TY - JOUR
T1 - Association between Sensation-Seeking Behaviors and Concussion-Related Knowledge, Attitudes, Perceived Norms, and Care-Seeking Behaviors among Collegiate Student-Athletes
AU - Callahan, Christine E.
AU - Kossman, Melissa K.
AU - Mihalik, Jason P.
AU - Marshall, Stephen W.
AU - Gildner, Paula
AU - Kerr, Zachary Y.
AU - Cameron, Kenneth L.
AU - Houston, Megan N.
AU - Mrazik, Martin
AU - Register-Mihalik, Johna K.
N1 - Funding Information:
In addition to the funding for the data source studies as reported in the acknowledgements, Dr. Mihalik reports grants from the National Football League, Department of Defense, National Institutes of Health, and Centers for Disease Control and Prevention outside the submitted work and is Chief Science Officer for Senaptec, Inc. Dr Marshall is partially supported by an Injury Control Research Center award (R49/CE002479) from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Dr. Kerr reports grants from National Football League and Centers for Disease Control and Prevention outside the submitted work. Dr. Register-Mihalik reports grants from the National Football League, NOCSAE, Department of Defense, NATA Foundation, and Centers for Disease Control and Prevention outside the submitted work and is a Member of USA Football's Football Development Council.
Funding Information:
The Behaviors, Attitudes, Norms, and Knowledge (BANK) Study (Data Source One) was funded in part by an NCAA-DOD Research Challenge Award. This publication was also made possible, in part, with support from the Grand Alliance Concussion Assessment, Research and Education (CARE) Consortium (Data Source Two), funded, in part by the National Collegiate Athletic Association (NCAA) and the Department of Defense (DOD). The U.S. Army Medical Research Acquisition Activity, 820 Chandler Street, Fort Detrick MD 21702-5014 is the awarding and administering acquisition office. This work was supported by the Office of the Assistant Secretary of Defense for Health Affairs, through the Combat Casualty Care Research Program, endorsed by the Department of Defense, through the Joint Program Committee 6/Combat Casualty Care Research Program – Psychological Health and Traumatic Brain Injury Program under Award No. W81XWH1420151. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense. We acknowledge Drs. Thomas McAllister, Steven Broglio, and Michael McCrea who serve as co-Principal Investigators on the NCAA-DOD CARE Consortium. In addition to the funding for the data source studies as reported in the acknowledgements, Dr. Mihalik reports grants from the National Football League, Department of Defense, National Institutes of Health, and Centers for Disease Control and Prevention outside the submitted work and is Chief Science Officer for Senaptec, Inc. Dr Marshall is partially supported by an Injury Control Research Center award (R49/CE002479) from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Dr. Kerr reports grants from National Football League and Centers for Disease Control and Prevention outside the submitted work. Dr. Register-Mihalik reports grants from the National Football League, NOCSAE, Department of Defense, NATA Foundation, and Centers for Disease Control and Prevention outside the submitted work and is a Member of USA Football's Football Development Council. The experiments comply with the current laws of the country in which they were performed. The datasets generated during and/or analyzed during the current study are not publicly available, but are available from the corresponding author who was an organizer of the study.
Funding Information:
The Behaviors, Attitudes, Norms, and Knowledge (BANK) Study (Data Source One) was funded in part by an NCAA-DOD Research Challenge Award. This publication was also made possible, in part, with support from the Grand Alliance Concussion Assessment, Research and Education (CARE) Consortium (Data Source Two), funded, in part by the National Collegiate Athletic Association (NCAA) and the Department of Defense (DOD). The U.S. Army Medical Research Acquisition Activity, 820 Chandler Street, Fort Detrick MD 21702-5014 is the awarding and administering acquisition office. This work was supported by the Office of the Assistant Secretary of Defense for Health Affairs, through the Combat Casualty Care Research Program, endorsed by the Department of Defense, through the Joint Program Committee 6/Combat Casualty Care Research Program – Psychological Health and Traumatic Brain Injury Program under Award No. W81XWH1420151. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense. We acknowledge Drs. Thomas McAllister, Steven Broglio, and Michael McCrea who serve as co-Principal Investigators on the NCAA-DOD CARE Consortium.
Funding Information:
Director of Orthopedic and Sports Medicine Research at Keller Army Hospital and holds faculty appointments with the John A. Feagin Jr. Orthopedic Sports Medicine Fellowship and the US Army-Baylor University Sports Physical Therapy Doctoral Program. Degree MD Research interests Injury prevention in military populations. E-mail: Kenneth.l.cameron.civ@mail.mil
Publisher Copyright:
© 2022, Journal of Sport Science and Medicine. All rights reserved.
PY - 2022/3
Y1 - 2022/3
N2 - There are limited data connecting personality and behavioral tendencies and traits related to concussion care-seeking/disclosure behaviors and minimal research exists surrounding the relationship between risky behaviors, sensation-seeking, and concussion-related outcomes. This study examined the association between sensation-seeking and a student-athlete’s concussion-related knowledge, attitudes, perceived social norms, and concussion care-seeking/disclosure behaviors (intention to disclose concussion symptoms, perceived control over symptom disclosure, self-removal from play due to concussion symptoms, continued play with concussion symptoms, and disclosure of all concussions at the time of injury). The current study utilized a retrospective cohort of collegiate student-athletes at a single National Collegiate Athletic Association Division I institution. Separate multivariable linear regression models estimating mean differences (MD) and 95% Confidence Intervals (CI) estimated the association between sensation-seeking and concussion knowledge, concussion attitudes, and perceived social norms. Separate multivariable binomial regression models estimating adjusted prevalence ratios (PR) and 95%CI estimated the association between sensation-seeking and intention to disclose concussion symptoms, perceived control over symptom disclosure, self-removal from play due to concussion symptoms, continued play with concussion symptoms, and disclosure of all concussions at the time of injury. All models were adjusted for sex, sport participation, and concussion history. Higher sensation-seeking was significantly associated with less favorable concussion attitudes (adjusted MD = 1.93; 95%CI =-3.04,-0.83), less favorable perceived social norms surrounding concussion (adjusted MD =-1.39; 95%CI =-2.06,0.72), and continuing to play while experiencing concussion symptoms (adjusted PR = 1.50; 95%CI = 1.10, 2.06). Studentathletes with increased sensation-seeking could be at risk for failing to disclose a concussion, decreasing athlete safety and resulting in less optimal care post-injury. Results will inform future theory-based concussion education programs which consider behavioral tendencies and traits as well as sport culture to promote concussion care-seeking/disclosure and individualized interventions based on risky behavior engagement.
AB - There are limited data connecting personality and behavioral tendencies and traits related to concussion care-seeking/disclosure behaviors and minimal research exists surrounding the relationship between risky behaviors, sensation-seeking, and concussion-related outcomes. This study examined the association between sensation-seeking and a student-athlete’s concussion-related knowledge, attitudes, perceived social norms, and concussion care-seeking/disclosure behaviors (intention to disclose concussion symptoms, perceived control over symptom disclosure, self-removal from play due to concussion symptoms, continued play with concussion symptoms, and disclosure of all concussions at the time of injury). The current study utilized a retrospective cohort of collegiate student-athletes at a single National Collegiate Athletic Association Division I institution. Separate multivariable linear regression models estimating mean differences (MD) and 95% Confidence Intervals (CI) estimated the association between sensation-seeking and concussion knowledge, concussion attitudes, and perceived social norms. Separate multivariable binomial regression models estimating adjusted prevalence ratios (PR) and 95%CI estimated the association between sensation-seeking and intention to disclose concussion symptoms, perceived control over symptom disclosure, self-removal from play due to concussion symptoms, continued play with concussion symptoms, and disclosure of all concussions at the time of injury. All models were adjusted for sex, sport participation, and concussion history. Higher sensation-seeking was significantly associated with less favorable concussion attitudes (adjusted MD = 1.93; 95%CI =-3.04,-0.83), less favorable perceived social norms surrounding concussion (adjusted MD =-1.39; 95%CI =-2.06,0.72), and continuing to play while experiencing concussion symptoms (adjusted PR = 1.50; 95%CI = 1.10, 2.06). Studentathletes with increased sensation-seeking could be at risk for failing to disclose a concussion, decreasing athlete safety and resulting in less optimal care post-injury. Results will inform future theory-based concussion education programs which consider behavioral tendencies and traits as well as sport culture to promote concussion care-seeking/disclosure and individualized interventions based on risky behavior engagement.
KW - College athletes
KW - Concussion
KW - Concussion education
KW - Mild traumatic brain injury
KW - Risky behaviors
KW - Sensation-seeking
UR - http://www.scopus.com/inward/record.url?scp=85125040668&partnerID=8YFLogxK
U2 - 10.52082/jssm.2022.33
DO - 10.52082/jssm.2022.33
M3 - Article
C2 - 35250331
AN - SCOPUS:85125040668
SN - 1303-2968
VL - 21
SP - 33
EP - 42
JO - Journal of Sports Science and Medicine
JF - Journal of Sports Science and Medicine
IS - 1
ER -