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Investigation of strategies to improve concussion reporting in American football

机译：改善美式足球脑震荡报告的策略调查

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While research on sport-related concussion has increased dramatically over the past decade, research investigating concussion reporting is in its early stages. The purpose of this project was to assess concussion reporting and work with stakeholders to develop and assess strategies to improve reporting. We used a multi-site, repeated measures design with three NCAA Division I football programs, including 223 athlete participants. A modified community-based participatory research (CBPR) approach was used to develop intervention strategies (Fall 2017 season) with stakeholders designed to increase concussion reporting intentions. Preseason and postseason surveys were administered to determine effectiveness. Main outcome measures included concussion knowledge, intervention effectiveness, and reporting intention measures. For all three programs, concussion knowledge was unrelated to reporting intentions. Two of the three programs implemented the intervention strategies and for these programs there was evidence that the interventions were effective. Specifically, athletes from these two programs perceived more support from coaches about reporting (P< 0.05; t= 2.83), received education more frequently (P< 0.05; t= 2.67), and reported being more likely to report concussion symptoms (P< 0.05; t= 2.14). Our study demonstrates that working with stakeholders to develop site-specific strategies to improve concussion reporting is an effective approach to help improve reporting behaviours.
机译：虽然在过去十年中，对体育相关脑震荡的研究发生了显着增加，但调查脑震荡报告的研究处于早期阶段。该项目的目的是评估脑脑报告，并与利益攸关方合作，制定和评估改进报告的战略。我们使用了一个多网站，重复措施设计，具有三个NCAA司足球计划，包括223名运动员参与者。基于改进的社区参与性研究（CBPR）方法用于制定干预策略（2017赛季秋季）与旨在增加脑震荡报告意图的利益相关者。季前赛和季后赛调查被施用以确定有效性。主要结果措施包括脑震荡知识，干预效果和报告意向措施。对于所有三个程序，脑震荡知识与报告意图无关。三个方案中的两个实施了干预策略，并为这些方案有证据表明干预措施是有效的。具体而言，来自这两个方案的运动员从教练那里感受到关于报告的教练（P <0.05; T = 2.83），更频繁地接受了教育（P <0.05; T = 2.67），并报告更有可能报告脑震荡症状（P < 0.05; t = 2.14）。我们的研究表明，与利益相关者合作开发特定的特定战略，以改善脑震荡报告是有效的帮助改善报告行为的有效方法。

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