Krol Andrea L, Mrazik Martin, Naidu Dhiren, Brooks Brian L, Iverson Grant L
University of Alberta, Calgary, Alberta, Canada.
Brain Inj. 2011;25(13-14):1300-5. doi: 10.3109/02699052.2011.624571.
Monitoring of subjective symptoms is the foundation of all sport concussion management programmes. The purpose of this study is to examine methodological variables that impact symptom reporting during baseline testing.
To investigate how the administration method of a concussion assessment tool (self-report vs interview) affects the report of symptoms.
DESIGN, SETTING AND PARTICIPANTS: This was a cross-sectional, semi-randomized study of 117 athletes.
Subjects completed the Post-Concussion Scale during pre-season evaluations.
A two-factor ANOVA revealed a significant difference in total symptom scores (p = 0.02) and number of endorsed symptoms (p = 0.02) across administration modes. Athletes had a greater total symptom score and reported a greater number of symptoms in the self-administration condition than in the interview condition. Furthermore, there was a significant difference in symptom reporting across interviewer gender. Athletes endorsed more symptoms when the interviewer was a woman.
Because the method of collecting symptoms, as well as interviewer gender, can impact test results, self-report measures may be a better way of obtaining consistent results. Clinicians and researchers should be aware that both the nature and extent of symptom reporting is greater when using questionnaires than when athletes are interviewed.
主观症状监测是所有运动性脑震荡管理方案的基础。本研究的目的是检验在基线测试期间影响症状报告的方法学变量。
探讨脑震荡评估工具的施用方式（自我报告与访谈）如何影响症状报告。
设计、背景与参与者：这是一项对117名运动员进行的横断面半随机研究。
受试者在季前评估期间完成了脑震荡后量表。
双因素方差分析显示，不同施用方式下的总症状评分（p = 0.02）和认可症状数量（p = 0.02）存在显著差异。与访谈方式相比，运动员在自我施用方式下的总症状评分更高，报告的症状数量更多。此外，不同访谈者性别在症状报告方面存在显著差异。当访谈者为女性时，运动员认可的症状更多。
由于收集症状的方式以及访谈者性别会影响测试结果，自我报告测量可能是获得一致结果的更好方法。临床医生和研究人员应意识到，使用问卷时症状报告的性质和程度比与运动员进行访谈时更大。
