a Department of Pediatrics , University of Washington.
b Center for Child Health Behavior and Development , Seattle Children's Research Institute.
Health Commun. 2017 Aug;32(8):963-969. doi: 10.1080/10410236.2016.1196417. Epub 2016 Jul 27.
Sport coaches can play an important role in shaping a team's approach to concussion safety through their communication with team members. However, across all sports, there is limited knowledge about factors that make coaches more or less likely to engage in safety-supportive communication. The objectives of this study were to assess the concussion-related knowledge and attitudes of wrestling coaches, as well as the extent to which they engage in autonomy-supportive coaching practices, and to determine how these factors are related to communication with athletes in support of concussion safety. Data were collected through an online survey of head coaches of National Collegiate Athletic Association (NCAA) wrestling teams (n = 89, 40.5% response rate). On average, coaches answered five out of a possible nine knowledge questions correctly and were significantly more likely to think it was acceptable for an athlete to continue playing after sustaining a concussion during a national qualifying competition as compared to during an early-season competition. Engaging in autonomy-supportive coaching behaviors was the coach factor explaining the largest percentage of variability in communication. Findings suggest that while knowledge deficits and attitudes about the acceptability of continued play while symptomatic during more consequential competitive matches should be addressed in educational programming for collegiate wrestling coaches, these changes alone may not be a sufficient for adequately increasing concussion safety communication. Targeting more distal factors such as autonomy-supportive approaches to coaching may hold promise for intervention design and should be explored in future prospective research.
运动教练可以通过与团队成员的沟通，在塑造团队对脑震荡安全的态度方面发挥重要作用。然而，在所有运动项目中，对于哪些因素使教练更有可能或更不可能进行支持安全的沟通，了解甚少。本研究的目的是评估摔跤教练的脑震荡相关知识和态度，以及他们在多大程度上采用自主支持性的教练实践，并确定这些因素与支持脑震荡安全的与运动员的沟通之间的关系。研究数据通过对美国全国大学体育协会（NCAA）摔跤队的首席教练进行在线调查收集（n=89，响应率为 40.5%）。平均而言，教练在可能的九个知识问题中答对了五个问题，并且与在赛季早期比赛相比，他们更有可能认为在全国资格赛中，运动员在遭受脑震荡后继续比赛是可以接受的。采用自主支持性的教练行为是解释沟通中最大变化百分比的教练因素。研究结果表明，虽然在为大学摔跤教练制定教育计划时应解决知识缺陷和关于在更重要的比赛中出现症状时继续比赛的可接受性的态度问题，但这些变化本身可能不足以充分提高脑震荡安全沟通。针对教练的自主支持方法等更遥远的因素可能具有干预设计的潜力，应在未来的前瞻性研究中进行探索。
