Evidence map›Paper›PMID 33618368›Full record

ArticleJournal of athletic training2021

Association Between Previous Concussion Education and Concussion Care-Seeking Outcomes Among National Collegiate Athletic Association Division I Student-Athletes.

Christine E Callahan, Melissa C Kay, Zachary Y Kerr, Madison T Hinson, Laura A Linnan, Heidi Hennink-Kaminski, Paula Gildner, Stephen W Marshall, Megan N Houston, Kenneth L Cameron and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of athletic training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  9. Concussion Nondisclosure in Youth Sports.Journal of athletic training · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Christine E CallahanMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill.
Melissa C KaySchool of Health Professions, University of Southern Mississippi, Hattiesburg.
Zachary Y KerrMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill.
Madison T HinsonMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill.
Laura A LinnanDepartment of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill.
Heidi Hennink-KaminskiHussman School of Media and Journalism, The University of North Carolina at Chapel Hill.
Paula GildnerInjury Prevention Research Center, The University of North Carolina at Chapel Hill.
Stephen W MarshallInjury Prevention Research Center, The University of North Carolina at Chapel Hill.
Megan N HoustonKeller Army Community Hospital, West Point, NY.
Kenneth L CameronKeller Army Community Hospital, West Point, NY.
Johna Register-MihalikMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill.
Oslo Sports Trauma Research Center · NOUniversity of North Carolina at Chapel Hill · USKeller Army Community Hospital · USUniversity of Southern Mississippi · US

Funding

UNC INJURY PREVENTION RESEARCH CENTERR49CE002479 · CE · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARSHALL, STEPHEN WILLIAM · 2014 to 2018
$3.9M
ACL HHS R49CE002479NCIPC CDC HHS R49 CE002479
6 · The paper itself

Abstract

contextLimited data exist concerning differences in concussion-education exposure and how education exposures relate to care seeking and symptom disclosure, specifically by National Collegiate Athletic Association Division I student-athletes.

objectiveTo investigate demographic characteristics associated with concussion-education exposure and examine whether overall education exposure (yes versus no) and education-source exposure number (multiple sources versus a single source) affect concussion care-seeking and disclosure factors in Division I student-athletes.

designCross-sectional study.

settingClassroom or online survey. PATIENTS OR OTHER

participantsDivision I student-athletes (n = 341). MAIN OUTCOME MEASURE(S): Frequencies and proportions were computed for sex, race, school year, sport, and concussion history across concussion-education groups. Prevalence ratios (PRs) and 95% CIs were calculated to quantify the associations between student-athlete characteristics and (1) overall concussion-education exposure and (2) source-exposure number. Separate multivariable linear regression models estimated adjusted mean differences (MDs) and 95% CIs, which allowed us to assess differences in concussion knowledge, attitudes, and perceived social norms relative to concussion-education exposure and exposure to multiple sources. Separate multivariable binomial regression models were performed to estimate adjusted PRs and 95% CIs in order to evaluate associations of intention, perceived control, and care-seeking or disclosure behaviors and overall concussion-education exposure and exposure to multiple sources. All models controlled for sex, sport, and concussion history.

resultsOverall, 276 (80.9%) participants reported previous concussion education, with 179 (64.9%) being exposed to multiple sources. Student-athletes who participated in a contact sport (adjusted PR = 1.24; 95% CI = 1.06, 1.44) and those who had a concussion history (adjusted PR = 1.19; 95% CI = 1.09, 1.31) had higher prevalences of concussion-education exposure. Females had a lower prevalence of reporting multiple sources (adjusted PR = 0.82; 95% CI = 0.68, 0.99). Overall concussion-education exposure was significantly associated with more favorable perceived social norms surrounding concussion care seeking (adjusted MD = 1.37; 95% CI = 0.13, 2.61).

conclusionsThese findings highlighted the potential differences in overall concussion-education exposure and provide clinicians with information on groups who may benefit from additional targeted education.

Indexed as

concussion disclosureconcussion preventionmild traumatic brain injuries

Identifiers

PMID33618368
PMCPMC8010936
OpenAlexW3133410027

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.