摘要
Background: Concussions are a common pathology in football and multiple misconceptions exist amongst the players and managers. To address these misconceptions, and potentially reduce concussion associated sequela, effective educational interventions need to be developed. However, the current knowledge and attitude status must be ascertained to appropriately develop these interventions. The purpose of this study was to assess the concussion knowledge and attitude of English professional footballers. Methods: Twenty-six participants from one English Football League Championship club completed the study. A mixed methods approach included the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS) and a semi-structured interview. The RoCKAS contains separate knowledge (055) and attitude (15-75) scores and was followed by a semi-structured interview consisting of concussion knowledge, attitude, and behavior related questions. Results: The mean score on the RoCK.AS knowledge was 16.4± 2.9 (range 11-22) and the attitude score was 59.6 ± 8.5 (range 41-71). The interview responses identified inconsistencies between the RoCKAS and the intended behaviors, endorsing multiple concussion misconceptions, and revealed barriers to concussion reporting. Conclusion: The results of this study suggest that Championship Level English footballers have moderate concussion knowledge, safe attitudes, and good concussion symptom recognition when assessed with pen and paper questionnaires. However, within the semi-structured interview many respondents reported unsafe concussion behaviors despite accurately identifying the potential risks. Further, multiple barriers to concussion reporting were identified which included perceived severity of the injury, game situations, and the substitution rule. These findings can help form the foundation of educational interventions to potentially improve concussion reporting behaviors amongst professional footballers.
背景:脑震荡是足球运动中一种普遍的病理类型,但球员和管理人员对其还存在大量误解。为消除这些误解并减少脑震荡相关的潜在后遗症,开展有效的教育干预措施十分必要。进行适当干预措施,需调查球员对脑震荡知识的了解现状及其态度。本研究旨在评估英格兰职业足球运动员对脑震荡知识的了解及态度。方法:本研究调查对象为一家英冠联赛俱乐部的26名球员,采用罗森鲍姆脑震荡知识和态度调查问卷(RoCKAS)和半结构式访谈相结合的调查方式。RoCKAS包括独立的知识分(0-25)和态度分(15-75),半结构式访谈包括脑震荡知识、态度和行为相关问题。结果:RoCKAS中平均知识分与态度分分别为16.4±2.9(11-22)和59.6±8.5(41-71)。随后的访谈印证了球员RoCKAS分数与其行为意图确实不一致,证实他们对脑震荡存在各种误解,并指出脑震荡报告的现有障碍。结论:本研究结果显示英冠联赛球员在回答纸质问卷时有中度的脑震荡知识水平和安全态度,以及良好的脑震荡症状识别能力;但在半结构式访谈中,许多受访者尽管意识到潜在风险,对脑震荡仍有不安全行为表现。另外,本研究还确定了多种脑震荡报告的相关障碍,包括对损伤的感知严重性、比赛状况、球员替换规则等。这些结果能帮助形成教育干预基础,从而有望在职业足球运动员中改善脑震荡报告行为。