Department of Interdisciplinary Health Sciences, A.T. Still University , Mesa, Arizona, USA.
Department of Kinesiology, University of Georgia , Athens, Georgia, USA.
Brain Inj. 2020 Oct 14;34(12):16455-16465. doi: 10.1080/02699052.2020.1831069. Epub 2020 Oct 12.
To determine whether Health Belief Model (HBM) factors predict concussion-reporting intentions and behaviour. : Participants completed a cross-sectional survey to measure the HBM constructs of concussion knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action. We also asked participants to indicate their concussion-reporting intentions and behaviourfor symptom and concussion reporting. Four separate multivariable regressions were conducted to predict concussion-reporting intentions and behaviour based on HBM constructs. : Cues to action (β = 0.25, = .016) predicted symptom reporting intentions (F = 4.44, < .001, R = 0.089), while perceived benefits (β = 0.12, = .018), perceived barriers (β = -0.11, = .034) and cues to action (β = 0.29, < .001) predicted concussion-reporting intentions (F = 11.34, < .001, R = 0.200). The HBM did not predict symptom or concussion-reporting behavior (symptom: Χ = 5.51, = .138, Nagelkerke R = 0.096; concussion: Χ = 5.20, = .157, Nagelkerke R = 0.159). : Strategies to reduce perceived barriers and increase benefits of reporting concussion symptoms may improve reporting intentions. This may include cues to action in sharing a positive view toward long-term health and dispelling that reporting a concussion would let down teammates. .
为了确定健康信念模型（HBM）因素是否预测脑震荡报告意向和行为。参与者完成了一项横断面调查，以衡量 HBM 对脑震荡知识、感知易感性、感知严重程度、感知益处、感知障碍和行动线索的构建。我们还要求参与者表明他们对症状和脑震荡报告的脑震荡报告意向和行为。基于 HBM 结构，进行了四项单独的多变量回归，以预测脑震荡报告意向和行为。行动线索（β=0.25，=0.016）预测了症状报告意向（F=4.44，<0.001，R=0.089），而感知益处（β=0.12，=0.018）、感知障碍（β= -0.11，=0.034）和行动线索（β=0.29，<0.001）预测了脑震荡报告意向（F=11.34，<0.001，R=0.200）。HBM 并未预测症状或脑震荡报告行为（症状：Χ=5.51，=0.138，Nagelkerke R=0.096；脑震荡：Χ=5.20，=0.157，Nagelkerke R=0.159）。结论：减少感知障碍和增加报告脑震荡症状益处的策略可能会提高报告意向。这可能包括在分享对长期健康的积极看法和消除报告脑震荡会让队友失望的方面的行动线索。
