Journal Logo

G-44 Free Communication/Poster - Behavioral Aspects and Correlates of Concussions Saturday, June 2, 2018, 7: 30 AM - 11: 00 AM Room: CC-Hall B

Adolescent and Collegiate Knowledge and Behavior Regarding Concussion

3329 Board #198 June 2 9

30 AM - 11

00 AM

Harper, Brent; Aron, Adrian; Siyufy, Alex

Author Information
Medicine & Science in Sports & Exercise: May 2018 - Volume 50 - Issue 5S - p 826
doi: 10.1249/01.mss.0000538721.18927.e7
  • Free

PURPOSE: To compare adolescent concussion knowledge and behaviors regarding concussion to that of collegiate students using a modified Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS) questionnaire.

METHODS: Two groups (n=222) completed the questionnaire. Group 1 (HSS) included female and male 9th and 10th grade high school students (n=190) with a mean age of 15.1 ± 0.8 years (64.7% female; 35.3% male) and group 2 (CS) included female and male collegiate students (n=32) with a mean age of 19.1 ± 1.1 years (78.1% female; 21.9% male). Of HSS, 59.4% reported belonging to a competitive sports team compared to 87.5% of CS (p=0.007). A sampling of questions from the RoCKAS questionnaire was used to assess groups for: (1) general concussion knowledge and (2) the demonstration of safe behaviors in situational decision making (“safe” or “unsafe”).

RESULTS: Sample survey questions evaluated if the participants were actually reading and answering the questions thoughtfully. Scores were high in both groups with no statistically significant difference (HHS 88.5%; CS 93%; p=0.13). General concussion knowledge was correctly answered by 83.8% of the HSS compared to 93% of the CS (p=0.007). HSS not participating in athletics were less knowledgeable than those participating in sports (20.1% compared to 13.5%, p=0.01). HSS males not participating in sports answered incorrectly 23.4% of the time compared with HSS males in sports (12.2%, p=0.03). No statistical significance comparing HSS females in relation to sports participation. Responses to the four situational questions analyzed identified that HSS answered unsafely on the behavior questions in a higher proportion compared to CS (87.1 % vs. 17.1%, p=0.0001). In fact, actual age of the participants negatively correlated with the behavior answers (r=-0.4, p=0.0001). Although older college students have safer attitudes, there was a significant difference between females and males (89.2% compared to 64.3%, p=0.005).

CONCLUSIONS: HSS and CS are knowledgeable about concussion. Age is positively associated with increased knowledge. HSS participating on sporting teams are more knowledgeable, especially males. HS students make more unsafe situational decisions compared to their collegiate counterparts and female CS demonstrate the safest behavior.

© 2018 American College of Sports Medicine