Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports

Steven Corman, Bradley Adame, Jiun Yi Tsai, Scott W. Ruston, Joshua S. Beaumont, Jessica K. Kamrath, Yanqin Liu, Karlee A. Posteher, Rikki Tremblay, Lisa J. van Raalte

Research output: Contribution to journalArticle

Abstract

Concussion among athletes is an issue of growing concern, with efforts underway to improve detection, diagnosis, and treatment. Success depends on communication by athletes, as brain-related symptoms are often not outwardly visible. Education programs to increase reporting behavior have not been successful to date. In accordance with the socioecological approach to health, we argue that multiple levels of influence on student athletes must be addressed, and report a multi-dimensional, mixed-methods research project conducted to identify possible points of intervention into changing the culture of concussion-injury reporting among collegiate athletes. Using quantitative, qualitative and interpretive methods, we examine the individual-level vested interests athletes have in reporting or not reporting concussion symptoms, and how these interests interact with community-level team culture and interpersonal relationships, and social-level cultural narratives to influence concussion-reporting behavior. Our findings confirm the viability of this approach, identifying immediacy, separation of responsibility and pain-enduring story systems as particularly salient elements. We conclude 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.

Original languageEnglish (US)
Article numbere0215424
JournalPloS one
Volume14
Issue number5
DOIs
StatePublished - May 1 2019

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athletes
Sports
sports
Athletes
Brain
Education
Health
Students
Communication
signs and symptoms (animals and humans)
interpersonal relationships
Wounds and Injuries
mixed culture
communication (human)
research projects
education programs
pain
students
viability
brain

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Corman, S., Adame, B., Tsai, J. Y., Ruston, S. W., Beaumont, J. S., Kamrath, J. K., ... van Raalte, L. J. (2019). Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports. PloS one, 14(5), [e0215424]. https://doi.org/10.1371/journal.pone.0215424

Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports. / Corman, Steven; Adame, Bradley; Tsai, Jiun Yi; Ruston, Scott W.; Beaumont, Joshua S.; Kamrath, Jessica K.; Liu, Yanqin; Posteher, Karlee A.; Tremblay, Rikki; van Raalte, Lisa J.

In: PloS one, Vol. 14, No. 5, e0215424, 01.05.2019.

Research output: Contribution to journalArticle

Corman, S, Adame, B, Tsai, JY, Ruston, SW, Beaumont, JS, Kamrath, JK, Liu, Y, Posteher, KA, Tremblay, R & van Raalte, LJ 2019, 'Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports', PloS one, vol. 14, no. 5, e0215424. https://doi.org/10.1371/journal.pone.0215424
Corman, Steven ; Adame, Bradley ; Tsai, Jiun Yi ; Ruston, Scott W. ; Beaumont, Joshua S. ; Kamrath, Jessica K. ; Liu, Yanqin ; Posteher, Karlee A. ; Tremblay, Rikki ; van Raalte, Lisa J. / Socioecological influences on concussion reporting by NCAA Division 1 athletes in high-risk sports. In: PloS one. 2019 ; Vol. 14, No. 5.
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