ABSTRACT

Attention to concussion prevention and management has grown in recent years due to the potentially long-term, debilitating effects a head injury can have on an individual. Although multiple campaigns have been designed to target this issue, there remains a need to evaluate the persuasive principles used to advocate for safety measures and protocols, specifically within youth sports. With this in mind, we applied the health belief model (HBM) in our content analysis of the Centers for Disease Control and Prevention’s (CDC) Heads Up concussion awareness campaign. Campaign videos (N = 35) were coded for threat severity, threat susceptibility, benefits, barriers, self-efficacy, and cues to action. The majority of videos communicated the seriousness of concussions and attempts to communicate concussion susceptibility were driven by personal stories, rather than facts and statistics demonstrating concussion prevalence. Less than half of the videos communicated the benefits of following concussion protocols and only a third of the messages described barriers to following recommended protocols. The majority of videos aimed to elevate self-efficacy among athletes and parents, but not coaches, by focusing on identifying symptoms and concussion avoidance. The implications for concussion prevention and management among athletes, parents, and coaches are discussed.

摘要

由于头部受伤可能对个人造成长期的、虚弱的影响，近年来对脑震荡预防和管理的关注有所增加。尽管针对这个问题设计了多项运动，但仍然需要评估用于倡导安全措施和规程的有说服力的原则，特别是在青少年体育运动中。考虑到这一点，我们在疾病控制和预防中心 (CDC) 的Heads Up脑震荡意识活动的内容分析中应用了健康信念模型 (HBM)。活动视频 ( N= 35) 根据威胁严重程度、威胁敏感性、收益、障碍、自我效能和行动线索进行编码。大多数视频都传达了脑震荡的严重性，并且试图传达脑震荡易感性的尝试是由个人故事驱动的，而不是证明脑震荡流行的事实和统计数据。不到一半的视频传达了遵循脑震荡协议的好处，只有三分之一的消息描述了遵循推荐协议的障碍。大多数视频旨在通过专注于识别症状和避免脑震荡来提高运动员和家长而非教练的自我效能。讨论了运动员、家长和教练员脑震荡预防和管理的意义。