Determinants of intention to disclose concussion symptoms in a population of U.S. military cadets

Register-Mihalik, Johna K.; Cameron, Kenneth L.; Kay, Melissa C.; Kerr, Zachary Y.; Peck, Karen Y.; Houston, Megan N.; Linnan, Laura; Hennink-Kaminski, Heidi; Gildner, Paula; Svoboda, Steven J.

doi:10.1016/j.jsams.2018.11.003

Cited by 40 publications

(74 citation statements)

References 25 publications

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“…The study questionnaire was based on previously validated items of concussion care-seeking. 8,15,17 All multi-item scale measures had an internal consistency (Cronbach's Alpha) of 0.8 or higher.…”

Section: Questionnaire and Proceduresmentioning

confidence: 99%

“…[3][4][5] Consistent with these findings, favorable perceived social norms and perceived control over disclosure are also often associated with improved concussion care-seeking outcomes. 3,[5][6][7][8][9] Furthermore, current research supports utilizing concussion education to improve concussion knowledge, attitudes, and perceived social norms, which, in turn, may improve timely care-seeking post-concussion. 6,9,10 The National Collegiate Athletic Association (NCAA) requires dissemination of concussion education materials to all Division I, II, and III student-athletes each year.…”

Section: O N L I N E F I R S T Introductionmentioning

confidence: 99%

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Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes among NCAA Division I Student-Athletes

Callahan

Kay

Kerr

et al. 2020

Journal of Athletic Training

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Context: There are limited data concerning differences in concussion education exposure and how education exposures relates to care-seeking and symptom disclosure, specifically in Division I student-athletes. Objective: Investigate demographic characteristics associated with concussion education exposure and examine whether overall education exposure (yes vs. no) and education source exposure number (multiple sources vs. single source) affects concussion care-seeking and disclosure factors in Division I student-athletes. Design: Cross-sectional survey. Setting: Classroom or online. Participants: NCAA Division I student-athletes (n=341). Main Outcome Measure(s): Frequencies and proportions were computed for sex, race, school year, sport, and concussion history across concussion education groups. Prevalence ratios (PR) and 95% confidence intervals (CI) quantified the association between student-athlete characteristics and 1) overall concussion education exposure and 2) source exposure number. Separate multivariable linear regression models estimated adjusted mean differences (MD) and 95%CI 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 estimated adjusted PRs and 95%CI to assess associations of intention, perceived control, and care-seeking/disclosure behaviors and overall concussion education exposure and exposure to multiple sources. All models controlled for sex, sport, and concussion history. Results: Overall, n=276 (80.9%) reported previous concussion education, with 179 (64.9%) exposed to multiple sources. Student-athletes that 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 prevalence of previous 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). Conclusions: Findings highlight potential differences in overall concussion education exposure and provide clinicians with information on groups who may benefit from targeted additional education.

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Section: Questionnaire and Proceduresmentioning

confidence: 99%

Section: O N L I N E F I R S T Introductionmentioning

confidence: 99%

Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes among NCAA Division I Student-Athletes

Callahan

Kay

Kerr

et al. 2020

Journal of Athletic Training

Self Cite

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“…The research teams at USMA and UNC have also developed and are evaluating targeted educational interventions to improve concussion injury disclosure in these populations. The data that have been analyzed and published indicate an association between high intention to disclose concussion symptoms and disclosure prevalence at the time of injury (36). The strongest factor associated with intention to disclose concussion was favorable perceived social norms (i.e., perceptions of organization, social referent expectations, and actions concerning concussion), making the social environment and chain of command key targets for concussion disclosure interventions (36).…”

Section: Mind Matters Challengementioning

confidence: 99%

“…The data that have been analyzed and published indicate an association between high intention to disclose concussion symptoms and disclosure prevalence at the time of injury (36). The strongest factor associated with intention to disclose concussion was favorable perceived social norms (i.e., perceptions of organization, social referent expectations, and actions concerning concussion), making the social environment and chain of command key targets for concussion disclosure interventions (36). Additional data indicated that concussion education exposure (education included whether participants had been formally educated about concussions) varies among new cadets upon entry to the USMA.…”

Section: Mind Matters Challengementioning

confidence: 99%

Progress and Future Directions of the NCAA-DoD Concussion Assessment, Research, and Education (CARE) Consortium and Mind Matters Challenge at the US Service Academies

et al. 2020

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Despite the significant impact that concussion has on military service members, significant gaps remain in our understanding of the optimal diagnostic, management, and return to activity/duty criteria to mitigate the consequences of concussion. In response to these significant knowledge gaps, the US Department of Defense (DoD) and the National Collegiate Athletic Association (NCAA) partnered to form the NCAA-DoD Grand Alliance in 2014. The NCAA-DoD CARE Consortium was established with the aim of creating a national multisite research network to study the clinical and neurobiological natural history of concussion in NCAA athletes and military Service Academy cadets and midshipmen. In addition to the data collected for the larger CARE Consortium effort, the service academies have pursued military-specific lines of research relevant to operational and medical readiness associated with concussion. The purpose of this article is to describe the structure of the NCAA-DoD Grand Alliance efforts at the service academies, as well as discuss military-specific research objectives and provide an overview of progress to date. A secondary objective is to discuss the challenges associated with conducting large-scale studies in the Service Academy environment and highlight future directions for concussion research endeavors across the CARE Service Academy sites.

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“…Summer army internship [1][2] is an important activity for cadets in military academies [3][4][5]. Through army internship, cadets can lay a solid ideological foundation, cultivate the spirit of hardship, accumulate experience, improve their skills, devote themselves to the practice of strengthening the army and realize their own value.…”

Section: Introductionmentioning

confidence: 99%

Discussions on Military Academy Cadets’ Internship in the Army

Yuan¹,

Wang²,

Dan³

et al. 2020

Proceedings of the 2019 International Conference on Education Science and Economic Development (ICESED 2019)

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The internship of cadets is discussed in this paper. Firstly, the purpose of the internship is listed. Secondly, the good practices adopted by the army are summed up. Thirdly, some problems existing in the internship are pointed out. Fourthly, some suggestions for the problems existing in the internship of cadets are put forward. Lastly, my own experiences are presented. Discussions on military academy cadets' internship in the army will have a guidance on the training of cadets in the future.

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Determinants of intention to disclose concussion symptoms in a population of U.S. military cadets

Cited by 40 publications

References 25 publications

Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes among NCAA Division I Student-Athletes

Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes among NCAA Division I Student-Athletes

Progress and Future Directions of the NCAA-DoD Concussion Assessment, Research, and Education (CARE) Consortium and Mind Matters Challenge at the US Service Academies

Discussions on Military Academy Cadets’ Internship in the Army

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