Department of Women's and Children's Health, University of Padova, Padova, Italy.
Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy; and.
Clin J Sport Med. 2023 Sep 1;33(5):541-551. doi: 10.1097/JSM.0000000000001154. Epub 2023 Apr 26.
To investigate concussion knowledge and self-reported behaviors in Italian youth rugby players and their coaches. To investigate predictors of lower concussion knowledge and association between athletes' self-reported knowledge and behavior.
Cross-sectional, population-wide, survey study.
All rugby clubs (n = 52) of the Veneto region (Italy).
Players and coaches of all under 15, 17 and 19 teams. Overall, 1719 athlete surveys (92.2% male; response rate, 71.1%) and 235 coach surveys (93.6% male; response rate, 93.2%) were eligible for analysis.
Surveys circulated from September 20 to December 13, 2021.
Knowledge scores were reported as a percentage of correct answers. Descriptive statistics were reported for all answers. The primary outcomes were concussion knowledge and self-reported behaviors. The secondary outcomes were the association between knowledge and participant individual factors and self-reported behaviors.
Median knowledge score for athletes was 55% (IQR: 44-67) and for coaches was 60% (IQR: 52.5-69). Only 33.3% of athletes and 40% of coaches were aware of an increased risk of a second concussion after sustaining one. Athletes who had never heard of the word concussion (effect: -9.31; SE: 1.35, 95% CI: -12.0 to -6.7; P < 0.0001) and coaches with longer coaching experience (effect: -4.35; SE: 2.0, 95% CI: -8.29 to -0.41; P < 0.03) reported lower knowledge scores. There was no statistical association between knowledge scores and athlete self-reported behavior.
Athletes and coaches had a similar level of concussion knowledge. Knowledge score of athletes did not predict self-reported behaviors. Although enhanced concussion education should be undertaken, interventions to ensure appropriate concussion reporting behaviors are also required.
调查意大利青年橄榄球运动员及其教练的脑震荡知识和自我报告行为。调查较低脑震荡知识的预测因素以及运动员自我报告的知识和行为之间的关联。
横断面、全人群、调查研究。
威尼托地区（意大利）的所有橄榄球俱乐部（n=52）。
所有 15 岁以下、17 岁以下和 19 岁以下球队的运动员和教练。共有 1719 名运动员调查（92.2%为男性；回应率为 71.1%）和 235 名教练调查（93.6%为男性；回应率为 93.2%）符合分析条件。
调查于 2021 年 9 月 20 日至 12 月 13 日进行。
知识得分以正确答案的百分比报告。报告了所有答案的描述性统计数据。主要结果是脑震荡知识和自我报告行为。次要结果是知识与参与者个体因素和自我报告行为之间的关联。
运动员的知识得分中位数为 55%（IQR：44-67），教练的知识得分中位数为 60%（IQR：52.5-69）。只有 33.3%的运动员和 40%的教练意识到在遭受一次脑震荡后再次发生脑震荡的风险增加。从未听说过脑震荡一词的运动员（效应：-9.31；SE：1.35，95%CI：-12.0 至 -6.7；P < 0.0001）和执教经验较长的教练（效应：-4.35；SE：2.0，95%CI：-8.29 至 -0.41；P < 0.03）报告的知识得分较低。知识得分与运动员自我报告的行为之间没有统计学关联。
运动员和教练的脑震荡知识水平相似。运动员的知识得分并不能预测自我报告的行为。尽管应加强脑震荡教育，但也需要采取干预措施以确保适当的脑震荡报告行为。
