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Predictors of concussion reporting intent and concussion reporting behavior among active duty U.S. Army soldiers: Application of the theory of planned behavior

APA Citation:

Roberson, B. L. (2023). Predictors of concussion reporting intent and concussion reporting behavior among active duty U.S. Army soldiers: Application of the theory of planned behavior [Ph.D., Fielding Graduate University]. https://www.proquest.com/docview/2785785214/abstract/5C4E031F68A4D2FPQ/1

Focus:

Physical health
Other

Branch of Service:

Army

Military Affiliation:

Active Duty

Subject Affiliation:

Active duty service member

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

Authors:

Roberson, Brittney L.

Abstract:

Mild traumatic brain injuries, or concussions, pose a noticeable public health concern among the military population. The staggering number of concussions among the U.S. Army population alone is likely underreported for a number of reasons, highlighting the need for a better understanding of soldiers’ concussion reporting behaviors. The primary purpose of this study was to examine the constructs of the theory of planned behavior, along with concussion knowledge, as predictors of concussion reporting intent and concussion reporting behaviors in U.S. Army soldiers who sustained a concussion while on active duty. Measures included military specific modifications to the knowledge and attitudes indices of the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS), Kroshus’ intent to report concussion symptoms scale, and additional questions drawn from research. Results from correlational, hierarchical linear regression, and sequential logistic regression analyses indicated that perceived behavior control was the strongest predictor of soldiers’ intent to report a concussion. Increased age and higher subjective norms scores were the strongest predictors of concussion reporting within 72 hours, and those who served 16 to 20 years of time in service were significantly less likely to report their concussion after 72 hours. Additional analyses examined the relationship between the mandated Army Concussion Course and concussion knowledge. Concussion knowledge scores decreased as the number of times completing the Army Concussion Course increased, and concussion knowledge scores increased as more time elapsed since completing the Army Concussion Course. These results could inform Army Medicine on the support needed to maintain a medically ready force.

Publisher/Sponsoring Organization:

Fielding Graduate University

Publication Type:

Dissertations & Theses

Keywords:

concussion knowledge, concussion reporting, military, mTBI, theory of planned behavior

Location:

United States -- California

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