{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:33:52Z","timestamp":1777664032463,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012676","name":"National Collegiate Athletic Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012676","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Educ Behav"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sports related concussions continue to be a public health concern and improving reporting behavior a focus of educational programs. While educational programs have addressed changes in knowledge of concussion symptoms, it has been challenging to design educational programs which have lasting effects on reporting behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The current analysis describes an intervention in which thoughts about reporting behavior are actively written down in a worksheet exercise to \u201cpre-arm\u201d athletes with cognitions designed to enhance reporting behavior prior to the injury event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 503 male and female college athletes participating in collision (football, field hockey, ice hockey, lacrosse, and soccer) and contact sports (baseball, basketball, and softball) from 7 colleges\/universities competing across all three NCAA divisions provided data collected during a randomized trial of a peer concussion education program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Qualitative analysis revealed 10 themes that would improve reporting including short-term benefits, faster recover, safe and healthy return to play, reporting helps the team, reporting protects the brain, risk aversion, long-term benefits, coach will be supportive, teammates will be supportive and understanding, and academic performance will be affected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Athletes had awareness of key risks involved in concussions and understood both short- and long-term consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings have important implications for understanding how to change athletes\u2019 thoughts about reporting concussions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10901981211046535","type":"journal-article","created":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T17:28:50Z","timestamp":1634059730000},"page":"548-559","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cognitions That Support Concussion Reporting in Collegiate Athletes: An Analysis of a Worksheet Activity"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9820-6909","authenticated-orcid":false,"given":"Meredith","family":"Kneavel","sequence":"first","affiliation":[{"name":"Department of Urban Public Health and Nutrtion, La Salle University, Philadelphia, PA, USA"},{"name":"Center for Concussion Education and 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