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Concussion Knowledge and Attitudes in Reserve Officers' Training Corps Cadets.

Kara N Radzak1, Katherine J Hunzinger2,3, Katelyn M Costantini4

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Summary

Future military officers show high concussion knowledge but retain misconceptions about symptom duration and imaging. Education should address these gaps and social norms regarding concussion safety.

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Area of Science:

  • Sports Medicine
  • Military Health
  • Neurology

Background:

  • Concussion knowledge is vital for military personnel, especially leaders, impacting identification and care-seeking.
  • Future officers in Reserve Officers' Training Corps (ROTC) programs are key targets for concussion education.

Purpose of the Study:

  • To assess concussion knowledge and attitudes among U.S. ROTC cadets.
  • To identify specific misconceptions regarding concussion signs, symptoms, and recovery.

Main Methods:

  • A survey-based observational study involving Army and Air Force ROTC cadets at two universities.
  • Utilized a modified Rosenbaum Concussion Knowledge and Attitude Survey.
  • Descriptive statistics were employed to analyze Concussion Knowledge Index and Concussion Attitude Index scores.

Main Results:

  • Cadets achieved a mean Concussion Knowledge Index of 18.8/25.
  • Significant misconceptions included beliefs that concussion symptoms resolve within 10 days (79.1%) and brain imaging reveals physical damage (74.5%).
  • Cadets reported more positive attitudes towards safe concussion behaviors than they perceived in their peers.

Conclusions:

  • ROTC cadets demonstrate substantial concussion knowledge but harbor persistent misconceptions.
  • While cadets advocate for safe concussion practices, they perceive differing peer attitudes.
  • Future research should explore ROTC concussion social norms, and educational initiatives should emphasize peer support for safe behaviors.