</rights><rights>Copyright National Athletic Trainers Association Feb 2021</rights><rights>Copyright National Athletic Trainers Association Mar 2021</rights><rights>by the National Athletic Trainers' Association, Inc 2021 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-9c0c9d746ef0b402d0fa78d6f539e33c4e43f32723c1667b80b6b539fada9d8f3</citedby><cites>FETCH-LOGICAL-c455t-9c0c9d746ef0b402d0fa78d6f539e33c4e43f32723c1667b80b6b539fada9d8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010936/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010936/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33618368$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Register-Mihalik, Johna</creatorcontrib><creatorcontrib>Callahan, Christine E</creatorcontrib><creatorcontrib>Kay, Melissa C</creatorcontrib><creatorcontrib>Kerr, Zachary Y</creatorcontrib><creatorcontrib>Hinson, Madison T</creatorcontrib><creatorcontrib>Linnan, Laura A</creatorcontrib><creatorcontrib>Hennink-Kaminski, Heidi</creatorcontrib><creatorcontrib>Gildner, Paula</creatorcontrib><creatorcontrib>Marshall, Stephen W</creatorcontrib><creatorcontrib>Houston, Megan N</creatorcontrib><creatorcontrib>Cameron, Kenneth L</creatorcontrib><title>Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes Among National Collegiate Athletic Association Division I Student-Athletes</title><title>Journal of athletic training</title><addtitle>J Athl Train</addtitle><description>Limited data exist concerning differences in concussion-education exposure and how education exposures relate to care seeking and symptom disclosure, specifically by National Collegiate Athletic Association Division I student-athletes.
To investigate demographic characteristics associated with concussion-education exposure and examine whether overall education exposure (yes versus no) and education-source exposure number (multiple sources versus a single source) affect concussion care-seeking and disclosure factors in Division I student-athletes.
Cross-sectional study.
Classroom or online survey.
Division I student-athletes (n = 341).
Frequencies and proportions were computed for sex, race, school year, sport, and concussion history across concussion-education groups. Prevalence ratios (PRs) and 95% CIs were calculated to quantify the associations between student-athlete characteristics and (1) overall concussion-education exposure and (2) source-exposure number. Separate multivariable linear regression models estimated adjusted mean differences (MDs) and 95% CIs, which allowed us to assess differences in concussion knowledge, attitudes, and perceived social norms relative to concussion-education exposure and exposure to multiple sources. Separate multivariable binomial regression models were performed to estimate adjusted PRs and 95% CIs in order to evaluate associations of intention, perceived control, and care-seeking or disclosure behaviors and overall concussion-education exposure and exposure to multiple sources. All models controlled for sex, sport, and concussion history.
Overall, 276 (80.9%) participants reported previous concussion education, with 179 (64.9%) being exposed to multiple sources. Student-athletes who participated in a contact sport (adjusted PR = 1.24; 95% CI = 1.06, 1.44) and those who had a concussion history (adjusted PR = 1.19; 95% CI = 1.09, 1.31) had higher prevalences of concussion-education exposure. Females had a lower prevalence of reporting multiple sources (adjusted PR = 0.82; 95% CI = 0.68, 0.99). Overall concussion-education exposure was significantly associated with more favorable perceived social norms surrounding concussion care seeking (adjusted MD = 1.37; 95% CI = 0.13, 2.61).
These findings highlighted the potential differences in overall concussion-education exposure and provide clinicians with information on groups who may benefit from additional targeted education.</description><subject>Agreements</subject><subject>Athletes</subject><subject>Athletic Coaches</subject><subject>Attitudes</subject><subject>Behavior Standards</subject><subject>Brain</subject><subject>Coaches & managers</subject><subject>College Athletics</subject><subject>Concussion</subject><subject>Demographics</subject><subject>Education</subject><subject>Injuries</subject><subject>Intention</subject><subject>Knowledge</subject><subject>Military service</subject><subject>Negative Attitudes</subject><subject>Online Surveys</subject><subject>Outcome Measures</subject><subject>Perceptions</subject><subject>Questionnaires</subject><subject>Social 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E</au><au>Kay, Melissa C</au><au>Kerr, Zachary Y</au><au>Hinson, Madison T</au><au>Linnan, Laura A</au><au>Hennink-Kaminski, Heidi</au><au>Gildner, Paula</au><au>Marshall, Stephen W</au><au>Houston, Megan N</au><au>Cameron, Kenneth L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes Among National Collegiate Athletic Association Division I Student-Athletes</atitle><jtitle>Journal of athletic training</jtitle><addtitle>J Athl Train</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>56</volume><issue>3</issue><spage>294</spage><epage>301</epage><pages>294-301</pages><issn>1062-6050</issn><eissn>1938-162X</eissn><abstract>Limited data exist concerning differences in concussion-education exposure and how education exposures relate to care seeking and symptom disclosure, specifically by National Collegiate Athletic Association Division I student-athletes.
To investigate demographic characteristics associated with concussion-education exposure and examine whether overall education exposure (yes versus no) and education-source exposure number (multiple sources versus a single source) affect concussion care-seeking and disclosure factors in Division I student-athletes.
Cross-sectional study.
Classroom or online survey.
Division I student-athletes (n = 341).
Frequencies and proportions were computed for sex, race, school year, sport, and concussion history across concussion-education groups. Prevalence ratios (PRs) and 95% CIs were calculated to quantify the associations between student-athlete characteristics and (1) overall concussion-education exposure and (2) source-exposure number. Separate multivariable linear regression models estimated adjusted mean differences (MDs) and 95% CIs, which allowed us to assess differences in concussion knowledge, attitudes, and perceived social norms relative to concussion-education exposure and exposure to multiple sources. Separate multivariable binomial regression models were performed to estimate adjusted PRs and 95% CIs in order to evaluate associations of intention, perceived control, and care-seeking or disclosure behaviors and overall concussion-education exposure and exposure to multiple sources. All models controlled for sex, sport, and concussion history.
Overall, 276 (80.9%) participants reported previous concussion education, with 179 (64.9%) being exposed to multiple sources. Student-athletes who participated in a contact sport (adjusted PR = 1.24; 95% CI = 1.06, 1.44) and those who had a concussion history (adjusted PR = 1.19; 95% CI = 1.09, 1.31) had higher prevalences of concussion-education exposure. Females had a lower prevalence of reporting multiple sources (adjusted PR = 0.82; 95% CI = 0.68, 0.99). Overall concussion-education exposure was significantly associated with more favorable perceived social norms surrounding concussion care seeking (adjusted MD = 1.37; 95% CI = 0.13, 2.61).
These findings highlighted the potential differences in overall concussion-education exposure and provide clinicians with information on groups who may benefit from additional targeted education.</abstract><cop>United States</cop><pub>National Athletic Trainers Association</pub><pmid>33618368</pmid><doi>10.4085/1062-6050-0211.20</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of athletic training, 2021-03, Vol.56 (3), p.294-301 |
| issn | 1062-6050 1938-162X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8010936 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Free E- Journals |
| subjects | Agreements Athletes Athletic Coaches Attitudes Behavior Standards Brain Coaches & managers College Athletics Concussion Demographics Education Injuries Intention Knowledge Military service Negative Attitudes Online Surveys Outcome Measures Perceptions Questionnaires Social norms Students |
| title | Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes Among National Collegiate Athletic Association Division I Student-Athletes |
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