{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T21:39:03Z","timestamp":1779917943149,"version":"3.53.1"},"reference-count":22,"publisher":"Human Kinetics","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Clinical Scenario<\/jats:bold>:<\/jats:italic> Concussions are severely underreported, with only 47.3% of high school athletes reporting their concussion. The belief was that athletes who were better educated on the signs and symptoms and potential dangers of concussion would be more likely to report. However, literature has shown inconsistent evidence on the efficacy of concussion education, improving reporting behaviors. Factors such as an athlete\u2019s attitude, subjective norms, and perceived behavioral control have shown promise in predicting intention to report concussions in athletes. <jats:bold><jats:italic>Focused<\/jats:italic><\/jats:bold> <jats:italic><jats:bold>Clinical Question<\/jats:bold>:<\/jats:italic> Do attitudes, subjective norms, and perceived behavioral control influence adolescent athletes\u2019 intention to report? <jats:italic><jats:bold>Summary of Key Findings<\/jats:bold>:<\/jats:italic> Three studies (1 randomized control and 2 cross-sectional surveys) were included. Across the 3 studies, attitudes, subjective norms, and perceived behavioral control positively influenced athletes\u2019 reporting intention. The studies found that attitude toward concussion reporting and perceived behavioral control were the most influential predictors of reporting intention. <jats:italic><jats:bold>Clinical Bottom Line<\/jats:bold>:<\/jats:italic> There is moderate evidence to suggest that positive attitudes, supportive subjective norms, and increased perceived behavioral control influence reporting intention in secondary school athletes. <jats:italic><jats:bold>Strength of Recommendation<\/jats:bold>:<\/jats:italic> Grade B evidence exists that positive attitudes, supportive subjective norms, and increased perceived behavioral control positively influence concussion reporting intention in secondary school athletes.<\/jats:p>","DOI":"10.1123\/jsr.2019-0419","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T08:12:45Z","timestamp":1582877565000},"page":"1019-1023","source":"Crossref","is-referenced-by-count":10,"title":["Factors Influencing Concussion Reporting Intention in Adolescent Athletes"],"prefix":"10.1123","volume":"29","author":[{"given":"Natalie","family":"Cook","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamerah N.","family":"Hunt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"key":"ref111","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1111\/jlme.12147","article-title":"Requiring athletes to acknowledge receipt of concussion-related information and responsibility to report symptoms: a study of the prevalence, variation, and possible improvements","volume":"42","author":"Baugh","year":"2014","journal-title":"J Law Med Ethics"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1548","DOI":"10.1136\/bjsports-2015-094848","article-title":"A qualitative review of sports concussion education: prime time for evidence-based knowledge translation","volume":"49","author":"Mrazik","year":"2015","journal-title":"Br J Sports Med"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"878","DOI":"10.3109\/02699052.2013.775508","article-title":"Using theory to understand high school aged athletes\u2019 intentions to report sport-related concussion: implications for concussion education initiatives","volume":"27","author":"Register-Mihalik","year":"2013","journal-title":"Brain Inj"},{"key":"ref91","volume-title":"Centre for evidence-based medicine. 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