Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa.
School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa.
J Athl Train. 2021 Jan 1;56(1):92-100. doi: 10.4085/1062-6050-0392-19.
Many survey-based methods have been used to explore concussion-reporting behavior. However, because the decision to report or conceal a concussion is likely multifactorial, this may narrow the findings, as the surveys were largely designed by the researchers.
To explore student-athletes' perspectives regarding factors that may influence the reporting of sport-related concussion.
Qualitative study.
National Collegiate Athletic Association Division I athletics.
We conducted 17 semistructured interviews with student-athletes who had sustained 1 or more concussions while attending a large university (men = 4, women = 13, age = 20.9 ± 1.3 years).
After data saturation and member checks, a 5-cycle analytic process was completed: topical review, literature review, data collection and summarizing using a codebook developed by a 3-person research team, linking of findings to current research, and final interpretations.
We discovered 3 themes. Participants discussed concussion perceptions by describing their understanding of a concussion, their own injury experiences, and their perceptions of symptom severity and duration. Regarding reporting behavior, participants described an order of individuals with whom they would speak, symptoms present in order to report (eg, feeling different from normal), immediate reactions, and influential factors for mitigating short- and long-term consequences. Lastly, participants discussed the value of support systems, such as how coaches can both positively and negatively influence reporting and athletic trainer involvement.
Participants often drew from their own concussion experiences in naming common concussion signs and symptoms. Additionally, they indicated that both short- and long-term health consequences influenced and deterred their seeking care and that their support systems, including coaches and athletic trainers, played a role in their concussion experience. Research is needed to determine if using student-athletes' own words to describe a concussion and incorporating student-athletes' support systems, especially coaches and athletic trainers, is effective in increasing concussion reporting.
许多基于调查的方法已经被用于探索脑震荡报告行为。然而，由于报告或隐瞒脑震荡的决定可能是多因素的，这可能会缩小研究结果的范围，因为这些调查主要是由研究人员设计的。
探讨学生运动员对可能影响报告与运动相关脑震荡的因素的看法。
定性研究。
美国全国大学体育协会（NCAA）一级体育赛事。
我们对在一所大型大学中遭受 1 次或多次脑震荡的 17 名学生运动员进行了半结构化访谈（男性 4 名，女性 13 名，年龄 20.9±1.3 岁）。
在数据饱和和成员检查后，完成了 5 个周期的分析过程：主题审查、文献综述、使用由 3 人研究小组开发的代码簿进行数据收集和总结、将研究结果与当前研究联系起来以及最终解释。
我们发现了 3 个主题。参与者通过描述他们对脑震荡的理解、自己的受伤经历以及对症状严重程度和持续时间的看法来讨论脑震荡的看法。关于报告行为，参与者描述了他们会与谁交谈的顺序、报告的症状（例如感觉与正常不同）、即时反应以及减轻短期和长期后果的影响因素。最后，参与者讨论了支持系统的价值，例如教练如何对报告和运动训练师的参与产生积极和消极的影响。
参与者在命名常见脑震荡症状和体征时经常借鉴自己的脑震荡经历。此外，他们表示，短期和长期的健康后果都会影响并阻止他们寻求治疗，而他们的支持系统，包括教练和运动训练师，在他们的脑震荡经历中发挥了作用。需要研究是否使用学生运动员自己的话来描述脑震荡，并纳入学生运动员的支持系统，特别是教练和运动训练师，是否能有效提高脑震荡报告率。
