Kay Melissa C, Register-Mihalik Johna K, Ford Cassie B, Williams Richelle M, Valovich McLeod Tamara C
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
A.T. Still University, Mesa, Arizona, USA.
Orthop J Sports Med. 2017 Dec 8;5(12):2325967117742370. doi: 10.1177/2325967117742370. eCollection 2017 Dec.
Parents' knowledge of and attitudes toward concussions are often vital factors that affect care for injured adolescent athletes. It is important to understand the role that parents' personal experiences with concussions play with regard to current concussion knowledge and attitudes so that clinicians may tailor their educational approaches.
PURPOSE/HYPOTHESIS: The purpose of this study was to determine an association between parents' personal experiences and their child's experiences with concussions as well as parental concussion knowledge and attitudes. We hypothesized that parents who have personally experienced symptoms or have a child who has experienced symptoms would have better knowledge and more favorable attitudes toward concussions.
Cross-sectional study; Level of evidence, 3.
Parents of youth sport athletes (N = 234 [82 male, 144 female, 8 unreported]; mean age, 44.0 ± 6.3 years) completed a prevalidated survey for concussion knowledge (maximum score possible, 29) and attitudes (maximum score possible, 49). Higher scores indicated better knowledge and more favorable attitudes toward concussive injuries. Parents reported the frequency of concussion diagnoses and/or experiences of concussion-related symptoms and whether their child had suffered a diagnosed concussion or experienced concussion symptoms (yes/no). Spearman rank correlation and multivariable regression were used to examine the association between experience of symptom clusters (self or child) and concussion knowledge and attitudes.
Knowledge was moderate (mean, 23.3 ± 2.5 of 29), while attitudes prioritized disclosure (mean, 46.3 ± 3.7 of 49). Parents' experience of the sleep-arousal symptom cluster was positively associated with concussion attitudes ( = 0.22, = .002; β = -3.301, = .011). Parents with children who experienced sleep-arousal and vestibular-somatic symptom clusters were weakly associated with parental concussion knowledge (sleep-arousal: = 0.15, = .041; vestibular-somatic: = 0.17, = .020; β = 0.540, = .012).
Our findings suggest that parents' personal experiences with concussion-related symptoms have little effect on parental knowledge and attitudes as a whole. However, clinicians should consider particular symptom clusters that may provide insight into targets for future concussion education. According to these findings, parents of youth sport participants would benefit from increased concussion education focusing on the types of symptoms as well as the consequences of suffering a concussion.
父母对脑震荡的认知和态度通常是影响受伤青少年运动员护理的重要因素。了解父母个人脑震荡经历在当前脑震荡知识和态度方面所起的作用很重要，以便临床医生能够调整他们的教育方法。
目的/假设：本研究的目的是确定父母的个人经历与他们孩子的脑震荡经历以及父母的脑震荡知识和态度之间的关联。我们假设，亲身经历过症状或孩子经历过症状的父母对脑震荡会有更好的了解和更积极的态度。
横断面研究；证据等级，3级。
青少年体育运动员的父母（N = 234 [82名男性，144名女性，8名未报告]；平均年龄，44.0 ± 6.3岁）完成了一项针对脑震荡知识（最高可能得分，29分）和态度（最高可能得分，49分）的预验证调查。得分越高表明对脑震荡损伤的了解越好且态度越积极。父母报告了脑震荡诊断的频率和/或与脑震荡相关症状的经历，以及他们的孩子是否遭受过确诊的脑震荡或经历过脑震荡症状（是/否）。使用Spearman等级相关性和多变量回归来检验症状群（自我或孩子）的经历与脑震荡知识和态度之间的关联。
知识水平中等（平均，29分中的23.3 ± 2.5分），而态度方面优先考虑信息披露（平均，49分中的46.3 ± 3.7分）。父母的睡眠 - 觉醒症状群经历与脑震荡态度呈正相关（ = 0.22， = .002；β = -3.301， = .011）。孩子经历过睡眠 - 觉醒和前庭 - 躯体症状群的父母与父母的脑震荡知识有弱关联（睡眠 - 觉醒： = 0.15， = .041；前庭 - 躯体： = 0.17， = .020；β = 0.540， = .012）。
我们的研究结果表明，父母个人与脑震荡相关症状的经历对父母的整体知识和态度影响不大。然而，临床医生应考虑特定的症状群，这些症状群可能为未来脑震荡教育的目标提供见解。根据这些发现，青少年体育参与者的父母将受益于增加针对症状类型以及脑震荡后果的脑震荡教育。
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