ArticleJournal of athletic training2019
Improving Concussion-Reporting Behavior in National Collegiate Athletic Association Division I Football Players: Evidence for the Applicability of the Socioecological Model for Athletic Trainers.
Article in Journal of athletic training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Racial and ethnic representation in concussion research: a call for methodological and analytical reform.International journal for equity in health · 2025Article
- Factors Affecting Sport-Related Concussion Non-Disclosure in Women's Rugby-A Multi-Country Qualitative Analysis.Journal of functional morphology and kinesiology · 2024Article
- Applying the National Institute on Minority Health and Health Disparities Research Framework to Social Determinants of Health in the Context of Sport-Related Concussion: A Clinical Commentary.Journal of athletic training · 2024Article
- Collegiate student-athletes concussion knowledge and attitudes: what a difference a decade Makes.Brain injury · 2024Article
- The Identification and Comparison of Factors Affecting Musculoskeletal and Concussion Injury Disclosure.Journal of athletic training · 2023Article
- A Behavior Analytic Interpretation of Concussion Reporting in Athletes: How the Field of Behavior Analysis Can Help Make Athletes Safer.Journal of athletic training · 2023Review
- Effect of Coach Feedback and Awareness of Head Impact Exposure on Practice Structure in Youth Football.Journal of neurotrauma · 2021Article
- A Systematic Review of Strength and Conditioning Protocols for Improving Neck Strength and Reducing Concussion Incidence and Impact Injury Risk in Collision Sports; Is There Evidence?Journal of functional morphology and kinesiology · 2021Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextFew researchers have examined the views of important stakeholders in football student-athletes' spheres of influence and whether their views map well in a systems approach to understanding concussion-reporting behavior (CRB).
objectiveTo examine the extent to which stakeholders' beliefs about what influences football players' CRBs reflect system-level influences that go beyond individual-level factors.
designQualitative study.
settingFour National Collegiate Athletic Association Division I university athletic programs. PATIENTS OR OTHER
participantsA total of 26 individuals (athletic directors = 5, athletic trainers [ATs] = 10, football coaches = 11). DATA COLLECTION AND ANALYSIS: Semistructured interviews with stakeholders were transcribed and analyzed using the socioecological model according to the Miles and Huberman coding methods.
resultsStakeholders largely identified individual-level factors (attitudes), followed by exosystem-level factors (university policies and support for ATs), with fewer microsystem- and mesosystem-level factors (coach influence and communication between coaches and ATs, respectively) and almost no macrosystem-level factors (media influence, cultural norms about aggression and toughness in football).
conclusionsPromising evidence indicates growing stakeholder awareness of the importance of exosystem-level factors (eg, medical personnel and CRB policies) in influencing CRB rates. However, frontline stakeholders and policy makers may benefit from practices that bridge these influences (eg, coach involvement and communication), allowing for a more integrated approach to influence student-athletes' willingness to improve their CRBs.
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