Athlete Enjoyment of Prior Education Moderates change inConcussion-Reporting Intention after Interactive Education

摘要

Undiagnosed concussions increase risk of additional injuries and can prolongrecovery. Because of the difficulties recognizing concussive symptoms,concussion education must specifically target improving athlete concussionreporting. Many concussion education programs are designed without significantinput from athletes, resulting in a less enjoyable athlete experience, withpotential implications on program efficacy. Athlete enjoyment of previousconcussion education programs moderates the improvement in concussion-reportingintention after experiencing the research version of CrashCourse (CC) concussioneducation. Prospective cohort study. Level of evidence: Level IV. Quantitativeassessment utilizing ANOVA with moderation analysis of 173 male high schoolfootball players, aged 13 to 17, who completed baseline assessments ofconcussion knowledge, concussion reporting, and attitudes about prioreducational interventions. Athletes were subsequently shown CC, before afollow-up assessment was administered assessing the same domains. At baseline,only 58.5% of athletes reported that they enjoyed their previous concussioneducation. After CC, athletes were significantly more likely to endorse thatthey would report a suspected concussion (from 69.3% of athletes to 85.6%;P < .01). Enjoyment of previous concussion educationmoderated concussion-reporting intention after CC (P = .02),with CC having a greater effect on concussion-reporting intention in athleteswith low enjoyment of previous concussion education (b = 0.21,P = .02), than on individuals with high enjoyment ofprevious concussion education (P = .99). Enjoyment of CC didnot have a moderating effect on concussion-reporting intention. Athletes whopreviously did not enjoy concussion education exhibited greater gains inconcussion-reporting intention than athletes who enjoyed previous education.Given the potential risks associated with undiagnosed concussions, concussioneducation has sought to improve concussion reporting. Because most athletesparticipate in concussion education programs due to league or state mandates,improving concussion-reporting intention in these low-enjoyment athletes is ofparticular relevance to improving concussion-reporting intention broadly.