Barriers to Delivering Concussion Education: Identifying Opportunities for Change Through the Capability, Opportunity, Motivation, Behavior (COM-B) Model.

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Julia Drattell, Emily Kroshus, Johna Register-Mihalik, Christopher D'Lauro, Julianne Schmidt
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引用次数: 0

Abstract

This study aimed to describe barriers athletic trainers (ATs) face to implementing expert recommendations for improving athletes' concussion care-seeking behavior. We distributed an electronic survey through the National Athletic Trainers' Association to 9,997 ATs working in secondary schools or collegiate institutions and received 365 complete responses. We quantitatively measured their barriers using a validated survey based on the Capability, Opportunity, Motivation, Behavior (COM-B) behavior system containing six Likert-type items with a scale of 0 to 10 (labeled Strongly Disagree-Strongly Agree). We performed three analyses: (a) descriptive analysis of COM-B responses, (b) separate ordinal regression analyses to determine if gender, years certified, percent of employment hours spent at their school, or setting (e.g., secondary school or college/university) predict COM-B responses, and (c) group comparisons within types of secondary schools and collegiate institutions. Athletic trainers reported the highest barriers in the opportunity-related constructs followed by capability-related and motivation-related constructs. Practicing in a secondary school, rather than college/university, setting predicted stronger barriers in psychological capability, social opportunity, physical opportunity, and automatic motivation. Athletic trainers at National Collegiate Athletic Association (NCAA) affiliated colleges/universities had higher physical and psychological capability, compared to ATs at non-NCAA-affiliated colleges/universities. Athletic trainers feel motivated and capable of employing practices to improve athlete care-seeking after a concussion, but they face barriers. Organizations should support ATs by providing opportunities to deliver concussion education. Secondary schools and non-NCAA institutions may benefit from resources to reduce barriers to providing concussion education, like toolkits to help deliver concussion education and protected time to providing this education.

开展脑震荡教育的障碍:通过能力、机会、动机、行为(COM-B)模型确定变革机会。
本研究旨在描述运动训练师(ATs)在实施专家建议以改善运动员寻求脑震荡护理行为时所面临的障碍。我们通过美国国家运动训练员协会向9997名在中学或大学机构工作的运动训练员发放了一份电子调查问卷,收到了365份完整的回复。我们使用基于能力、机会、动机、行为(COM-B)行为系统的有效调查对他们的障碍进行了定量测量,该系统包含 6 个李克特(Likert)类型的项目,分值从 0 到 10(标记为 "非常不同意"-"非常同意")。我们进行了三项分析:(a) COM-B 反应的描述性分析;(b) 单独的序数回归分析,以确定性别、认证年限、在学校工作时间的百分比或环境(如中学或学院/大学)是否会预测 COM-B 反应;(c) 在中学和大学机构类型中进行分组比较。运动训练员在与机会相关的构面中遇到的障碍最多,其次是与能力相关的构面和与动机相关的构面。在中学而非学院/大学环境中执业,预示着在心理能力、社会机会、身体机会和自动动机方面会遇到更多障碍。与非全国大学生体育协会(NCAA)附属学院/大学的运动训练员相比,全国大学生体育协会(NCAA)附属学院/大学的运动训练员具有更高的身体和心理能力。运动训练师认为,他们有动力也有能力采用各种方法来改善运动员在脑震荡后寻求护理的情况,但他们面临着各种障碍。各组织应通过提供开展脑震荡教育的机会来支持运动训练师。中学和非 NCAA 机构可能会受益于减少提供脑震荡教育障碍的资源,如帮助提供脑震荡教育的工具包和提供这种教育的保护时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Education & Behavior
Health Education & Behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
8.60
自引率
2.40%
发文量
75
期刊介绍: Health Education & Behavior is the official publication of the Society for Public Health Education (SOPHE). The journal publishes authoritative and practical information on critical health issues for a broad range of professionals interested in understanding factors associated with health behavior and health status, and strategies to improve social and behavioral health. The journal is interested in articles directed toward researchers and/or practitioners in health behavior and health education. Empirical research, case study, program evaluation, literature reviews, and articles discussing theories are regularly published.
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