Disclosure and non-disclosure of concussion and concussion symptoms in athletes: Review and application of the socio-ecological framework

@article{Kerr2014DisclosureAN,
  title={Disclosure and non-disclosure of concussion and concussion symptoms in athletes: Review and application of the socio-ecological framework},
  author={Zachary Y. Kerr and Johna Register-Mihalik and Stephen W Marshall and Kelly R. Evenson and Jason P. Mihalik and Kevin M Guskiewicz},
  journal={Brain Injury},
  year={2014},
  volume={28},
  pages={1009 - 1021}
}
PRIMARY OBJECTIVE To summarize the factors associated with athletes' disclosure-and non-disclosure-of sports-related concussion and concussion symptoms within the context of the socio-ecological framework and to identify research gaps in the current literature. [] Key MethodMETHODS Searches using electronic databases identified studies written in English, published through October 2013 and addressing some aspect of disclosure of concussion and concussion symptoms.
Perceived social norms and concussion-disclosure behaviours among first-year NCAA student-athletes: implications for concussion prevention and education
TLDR
Clinicians, coaches, sports administrators, and healthcare practitioners should be mindful of the need to create supportive social environments to improve concussion symptom disclosure.
Concussion Knowledge and Reporting Behaviors Among Collegiate Athletes
TLDR
It is apparent that sex differences exist in SRC knowledge and reporting behaviors among collegiate athletes and educational efforts aimed at collegiate athletes may not be enough.
Using the Integrated Behavioral Model to Determine Sport-Related Concussion Reporting Intentions Among Collegiate Athletes.
Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports
TLDR
It is concluded that competing performance versus safety value structures, reflected in cultural narratives and team culture, create mixed-messages for athletes, which are resolved in favor of performance because athletes perceive concussion injuries to be of low immediacy.
Relationship Between Concussion History and Concussion Knowledge, Attitudes, and Disclosure Behavior in High School Athletes
TLDR
Positive trends in concussion disclosure behavior were identified in youth athletes with a positive history of concussion, and improving disclosure in this subgroup will require targeted efforts addressing negative attitude to concussion.
A Scoping Review to Address the Culture of Concussion in Youth and High School Sports.
TLDR
The rapid spread of concussion education and awareness efforts has outpaced research on effective strategies to improve knowledge, attitudes, and behaviors that contribute to the culture of concussion.
In it to win it: Competitiveness, concussion knowledge and nondisclosure in athletes
TLDR
Investigation of athletes’ concussion knowledge and competitiveness on concussion nondisclosure suggested that healthcare providers should focus on being able to identify highly competitive athletes who are most at risk of nondisclosed instead of exclusively aiming to increase concussion knowledge in athletes.
Pilots and athletes: Different concerns, similar concussion non-disclosure
TLDR
It is demonstrated that cultures of concussion non-disclosure can develop in any population where disclosure is perceived as having undesirable consequences, not just athletic populations, and that Concussion researchers and practitioners should devote more attention to the perceived cost-benefit structures that create concussionNon-Disclosure.
Psychosocial Outcomes of Sport Concussions in Youth Hockey Players.
TLDR
Results suggest smaller percentage of youth may be more prone to psychological sequelae following concussion, compared with other groups where effect sizes were medium to large.
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Clinicians and administrators should make concussion education a priority and encourage an optimal reporting environment to better manage and prevent concussive injuries in young athletes.
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