ABSTRACT

Context: Concussion education and prevention programs require reliable and valid instruments to evaluate the theory, mechanisms, and outcome of these interventions Objective: To assess the psychometric properties of measures evaluating concussion education and prevention programsDesign: Descriptive epidemiological Setting: 10 NCAA-member universities Patients or Other Participants: 841 student-athletes in an RCT control group testing an ecological, peer-led concussion education program Main Outcome Measures: Instruments adapted for assessing concussion knowledge and Theory of Planned Behavior/Theory of Reasoned Action (TPB/TRA) cognitive mediators of reporting behavior (attitudes, subjective norms, perceived control, and intentions to report concussion). Participants completed measures at baseline, after one hour, and after one month Results: Internal consistency and test-retest reliability were moderate for both the concussion knowledge and cognitive mediator measures. TPB/TRA was supported subscale intercorrelation and item factor analysis in the cognitive mediator scale. Factor analysis of the concussion knowledge measure revealed subscales for physical/cognitive, psychological/affective, and non-symptoms. The intermediate TPB/TRA mediators of attitudes, norms, and perceived control predicted greater intention-to-report, which predicted increased likelihood of reporting concussion one month later.Conclusions: Measures of concussion knowledge and cognitive mediators of reporting adapted from the literature show adequate psychometric properties and support TPB/TRA application for concussion reporting behaviors.

摘要

背景：脑震荡教育和预防计划需要可靠和有效的工具来评估这些干预措施的理论、机制和结果目标：评估评估脑震荡教育和预防计划的措施的心理测量特性设计：描述性流行病学背景：10 所 NCAA 成员大学患者或其他参与者： RCT 对照组中的 841 名学生运动员测试生态的、同伴主导的脑震荡教育计划主要结果指标：适用于评估脑震荡知识和计划行为理论/理性行动理论 (TPB/TRA) 报告行为（态度、主观规范、感知控制和报告脑震荡的意图）的认知中介的工具。参与者在基线、一小时后和一个月后完成了测量结果：脑震荡知识和认知中介量度的内部一致性和重测信度均中等。TPB/TRA 支持认知中介量表中的子量表相关和项目因素分析。脑震荡知识测量的因素分析揭示了身体/认知、心理/情感和非症状的子量表。态度、规范和感知控制的中间 TPB/TRA 中介预测了更大的报告意图，这预测了一个月后报告脑震荡的可能性增加。结论：根据文献改编的脑震荡知识测量和报告的认知调解器显示出足够的心理测量特性，并支持 TPB/TRA 应用于脑震荡报告行为。