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Peer-Led Versus Authority-Led Video Intervention Effects on Musculoskeletal Injury Help-Seeking Intentions in Reserve
Joshua D Wooldridge1,2, Brian K Schilling1, Daniel L Young3
1Department of Kinesiology and Nutrition Sciences, University of Nevada, Las Vegas, Las Vegas, NV 89154, USA.
Military Medicine
|August 20, 2024
Summary
A brief educational video did not increase Reserve Officers' Training Corps (ROTC) trainees' intentions to report musculoskeletal injuries (MSKIs). The study suggests that ingrained reporting behaviors in ROTC may require more than a single intervention to change.
Area of Science:
- Military Medicine
- Sports Medicine
- Injury Prevention
Background:
- Reserve Officers' Training Corps (ROTC) trainees experience musculoskeletal injuries (MSKIs) similar to other military training environments.
- A significant issue in ROTC is the concealment of MSKIs, with 66% going unreported, potentially hindering timely treatment and recovery.
- Understanding factors influencing MSKI reporting intentions is crucial for improving trainee health and readiness.
Purpose of the Study:
- To evaluate the effectiveness of a brief, online educational video intervention in increasing MSKI reporting intentions among ROTC trainees.
- To investigate whether the source of the educational message (peer vs. authority figure) influences MSKI reporting intentions.
Main Methods:
- A repeated measures design was employed, involving 100 ROTC trainees from 23 universities.
- Participants were randomly assigned to view one of three videos: peer-led MSKI education, authority-led MSKI education, or a control video on exercise technique.
- MSKI reporting intentions and stigma beliefs were measured using a pre- and post-intervention survey, analyzed with a two-way mixed ANOVA.
Main Results:
- No significant interaction effect was found between the intervention group and time (pre- vs. post-intervention).
- There were no significant main effects for time or group, indicating that neither the peer-led nor the authority-led video significantly changed MSKI reporting intentions compared to the control.
- Post-intervention scores showed no substantial improvement in help-seeking intentions across all groups.
Conclusions:
- A single educational video intervention was insufficient to influence MSKI help-seeking intentions in ROTC trainees, suggesting that reporting behaviors may be deeply ingrained.
- The findings suggest that systematic concealment cultures within military training environments may require more comprehensive strategies beyond brief educational modules.
- Future research should explore how MSKI reporting intentions evolve throughout an individual's military career and consider longitudinal interventions.
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