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Keywords = concussion disclosure

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14 pages, 422 KB  
Article
Concussion Knowledge, Attitudes and Behaviours Among Australian Taekwondo Athletes: A Cross-Sectional Exploratory Study
by Daniel A. Brown, John Whitting, Zachary Crowley-McHattan, Mike Climstein and Luke Del Vecchio
Sports 2025, 13(11), 409; https://doi.org/10.3390/sports13110409 - 13 Nov 2025
Cited by 1 | Viewed by 1182
Abstract
Background: Sport-related concussion (SRC) is a recognised public health concern, with combat sport athletes particularly vulnerable due to frequent head impacts. In Taekwondo, concussion incidence is comparable to other contact sports, yet underreporting and misconceptions may hinder safe management. Understanding knowledge, attitudes, and [...] Read more.
Background: Sport-related concussion (SRC) is a recognised public health concern, with combat sport athletes particularly vulnerable due to frequent head impacts. In Taekwondo, concussion incidence is comparable to other contact sports, yet underreporting and misconceptions may hinder safe management. Understanding knowledge, attitudes, and behaviours in this cohort is critical for athlete safety. Methods: This cross-sectional online survey was distributed to Australian Taekwondo athletes (AKA). Participants completed demographic, concussion history, and the Rosenbaum Concussion Knowledge and Attitudes Survey. Knowledge (CKI) and attitudes (CAI) indices were derived. Group differences were analysed using non-parametric tests, with associations between knowledge, attitudes, and reporting behaviours explored via correlation and logistic regression. Results: Athletes (n = 98) demonstrated good knowledge (mean CKI 19.8/25) and positive attitudes (mean CAI 61.6/75), though misconceptions remained. While 92% indicated they would seek medical attention, 21% reported returning to play the same day as a suspected concussion, and over 20% admitted to concealing symptoms. Higher CAI scores, but not CKI, were associated with safer reporting intentions. Conclusions: AKA showed strong knowledge and attitudes towards concussion; however, risky behaviours persisted. Attitudes, rather than knowledge, were more predictive of reporting behaviours, underscoring the need for interventions that strengthen positive attitudes and cultural support for symptom disclosure. Full article
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17 pages, 847 KB  
Article
Context Matters: Extra-Personal Factors Underlying Concussion Reporting in University Athletes
by William Archambault and Dave Ellemberg
Sports 2025, 13(3), 77; https://doi.org/10.3390/sports13030077 - 5 Mar 2025
Cited by 1 | Viewed by 1856
Abstract
Gaps remain in our understanding of which factors contribute to concussion disclosure and how they contribute to this process, thereby limiting our ability to improve disclosure. This study aimed to characterize the most relevant extra-personal determinants of SC disclosure and to describe their [...] Read more.
Gaps remain in our understanding of which factors contribute to concussion disclosure and how they contribute to this process, thereby limiting our ability to improve disclosure. This study aimed to characterize the most relevant extra-personal determinants of SC disclosure and to describe their influence on the disclosure process. To that aim, the first author conducted substantive qualitative interviews with nine university student–athletes and analyzed their content via constant comparative analysis (guided by Straussian grounded theory). Eleven (11) extra-personal concepts influencing concussion reporting were identified and described across two categories: Contextual Incentives and Socio-Cultural Pressures. These findings suggest that each identified concept can individually shape the context around the injury, creating either higher-stakes conditions that deter disclosure or lower-stakes conditions that encourage it. Further, the results posit that these concepts interact and collectively influence athletes’ decision-making process by modulating the perceived stakes of disclosing a concussion. If these findings hold true in more diverse populations and contexts, they suggest that adapting concussion prevention efforts to consider these contextual variables could improve SC disclosure. This study also highlights the benefits of using qualitative methods in the investigation of concussion reporting. Full article
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16 pages, 655 KB  
Article
Factors Affecting Sport-Related Concussion Non-Disclosure in Women’s Rugby—A Multi-Country Qualitative Analysis
by Lisa Ryan, Ed Daly and Katherine Hunzinger
J. Funct. Morphol. Kinesiol. 2024, 9(4), 277; https://doi.org/10.3390/jfmk9040277 - 18 Dec 2024
Cited by 5 | Viewed by 2900
Abstract
Background and Objectives: Collision-sport athletes, such as rugby players, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of SRC and may experience more severe and chronic symptomology than men. Knowledge of the factors that affect a [...] Read more.
Background and Objectives: Collision-sport athletes, such as rugby players, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of SRC and may experience more severe and chronic symptomology than men. Knowledge of the factors that affect a player’s disclosure of their concussive symptoms could help to inform strategies to improve compliance with reporting and management of head injuries. The aim of this study was to investigate the factors that may impact women rugby players’ disclosure of a concussion. Methods: Twenty-eight adult (≥18 years of age) elite and semi-elite women rugby players from the UK and Ireland (n = 17) and the United States (n = 11) were interviewed on their playing background and SRC experience in women’s rugby via one-on-one interviews (UK and Ireland) or an online questionnaire (US). Results: SRC data were analysed inductively using a thematic analysis approach to determine the potential reasons for SRC non-disclosure in women’s rugby. Four main themes were identified which may influence a player’s SRC non-disclosure: 1. women rugby players are self-managing SRC; 2. work-related concerns impact on SRC disclosure; 3. players and support staff lack knowledge on SRC management; and 4. poor internal and external communication affect the support players receive when injured. Conclusions: The findings were consistent across players from different countries. This research highlighted several factors that may impact on women rugby players’ disclosure of SRC regardless of country of origin (UK, Ireland, or US) and access to concussion care. Coaches and management teams should be aware of these reasons, which may enhance how they discuss and manage concussion. There is a clear need for further education on concussion for players and support staff and for strategies to create environments where women can openly discuss their concussion concerns. Full article
(This article belongs to the Special Issue Understanding Sports-Related Health Issues, 2nd Edition)
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