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Concussion knowledge, attitudes, and norms: How do they relate?

Aliza K Nedimyer1,2,3, Avinash Chandran1,4, Melissa K Kossman5

  • 1Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.

Plos One
|February 22, 2023
PubMed
Summary

Parental concussion knowledge, attitudes, and norms are interconnected, influencing sports safety behaviors. Understanding these complex dynamics is key to improving concussion care-seeking in young athletes.

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Area of Science:

  • Sports Medicine
  • Public Health
  • Child Development

Background:

  • Previous research examined concussion knowledge, attitudes, and norms influencing care-seeking behaviors.
  • Current models suggest these constructs mediate care-seeking, but their interrelationships require further clarification.

Purpose of the Study:

  • To explore the relationships among concussion-related knowledge, attitudes, and norms in parents of middle school athletes.
  • To compare different path models to understand these interrelationships.

Main Methods:

  • Cross-sectional online survey of 426 parents of middle school students participating in sports.
  • Path analysis was used to evaluate relationships between knowledge, attitudes, and norms.

Main Results:

  • A just-identified model showed norms influencing knowledge and attitudes, and knowledge influencing attitudes.
  • This model explained 14% of the variance in attitudes and 12% in knowledge.

Conclusions:

  • Concussion knowledge, attitudes, and norms are directly related but exhibit complex dynamics.
  • A simplified interpretation may be insufficient; further research is needed to understand their impact on care-seeking behaviors.