ArticleJournal of athletic training2024
Determinants of Medical Care-Seeking Behavior for Musculoskeletal Conditions During US Marine Corps Training: A Thematic Analysis.
Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Rehabilitating Soldiers for Load Carriage Tasks: An International Perspective.International journal of environmental research and public health · 2025Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextMusculoskeletal injuries (MSK-I) are a well-documented problem in military populations and a leading contributor to disability across military services. However, only a portion of Service members who sustain an MSK-I report it to medical providers. Although several studies have identified barriers to seeking medical care in military populations, less is known about what motivates Service members to seek care for MSK-I.
objectiveTo describe determinants of medical care-seeking behavior for MSK-I and/or musculoskeletal pain (MSK-P) in recently enlisted US Marines during military training.
designQualitative study.
settingSchool of Infantry-West (SOI-W), Marine Corps Base Camp Pendleton, California. PATIENTS OR OTHER
participantsA total of 1097 US Marines entering Infantry Training Battalion or Marine Combat Training at SOI-W. DATA COLLECTION AND ANALYSIS: Participants completed written surveys at entry to (baseline) and graduation from SOI-W. Closed-ended question responses were used to calculate MSK-I/MSK-P and care-seeking frequencies. Open-ended responses describing determinants of care-seeking behavior were analyzed using inductive thematic analysis.
resultsTen percent of participants self-reported sustaining MSK-I during basic training, whereas 14% self-reported sustaining an MSK-I in SOI-W training. A greater proportion reported seeking medical care for their MSK-I/MSK-P during basic training than during SOI-W training. The thematic analysis resulted in 3 main themes that describe drivers and barriers for seeking medical care: (1) self-perceived need for medical care, (2) prioritizing military training, and (3) training-specific influences.
conclusionUnderstanding determinants of care-seeking behavior is valuable when designing intervention strategies to promote early MSK-I treatment. Our findings add to previous research to elucidate reasons underlying the decisions about care-seeking for MSK-I/MSK-P. Interventions, including educational strategies and direct approaches like embedding medical providers within units, to minimize barriers to seeking medical care in the military may reduce the burden of MSK-I/MSK-P on Service members throughout their military careers.
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