Determinants of intention to disclose concussion symptoms in a population of U.S. military cadets.
J Sci Med Sport
; 22(5): 509-515, 2019 May.
Article
em En
| MEDLINE
| ID: mdl-30551922
ABSTRACT
OBJECTIVES:
Non-disclosure of concussion complicates concussion management, but almost nothing is known about non-disclosure in military settings. This study describes concussion disclosure-related knowledge, attitudes, perceived social norms, perceived control, and intention. Additionally, the study identifies determinants of high intention to disclose concussion symptoms.DESIGN:
Cross sectional survey.METHODS:
First-year service academy cadets completed a cross-sectional survey to assess perceptions of concussion disclosure. Independent variables included gender, race, ethnicity, high school athlete status, NCAA athlete status, previous concussion history, previous concussion education, socioeconomic proxy, concussion-related knowledge, attitudes about concussion, perceived social norms (perceived peer/organizational support and actions), and perceived control over disclosure. Log-binomial regression was used to identify determinants of high intention to disclose concussion symptoms.RESULTS:
A total of 972 first-year military service academy cadets completed the survey [85% response; age=18.4±0.9y]. In the simple models, previous concussion history was associated with lower intention to disclose concussion symptoms. High perceived control over disclosure, higher concussion knowledge, more favorable attitudes and social norms about concussion were associated with high intention to disclose. In the multivariable model, a 10% shift towards more favorable perceived social norms (PR=1.28; p<0.001) and attitudes (PR=1.07; p=0.05) about concussion were associated with high intention to disclose concussion symptoms. High perceived control over disclosure was associated with high intention to disclose concussion symptoms (PR=1.39; p=0.08).CONCLUSIONS:
Concussion-related perceived social norms, attitudes, and perceived control are associated with intention to disclose. Organizationally appropriate intervention strategies can be developed from these data.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Concussão Encefálica
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Conhecimentos, Atitudes e Prática em Saúde
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Revelação
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Intenção
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Normas Sociais
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Militares
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
J Sci Med Sport
Assunto da revista:
MEDICINA ESPORTIVA
Ano de publicação:
2019
Tipo de documento:
Article