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Association between concussion-reporting intention and reporting behavior in a simulated game setting.

Niki Konstantinides1, Christine M Baugh2,3, Amy Bugwadia4

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Summary

High school athletes with greater concussion-reporting intention were more likely to report a simulated concussion. This novel video simulation approach may improve how we assess concussion reporting behavior.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Public Health

Background:

  • Assessing concussion reporting efficacy is challenging due to reliance on behavioral intentions, as self-reports often lack correlation with actual behavior.
  • Simulated in-game behavioral observation presents a viable alternative for evaluating concussion reporting when real-world data collection is impractical.

Purpose of the Study:

  • To investigate the association between concussion-reporting intentions and actual concussion-reporting behavior within a unique simulated in-game environment.
  • To evaluate the effectiveness of a novel video simulation in assessing athletes' concussion reporting tendencies.

Main Methods:

  • A secondary analysis of a larger study involving 313 high school football players from seven Colorado high schools.
  • Participants completed baseline concussion-reporting intention questionnaires and were randomized to receive standard concussion education or not.
  • Concussion-reporting behavior was assessed using a first-person, 2-minute video simulation depicting a simulated concussion, followed by a decision prompt to seek evaluation or continue playing.

Main Results:

  • Athletes who reported the simulated concussion demonstrated significantly higher baseline concussion-reporting intention (p < .001).
  • Each one-point increase in baseline reporting intention correlated with increased odds of reporting the simulated concussion (1.99x for educated group, 1.53x for non-educated group).

Conclusions:

  • Concussion-reporting behavior in a simulated in-game setting is positively associated with higher baseline concussion-reporting intention.
  • Interactive video simulation offers a promising method for evaluating both concussion-reporting intention and behavior in athletes.