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Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes

Most of the research investigating sports concussion (SC) disclosure has been conducted using questionnaires with a pre-determined set of questions. Hence, significant gaps remain in our understanding of which factors weight in the decision-making process underlying SC disclosure and how they contri...

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Autores principales: Archambault, William, Ellemberg, Dave
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457645/
https://www.ncbi.nlm.nih.gov/pubmed/37636338
http://dx.doi.org/10.1089/neur.2023.0030
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author Archambault, William
Ellemberg, Dave
author_facet Archambault, William
Ellemberg, Dave
author_sort Archambault, William
collection PubMed
description Most of the research investigating sports concussion (SC) disclosure has been conducted using questionnaires with a pre-determined set of questions. Hence, significant gaps remain in our understanding of which factors weight in the decision-making process underlying SC disclosure and how they contribute to it. This present study aims to fill some of these gaps using qualitative methods to identify intrapersonal determinants of SC disclosure and describe their influence on an athlete's decision-making process. Our results are based on in-depth, semistructured interviews (range, 56–79 min; total = 587 min) with 9 university athletes (5 females, 4 males) from three team sports (soccer, rugby, and cheerleading). Using constant comparative analysis guided by Straussian grounded theory, we identified 13 concepts, across three major intrapersonal categories (i.e., attitudes and behaviors; concussion knowledge; and subjective evaluation of the concussion), contributing to SC disclosure, including novel determinants such as prioritization of athletic versus intellectual activities and maturity level. Our results suggest that a comparison between experiential knowledge and severity of the injury plays a major role in determining an athlete's disclosure behaviors. Athletes with a history of concussion seem to adopt a non-disclosure default strategy and are inclined to disclose their concussion symptoms only if they judge their current concussion to be worse than their previous most severe injury. Other concepts identified appear to contribute to the decisional process by modulating the adoption of this non-disclosure default strategy. Our work highlights the benefits and necessity of using qualitative methods to study the decision-making process underlying concussion disclosure.
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spelling pubmed-104576452023-08-27 Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes Archambault, William Ellemberg, Dave Neurotrauma Rep Original Article Most of the research investigating sports concussion (SC) disclosure has been conducted using questionnaires with a pre-determined set of questions. Hence, significant gaps remain in our understanding of which factors weight in the decision-making process underlying SC disclosure and how they contribute to it. This present study aims to fill some of these gaps using qualitative methods to identify intrapersonal determinants of SC disclosure and describe their influence on an athlete's decision-making process. Our results are based on in-depth, semistructured interviews (range, 56–79 min; total = 587 min) with 9 university athletes (5 females, 4 males) from three team sports (soccer, rugby, and cheerleading). Using constant comparative analysis guided by Straussian grounded theory, we identified 13 concepts, across three major intrapersonal categories (i.e., attitudes and behaviors; concussion knowledge; and subjective evaluation of the concussion), contributing to SC disclosure, including novel determinants such as prioritization of athletic versus intellectual activities and maturity level. Our results suggest that a comparison between experiential knowledge and severity of the injury plays a major role in determining an athlete's disclosure behaviors. Athletes with a history of concussion seem to adopt a non-disclosure default strategy and are inclined to disclose their concussion symptoms only if they judge their current concussion to be worse than their previous most severe injury. Other concepts identified appear to contribute to the decisional process by modulating the adoption of this non-disclosure default strategy. Our work highlights the benefits and necessity of using qualitative methods to study the decision-making process underlying concussion disclosure. Mary Ann Liebert, Inc., publishers 2023-08-17 /pmc/articles/PMC10457645/ /pubmed/37636338 http://dx.doi.org/10.1089/neur.2023.0030 Text en © William Archambault and Dave Ellemberg 2023; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Archambault, William
Ellemberg, Dave
Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes
title Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes
title_full Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes
title_fullStr Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes
title_full_unstemmed Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes
title_short Hard-Headed Decisions: Intrapersonal Factors Underlying Concussion Reporting in University Athletes
title_sort hard-headed decisions: intrapersonal factors underlying concussion reporting in university athletes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457645/
https://www.ncbi.nlm.nih.gov/pubmed/37636338
http://dx.doi.org/10.1089/neur.2023.0030
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