ArticlePloS one2019
Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Concussion recovery time, return-to-play protocols, and mandated sit-out periods among adult amateur contact field sports: A systematic review.Irish journal of medical science · 2026Pooled it
- Transformational Leadership, Psychological Safety, and Concussion Reporting Intentions in Team-Sport Athletes.International journal of environmental research and public health · 2025Article
- Sport-Specific Recovery Trajectories for NCAA Collegiate Athletes Following Concussion.Annals of biomedical engineering · 2024Article
- Exploring the Experiences and Perspectives of Division III Athletes Regarding Personalized Nutrition Plans for Improved Performance-A Qualitative Investigation.Healthcare (Basel, Switzerland) · 2024Article
- Nutritional Considerations of Irish Performance Dietitians and Nutritionists in Concussion Injury Management.Nutrients · 2024Article
- Examining the Biopsychosocial Factors Related to Lifetime History of Concussion in Children and Youth.Child psychiatry and human development · 2024Article
- 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
- Sport culture and communication among middle school athletes, parents, and staff: A qualitative study.PloS one · 2023Article
- The Student Athlete Wellness Portal: Translating Student Athletes' Prescription Opioid Use Narratives into a Targeted Public Health Intervention.Medicina (Kaunas, Lithuania) · 2022Article
- Examining Concussion Nondisclosure in Collegiate Athletes Using a Health Disparities Framework and Consideration of Social Determinants of Health.Journal of athletic training · 2022Article
- Development of a scale to measure expected concussion reporting behavior.Injury epidemiology · 2021Article
- Hand and wrist injuries among collegiate athletes vary with athlete division.Injury epidemiology · 2021Article
- Do rugby league players under-report concussion symptoms? A cross-sectional study of elite teams based in Australia.BMJ open sport & exercise medicine · 2021Article
- Validating Tackle Mechanics in American Football: Improving Safety and Performance.Annals of biomedical engineering · 2020Article
- Factors Associated With Delayed Concussion Reporting by United States Service Academy Cadets.Journal of athletic training · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Concussion among athletes is an issue of growing concern, with efforts underway to improve detection, diagnosis, and treatment. Success depends on communication by athletes, as brain-related symptoms are often not outwardly visible. Education programs to increase reporting behavior have not been successful to date. In accordance with the socioecological approach to health, we argue that multiple levels of influence on student athletes must be addressed, and report a multi-dimensional, mixed-methods research project conducted to identify possible points of intervention into changing the culture of concussion-injury reporting among collegiate athletes. Using quantitative, qualitative and interpretive methods, we examine the individual-level vested interests athletes have in reporting or not reporting concussion symptoms, and how these interests interact with community-level team culture and interpersonal relationships, and social-level cultural narratives to influence concussion-reporting behavior. Our findings confirm the viability of this approach, identifying immediacy, separation of responsibility and pain-enduring story systems as particularly salient elements. We conclude that competing performance versus safety value structures, reflected in cultural narratives and team culture, create mixed-messages for athletes, which are resolved in favor of performance because athletes perceive concussion injuries to be of low immediacy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.