Knowledge and attitude among Malaysian secondary school athletes on sports-related concussion

Fairus Fariza Zainudin

Abstract


Adolescents' knowledge and attitude toward concussions are important in reducing the effects of post-concussion syndrome. To date, no standard education has been applied to Malaysian school-aged athletes. This study aims at identifying the level of knowledge and attitudes towards concussions among secondary school athletes. A cross-sectional survey with a purposive sampling method was employed. This study included 190 athletes at State Sports School. The RoCKAS-ST questionnaire was used to assess the knowledge and attitude of respondents on concussions. Independent t-tests were used to analyze differences in knowledge and attitudes score toward concussion between gender (male, female), sports type (contact, non-contact), and competition rank (U15, U18) with p <0.05. There was no significant difference, p> 0.05 for both Concussion Knowledge Index (CKI) and Concussion Attitude Index (CAI) score between male and female athletes in contact and non-contact sports athletes. Age differences did not influence CKI scores. However, there was a significant difference, p <0.05 for the CAI score between the age categories of under-15 athletes (U15) and under-18 athletes (U18). In conclusion, age level influenced athletes' attitudes toward concussions. The younger athlete was more vulnerable to concussion injury. Therefore, developing a standard SRC education program for young Malaysian athletes is strongly recommended for concussion management.


Keywords


concussion; contact sports; non-contact sports; knowledge; attitude

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References


Abrahams, S., Mc Fie, S., Patricios, J., Posthumus, M., & September, A. V. (2014). Risk factors for sports concussion: an evidence-based systematic review. British Journal of Sports Medicine, 48(2), 91-97. http://dx.doi.org/10.1136/bjsports-2013-092734

American Academy of Pediatrics. (2010). Clinical report: sport-related concussion in children and adolescents. Pediatrics, 126(3), 597-615.

Baker, J. F., Devitt, B. M., Green, J., & McCarthy, C. (2013). Concussion among under 20 rugby union players in Ireland: incidence, attitudes and knowledge. Irish Journal of Medical Science, 182(1), 121-125. https://doi.org/10.1007/s11845-012-0846-1

Baker, J. G., Leddy, J. J., Darling, S. R., Shucard, J., Makdissi, M., & Willer, B. S. (2016). Gender differences in recovery from sports-related concussion in adolescents. Clinical Pediatrics, 55(8),771-775. https://doi.org/10.1177/0009922815606417

Bleiberg, J., Cernich, A. N., Cameron, K., Sun, W., Peck, K., Ecklund, J., ... & Warden, D. L. (2004). Duration of cognitive impairment after sports concussion. Neurosurgery, 54(5),1073-1080. https://doi.org/10.1227/01.NEU.0000118820.33396.6A

Cournoyer, J., & Tripp, B. L. (2014). Concussion knowledge in high school football players. Journal of Athletic Training, 49(5), 654-658. https://doi.org/10.4085/1062-6050-49.3.34

Craig, D. I., Lininger, M. R., Vomacka, M. M., & Tiscareno, R. (2020). Concussion reporting behaviors of athletes: a systematic review. Athletic Training & Sports Health Care, 12(2), 81-88. https://doi.org/10.3928/19425864-20190322-01

Echlin, P. S., Johnson, A. M., Holmes, J. D., Tichenoff, A., Gray, S., Gatavackas, H., Walsh, J., Middlebro, T., Blignaut, A., MacIntyre, M., Anderson, C., Fredman, E., Mayinger, M., Skopelja, E. N., Sasaki, T., Bouix, S., Pasternak, O., Helmer, K. G., Koerte, I. K., Shenton, M. E., … Forwell, L. A. (2014). The Sport Concussion Education Project. A brief report on an educational initiative: from concept to curriculum. Journal of Neurosurgery, 121(6), 1331–1336. https://doi.org/10.3171/2014.8.JNS132804

Enniss, T. M., Basiouny, K., Brewer, B., Bugaev, N., Cheng, J., Danner, O. K., Duncan, T., Foster, S., Hawryluk, G., Jung, H. S., Lui, F., Rattan, R., Violano, P., & Crandall, M. (2018). Primary prevention of contact sports-related concussions in amateur athletes: a systematic review from the Eastern Association for the Surgery of Trauma. Trauma Surgery & Acute Care Open, 3(1), e000153. https://doi.org/10.1136/tsaco-2017-000153

Fariza Zainudin Fairus, Mohd Azrul Anuar Zolkafi, Ali Md Nadzalan, Zulezwan Ab. Malik, Lee Ai Choo (2020).Translation, Cross-Cultural Adaptation, Validity and Reliability of the Malay Version of the Rosenbaum Concussion Knowledge and Attitude Survey-Student Version (Rockas-St-M). Indian Journal of Public Health Research and Development. 11 (3), 1651-1655. https://doi.org/10.37506/ijphrd.v11i3.2219

Gardner, A., Iverson, G. L., Levi, C. R., Schofield, P. W., Kay-Lambkin, F., Kohler, R. M., & Stanwell, P. (2015). A systematic review of concussion in rugby league. British Journal of Sports Medicine, 49(8), 495-498. http://dx.doi.org/10.1136/bjsports-2013-093102

Gardner, A. J., Iverson, G. L., Williams, W. H., Baker, S., & Stanwell, P. (2014). A systematic review and meta-analysis of concussion in rugby union. Sports Medicine, 44(12), 1717-1731. https://doi.org/10.1007/s40279-014-0233-3

Giza, C. C., Kutcher, J. S., Ashwal, S., Barth, J., Getchius, T. S., Gioia, G. A., Gronseth, G. S., Guskiewicz, K., Mandel, S., Manley, G., McKeag, D. B., Thurman, D. J., & Zafonte, R. (2013). Summary of evidence-based guideline update: evaluation and management of concussion in sports: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology, 80(24), 2250–2257. https://doi.org/10.1212/WNL.0b013e31828d57dd

Halstead, M. E., & Walter, K. D. (2010). Sport-related concussion in children and adolescents. Pediatrics, 126(3), 597-615. https://doi.org/10.1542/peds.2010-2005

Harmon, K. G., Drezner, J., Gammons, M., Guskiewicz, K., Halstead, M., Herring, S., ... & Roberts, W. (2013). American Medical Society for Sports Medicine position statement: concussion in sport. Clinical Journal of Sport Medicine, 23(1), 1-18. http://dx.doi.org/10.1136/bjsports-2012-091941

Jinguji, T. M., Krabak, B. J., & Satchell, E. K. (2011). Epidemiology of youth sports concussion. Physical Medicine and Rehabilitation Clinics, 22(4), 565-575. https://doi.org/10.1016/j.pmr.2011.08.001

King, D., Brughelli, M., Hume, P., & Gissane, C. (2014). Assessment, management and knowledge of sport-related concussion: systematic review. Sports Medicine, 44(4), 449-471. https://doi.org/10.1007/s40279-013-0134-x

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610. https://doi.org/10.1177/001316447003000308

Kroshus, E., Baugh, C. M., Daneshvar, D. H., & Viswanath, K. (2014). Understanding concussion reporting using a model based on the theory of planned behavior. Journal of Adolescent Health, 54(3), 269-274. https://doi.org/10.1016/j.jadohealth.2013.11.011

Kurowski, B., Pomerantz, W. J., Schaiper, C., & Gittelman, M. A. (2014). Factors that influence concussion knowledge and self-reported attitudes in high school athletes. The Journal of Trauma and Acute Care Surgery, 77(3 Suppl 1), S12–S17. https://doi.org/10.1097/TA.0000000000000316

Lempke, L. B., Weber Rawlins, M. L., Lynall, R. C., & Schmidt, J. D. (2020). The influence of concussion knowledge on reporting intentions in collegiate student-athletes. Athletic Training & Sports Health Care, 12(5), 210-220. https://doi.org/10.3928/19425864-20190618-01

Lovell, M.R., Collins, M.W., Iverson, G.L., Field, M., Maroon, J.C., Cantu, R., Podell, K.,... & Fu, F. H. (2003). Recovery from mild concussion in high school athletes. Journal of Neurosurgery, 98(2), 296-301. https://doi.org/10.1016/j.annemergmed.2004.02.029

Mannings, C., Kalynych, C., Joseph, M. M., Smotherman, C., & Kraemer, D. F. (2014). Knowledge assessment of sports-related concussion among parents of children aged 5 years to 15 years enrolled in recreational tackle football. Journal of Trauma and Acute Care Surgery, 77(3), S18-S22. https://doi.org.10.1097/TA.0000000000000371

Marar, M., McIlvain, N. M., Fields, S. K., & Comstock, R. D. (2012). Epidemiology of concussions among United States high school athletes in 20 sports. American Journal of Sports Medicine, 40(4), 747-755. https://doi.org/10.1177/0363546511435626

Martin, R. K., Hrubeniuk, T. J., Witiw, C. D., MacDonald, P., & Leiter, J. (2017). Concussions in community-level rugby: risk, knowledge, and attitudes. Sports Health, 9(4), 312–317. https://doi.org/10.1177/1941738117695777

McCrory, P., Meeuwisse, W., Dvorak, J., Aubry, M., Bailes, J., Broglio, S., ... & Davis, G. A. (2017). Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. British Journal of Sports Medicine, 51(11), 838-847. http://dx.doi.org/10.1136/bjsports-2017-097699

McCrory, P., Meeuwisse, W. H., Aubry, M., Cantu, R. C., Dvořák, J., Echemendia, R. J., Engebretsen, L., Johnston, K., Kutcher, J. S., Raftery, M., Sills, A., Benson, B. W., Davis, G. A., Ellenbogen, R., Guskiewicz, K. M., Herring, S. A., Iverson, G. L., Jordan, B. D., Kissick, J., McCrea, M., … Turner, M. (2013). Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport, Zurich, November 2012. Journal of Athletic Training, 48(4), 554–575. https://doi.org/10.4085/1062-6050-48.4.05

McCrory, P., Meeuwisse, W., Johnston, K., Dvorak, J., Aubry, M., Molloy, M., & Cantu, R. (2009). Consensus statement on concussion in sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008. Journal of Athletic Training, 44(4), 434–448. https://doi.org/10.4085/1062-6050-44.4.434

Mrazik, M., Dennison, C. R., Brooks, B. L., Yeates, K. O., Babul, S., & Naidu, D. (2015). A qualitative review of sports concussion education: prime time for evidence-based knowledge translation. British Journal of Sports Medicine, 49(24), 1548-1553. http://dx.doi.org/10.1136/bjsports-2015-094848

Rajali, A., Zulkifeli, N. R. N., Elias, A. S. M., Mansur, N. A. H., Hamat, N. H. W., & Amin, S. R. A. (2020). Sports-related dental injury from the perspective of Malaysian athletes. Journal of International Dental and Medical Research, 13(2), 674-681.

Register-Mihalik, J. K., Guskiewicz, K. M., McLeod, T. C., Linnan, L. A., Mueller, F. O., & Marshall, S. W. (2013). Knowledge, attitude, and concussion-reporting behaviors among high school athletes: a preliminary study. Journal of Athletic Training, 48(5), 645–653. https://doi.org/10.4085/1062-6050-48.3.20

Register-Mihalik, J. K., Linnan, L. A., Marshall, S. W., McLeod, T. C. V., Mueller, F. O., & Guskiewicz, K. M. (2013). Using theory to understand high school aged athletes’ intentions to report sport-related concussion: implications for concussion education initiatives. Brain Injury, 27(7-8),878-886. https://doi.org/10.3109/02699052.2013.775508

Rosenbaum, A. M. (2007). An examination of the knowledge about and attitudes toward concussion in high school athletes, coaches, and athletic trainers (Doctoral dissertation, The Pennsylvania State University).

Rosenbaum, A. M., & Arnett, P. A. (2010). The development of a survey to examine knowledge about and attitudes toward concussion in high-school students. Journal of Clinical and Experimental Neuropsychology, 32(1), 44-55. https://doi.org/10.1080/13803390902806535

Semrud-Clikeman, M., & Klipfel, K. M. (2016). TBI and concussions in student athletes: How do severity of injury, age, and gender influence recovery. Journal of Pediatric Neuropsychology, 2(1-2), 58-69. https://doi.org/10.1007/s40817-015-0010-8

Sullivan, L., Pursell, L., & Molcho, M. (2018). Evaluation of a theory-based concussion education program for secondary school student-athletes in Ireland. Health Education Research, 33(6), 492-504. https://doi.org/10.1093/her/cyy034

Taylor, M. E., & Sanner, J. E. (2017). The relationship between concussion knowledge and the high school athlete’s intention to report traumatic brain injury symptoms: a systematic review of the literature. The Journal of School Nursing, 33(1), 73-81. https://doi.org/10.1177/1059840515619683

Weber, M. L., Suggs, D. W., Bierema, L., Miller, L. S., Reifsteck, F., & Schmidt, J. D. (2019). Collegiate student-athlete sex, years of sport eligibility completed, and sport contact level influence on concussion reporting intentions and behaviours. Brain Injury, 33(5), 592-597. https://doi.org/10.1080/02699052.2019.1568573




DOI: https://doi.org/10.21831/cp.v41i1.33452

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