USING A THEORY OF PLANNED BEHAVIOR TO UNDERSTAND FACTORS THAT INFLUENCE TO REPORT SPORT-RELATED CONCUSSION AMONG ADOLESCENT ATHLETES IN HAWAIʻI
USING A THEORY OF PLANNED BEHAVIOR TO UNDERSTAND FACTORS THAT INFLUENCE TO REPORT SPORT-RELATED CONCUSSION AMONG ADOLESCENT ATHLETES IN HAWAIʻI
Date
2020
Authors
Shirahata, Kyoko
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Murata, Nathan M.
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Education
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Context: Sport-Related Concussions (SRCs) are often unreported by adolescent athletes, despite the fact that delayed reporting or non-reporting have shown to complicate the recovery. Thus, understanding factors to influence reporting behavior in specific population needs immediate attention. Therefore, the purpose of this study was to investigate factors that influence the intention to report a potential SRC among adolescent athletes in Hawaiʻi using a Theory of Planned Behavior (TPB) framework. Procedures: In this cross-sectional study, participants completed a previously published survey which was validated for adolescent athletes in Hawaiʻi. Questions to assess one’s knowledge, attitude, social norms, self-efficacy, and intention to report concussions were measured on a 7-point Likert scale. Participants used their own device to access the survey via online. Two-step SEM modeling was conducted to analyze the data, in which the measurement model was confirmed followed by structural equation modeling that analyzed the relationship among latent constructs. Results: Within the 572 athletes who accessed the survey, 475 (female n=220, male n=254, other n=1) participants completed the entire survey (completion rate of 83.0%). The result indicated that negative social norm (ß= -0.50, p ≤ .001) and high self-efficacy (ß= 0.31, p ≤ .001) had significant effect on stronger reporting intention. Attitude, however, did not significantly influence reporting intention (ß= -0.06, p =.25). Higher knowledge did not influence the intention directly (ß= 0.04, p =.48), but participants with higher knowledge tended to have less negative interpersonal attitude (ß= -0.45, p ≤.001) and higher intention (ß= -0.13, p ≤.01). Conclusions: Safe norm to encourage reporting among peers and confidence to report are the two important factors that influence concussion reporting intention among adolescent athletes in Hawaiʻi. Concussion education material should target to improve the two factors along with traditional knowledge transfer.
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Kinesiology,
Adolescent athletes,
Behavioral norms,
Hawaii,
Sport-related concussion,
Theory of planned behavior
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119 pages
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