Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8700, USA; Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina, Chapel Hill, NC 27599-8700, USA; Injury Prevention Research Center, University of North Carolina, Chapel Hill, NC 27510, USA.
Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8700, USA; Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina, Chapel Hill, NC 27599-8700, USA; Injury Prevention Research Center, University of North Carolina, Chapel Hill, NC 27510, USA.
J Sport Health Sci. 2022 Nov;11(6):716-724. doi: 10.1016/j.jshs.2020.04.008. Epub 2020 May 14.
Parents may use various information sources to obtain information about sport-related concussions (SRC). This study examined SRC-related information sources used by parents of United States middle school children (age: 10-15 years).
A panel of 1083 randomly selected U.S. residents, aged ≥18 years and identifying as parents of middle school children, completed an online questionnaire capturing parental and child characteristics, and utilization and perceived trustworthiness of various sources of SRC-related information. Multivariable logistic regression models identified factors associated with utilizing each source. Adjusted odds ratios (OR) with 95% confidence intervals (95%CIs) excluding 1.00 were deemed significant.
Doctors/healthcare providers (49.9%) and other healthcare-related resources (e.g., Centers for Disease Control and Prevention, WebMD) (37.8%) were common SRC-related information sources; 64.0% of parents utilized ≥1 of these sources. Both sources were considered "very" or "extremely" trustworthy for SRC-related information among parents using these sources (doctors/healthcare providers: 89.8%; other healthcare-related resources: 70.9%). A 10-year increase in parental age was associated with higher odds of utilizing doctors/healthcare providers (adjusted odd ratio (OR) = 1.09, 95%CI: 1.02-1.16) and other healthcare-related resources (OR = 1.11, 95%CI: 1.03-1.19). The odds of utilizing doctors/healthcare providers (OR = 0.58, 95%CI: 0.40-0.84) and other healthcare-related resources (OR = 0.64, 95%CI: 0.44-0.93) were lower among parents whose middle school children had concussion histories versus the parents of children who did not have concussion histories.
One-third of parents did not report using doctors/healthcare providers or other healthcare-related resources for SRC-related information. Factors associated with underutilization of these sources may be targets for future intervention. Continuing education for healthcare providers and educational opportunities for parents should highlight accurate and up-to-date SRC-related information.
父母可能会利用各种信息来源来获取与运动相关的脑震荡（SRC）相关信息。本研究调查了美国中学儿童（年龄：10-15 岁）父母使用的 SRC 相关信息来源。
1083 名随机抽取的美国居民年龄≥18 岁，自认为是中学儿童的父母，完成了一份在线问卷，其中包括父母和孩子的特征，以及利用和感知各种 SRC 相关信息来源的可信度。多变量逻辑回归模型确定了与利用每种来源相关的因素。调整后的优势比（OR）和 95%置信区间（95%CI）排除 1.00 被认为是显著的。
医生/医疗保健提供者（49.9%）和其他与医疗保健相关的资源（如疾病控制和预防中心、WebMD）（37.8%）是常见的 SRC 相关信息来源；64.0%的父母使用了≥1 种这些来源。在使用这些来源的父母中，这两个来源都被认为是 SRC 相关信息的“非常”或“极其”值得信赖（医生/医疗保健提供者：89.8%；其他与医疗保健相关的资源：70.9%）。父母年龄每增加 10 岁，利用医生/医疗保健提供者的可能性就会增加（调整后的优势比（OR）=1.09，95%CI：1.02-1.16）和其他与医疗保健相关的资源（OR=1.11，95%CI：1.03-1.19）。与没有脑震荡病史的孩子的父母相比，有脑震荡病史的孩子的父母利用医生/医疗保健提供者（OR=0.58，95%CI：0.40-0.84）和其他与医疗保健相关的资源（OR=0.64，95%CI：0.44-0.93）的可能性较低。
三分之一的父母没有报告利用医生/医疗保健提供者或其他与医疗保健相关的资源来获取与 SRC 相关的信息。这些来源利用不足的相关因素可能是未来干预的目标。医疗保健提供者的继续教育和父母的教育机会应强调准确和最新的 SRC 相关信息。
