Newton Joshua D, White Peta E, Ewing Michael T, Makdissi Michael, Davis Gavin A, Donaldson Alex, Sullivan S John, Seward Hugh, Finch Caroline F
Department of Marketing, Peninsula Campus, Monash University, Frankston, Victoria, Australia.
Centre for Healthy and Safe Sport, University of Ballarat, Ballarat, Victoria, Australia.
J Sci Med Sport. 2014 Sep;17(5):469-73. doi: 10.1016/j.jsams.2013.10.240. Epub 2013 Oct 26.
Sporting bodies have developed guidelines for managing community-level players with suspected concussion in response to international consensus statements on concussion in sport. The purpose of this study was to examine the factors that influence the intended use of concussion guidelines among community-level coaches and sports trainers from two popular football codes in Australia: Australian football and rugby league.
Cross-sectional survey.
The survey, based on an extended theory of planned behaviour model, was completed by 183 Australian football coaches, 121 Australian football sports trainers, 171 rugby league coaches, and 142 rugby league sports trainers.
Personal norms and self-efficacy were significant predictors of intention to use concussion guidelines, although the relationship between self-efficacy and intention was stronger among Australian football coaches than rugby league coaches. Analysis of the salient beliefs that underpin self-efficacy found that coaches, irrespective of football code, felt less familiar (χ(2)=25.70, p<0.001) and less experienced (χ(2)=31.56, p<0.001) than sports trainers in using the concussion guidelines. At the same time, Australian football personnel, irrespective of their team role, felt that they had insufficient time (χ(2)=8.04, p<0.01) and resources (χ(2)=12.31, p<0.001) to implement the concussion guidelines relative to rugby league personnel.
Programmes aimed at increasing the intended use of sport concussion guidelines should focus on enhancing self-efficacy and leveraging personal norms. Increasing coaches' familiarity and experience in using the concussion guidelines would also be warranted, as would finding ways to overcome the perceived time and resource constraints identified among Australian football personnel.
体育机构已制定了针对疑似脑震荡的社区层面运动员的管理指南，以回应关于运动中脑震荡的国际共识声明。本研究的目的是调查影响澳大利亚两种流行足球赛事（澳大利亚式足球和橄榄球联盟）社区层面教练和体育训练师对脑震荡指南预期使用的因素。
横断面调查。
基于计划行为扩展理论模型的调查由183名澳大利亚式足球教练、121名澳大利亚式足球体育训练师、171名橄榄球联盟教练和142名橄榄球联盟体育训练师完成。
个人规范和自我效能感是使用脑震荡指南意愿的重要预测因素，尽管澳大利亚式足球教练中自我效能感与意愿之间的关系比橄榄球联盟教练更强。对支撑自我效能感的显著信念的分析发现，无论足球赛事类型如何，教练在使用脑震荡指南方面比体育训练师感觉更不熟悉（χ(2)=25.70，p<0.001）且经验更少（χ(2)=31.56，p<0.001）。同时，澳大利亚式足球相关人员，无论其团队角色如何，相对于橄榄球联盟人员而言，觉得他们没有足够的时间（χ(2)=8.04，p<0.01）和资源（χ(2)=12.31，p<0.001）来实施脑震荡指南。
旨在增加运动脑震荡指南预期使用的项目应侧重于提高自我效能感并利用个人规范。增加教练在使用脑震荡指南方面的熟悉程度和经验也是必要的，同时还应设法克服澳大利亚式足球相关人员所感知到的时间和资源限制。
