Concussion knowledge, attitudes, and norms: How do they relate?

<h4>Background</h4>Relationships between the constructs of concussion-related knowledge, attitudes, and norms and their influence on observed care-seeking behaviors have previously been examined. Current models posit that these constructs serve as potential mediators of care-seeking beha...

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Main Authors: Aliza K Nedimyer, Avinash Chandran, Melissa K Kossman, Paula Gildner, Johna K Register-Mihalik, Zachary Y Kerr
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0282061
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author Aliza K Nedimyer
Avinash Chandran
Melissa K Kossman
Paula Gildner
Johna K Register-Mihalik
Zachary Y Kerr
author_facet Aliza K Nedimyer
Avinash Chandran
Melissa K Kossman
Paula Gildner
Johna K Register-Mihalik
Zachary Y Kerr
author_sort Aliza K Nedimyer
collection DOAJ
description <h4>Background</h4>Relationships between the constructs of concussion-related knowledge, attitudes, and norms and their influence on observed care-seeking behaviors have previously been examined. Current models posit that these constructs serve as potential mediators of care-seeking behaviors; however, the dynamics between them have yet to be reconciled.<h4>Methods</h4>A cross-sectional, online survey explored relationships among the latent constructs of concussion-related knowledge, attitudes, and norms in parents of middle school children who participate in sports in multiple settings. A just-identified and two overidentified path models were explored and compared in an effort to understand such relationships.<h4>Results</h4>A total of 426 parents of United States middle school students were surveyed and included in analyses (mean age = 38.7±9.9 years; 55.6% female; 51.4% white/non-Hispanic; 56.1% with at least a bachelor's degree). All parents had middle school aged children who participated in sport in both the club and school settings. The best fitting model was a just-identified model with concussion-related norms influencing concussion-related knowledge and attitudes, and concussion-related knowledge influencing attitudes. This model accounted for 14% of the variance in attitude and 12% of the variance in knowledge.<h4>Conclusions</h4>Study findings suggest that the constructs of concussion-related knowledge, attitudes and norms are directly related to one another, yet the dynamics of such relationships may be complex. As such, a parsimonious interpretation of these constructs may not be appropriate. Future research should work to further reconcile the dynamics between these constructs, and the impact these dynamics may have in influencing care-seeking behaviors beyond serving as mediators.
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spelling doaj.art-48f3a4eb446541fe81ab6f38aa8d8a192023-03-26T05:31:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01182e028206110.1371/journal.pone.0282061Concussion knowledge, attitudes, and norms: How do they relate?Aliza K NedimyerAvinash ChandranMelissa K KossmanPaula GildnerJohna K Register-MihalikZachary Y Kerr<h4>Background</h4>Relationships between the constructs of concussion-related knowledge, attitudes, and norms and their influence on observed care-seeking behaviors have previously been examined. Current models posit that these constructs serve as potential mediators of care-seeking behaviors; however, the dynamics between them have yet to be reconciled.<h4>Methods</h4>A cross-sectional, online survey explored relationships among the latent constructs of concussion-related knowledge, attitudes, and norms in parents of middle school children who participate in sports in multiple settings. A just-identified and two overidentified path models were explored and compared in an effort to understand such relationships.<h4>Results</h4>A total of 426 parents of United States middle school students were surveyed and included in analyses (mean age = 38.7±9.9 years; 55.6% female; 51.4% white/non-Hispanic; 56.1% with at least a bachelor's degree). All parents had middle school aged children who participated in sport in both the club and school settings. The best fitting model was a just-identified model with concussion-related norms influencing concussion-related knowledge and attitudes, and concussion-related knowledge influencing attitudes. This model accounted for 14% of the variance in attitude and 12% of the variance in knowledge.<h4>Conclusions</h4>Study findings suggest that the constructs of concussion-related knowledge, attitudes and norms are directly related to one another, yet the dynamics of such relationships may be complex. As such, a parsimonious interpretation of these constructs may not be appropriate. Future research should work to further reconcile the dynamics between these constructs, and the impact these dynamics may have in influencing care-seeking behaviors beyond serving as mediators.https://doi.org/10.1371/journal.pone.0282061
spellingShingle Aliza K Nedimyer
Avinash Chandran
Melissa K Kossman
Paula Gildner
Johna K Register-Mihalik
Zachary Y Kerr
Concussion knowledge, attitudes, and norms: How do they relate?
PLoS ONE
title Concussion knowledge, attitudes, and norms: How do they relate?
title_full Concussion knowledge, attitudes, and norms: How do they relate?
title_fullStr Concussion knowledge, attitudes, and norms: How do they relate?
title_full_unstemmed Concussion knowledge, attitudes, and norms: How do they relate?
title_short Concussion knowledge, attitudes, and norms: How do they relate?
title_sort concussion knowledge attitudes and norms how do they relate
url https://doi.org/10.1371/journal.pone.0282061
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