{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:28:23Z","timestamp":1787030903722,"version":"build-2736575974"},"reference-count":34,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>The National Collegiate Athletic Association and US Department of Defense have called for educational programs to change the culture of concussion reporting, increase reporting behavior, and enhance the safety of players and service members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effects of a novel peer concussion-education program (PCEP) in changing knowledge, attitudes, and norms about concussion reporting among collegiate student-athletes and assess program implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Randomized controlled trial and qualitative analysis of interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>National Collegiate Athletic Association athletic teams from randomly selected colleges or universities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Other Participants<\/jats:title>\n                    <jats:p>A total of 1614 male and female student-athletes from 60 teams at 10 colleges and universities and 8 athletic trainers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention(s)<\/jats:title>\n                    <jats:p>The PCEP intervention trains 2 peer concussion educators to provide 2 education modules to their teammates. Knowledge, attitudes (oneself and teammates), and concussion occurrence or reporting were assessed at baseline, postintervention, and 1 month later. Eight athletic trainers were interviewed about program implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with the control group, the intervention group showed greater increases occurred postintervention and at 1 month in concussion knowledge (F1,2648 = 51.3, P &amp;lt; .0001), intention to report (oneself, F2,2633 = 82.3, P &amp;lt; .0001; teammates, F2,2624 = 53.9, P &amp;lt; .0001), return-to-play protocol knowledge, (F2,2632 = 28.4, P &amp;lt; .0001), direct subjective norms (oneself, F2,2625 = 51.7, P &amp;lt; .0001; teammates, F2,2644 = 40.6, P &amp;lt; .0001), direct perceived behavioral control (oneself, F2,2628 = 53.7, P &amp;lt; .0001; teammates, F2,2615 = 68.2, P &amp;lt; .0001), and indirect attitudes (oneself, F2,2626 = 47.1, P &amp;lt; .001; teammates, F2,2623 = 40.9, P &amp;lt; .0001). Peer concussion-education program participants discussed concussion more often with a teammate (F1,1396 = 13.96, P &amp;lt; .0001) or athletic staff (F1,1396 = 6.62, P &amp;lt; .001). Qualitative program analysis revealed both positive aspects of the PCEP and areas for improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PCEP showed promise in increasing concussion knowledge, intention to report concussion, reporting a teammate's concussion, and facilitating attitudinal changes that support reporting among student-athletes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-0182.19","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T14:44:08Z","timestamp":1587048248000},"page":"456-468","source":"Crossref","is-referenced-by-count":22,"title":["Randomized Controlled Trial of a Novel Peer Concussion-Education Program for Collegiate Athletes"],"prefix":"10.4085","volume":"55","author":[{"given":"Meredith E.","family":"Kneavel","sequence":"first","affiliation":[{"name":"School of Nursing and Health Sciences, La Salle University, Philadelphia, PA"},{"name":"Center for Concussion Education and Research, Chestnut Hill College, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Ernst","sequence":"first","affiliation":[{"name":"Center for Concussion Education and Research, Chestnut Hill College, Philadelphia, PA"},{"name":"Department of Professional Psychology, Chestnut Hill College, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin S.","family":"McCarthy","sequence":"first","affiliation":[{"name":"Center for Concussion Education and Research, Chestnut Hill College, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"key":"2020060504204134400_i1062-6050-55-5-456-b01","unstructured":"NCAA About Us. 2018. National Collegiate Athletic Association Web site. http:\/\/www.ncaa.org\/about\/resources\/media-center\/ncaa-101\/what-ncaa. Accessed October 15, 2019."},{"issue":"3","key":"2020060504204134400_i1062-6050-55-5-456-b02","doi-asserted-by":"crossref","first-page":"189","DOI":"10.4085\/1062-6050-51.3.05","article-title":"Sex differences in reported concussion injury rates and time loss from participation: an update of the National Collegiate Athletic Association Injury Surveillance Program from 2004\u20132005 through 2008\u20132009","volume":"51","author":"Covassin","year":"2016","journal-title":"J Athl Train"},{"issue":"1","key":"2020060504204134400_i1062-6050-55-5-456-b03","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.csm.2010.08.006","article-title":"The epidemiology of sport-related concussion","volume":"30","author":"Daneshvar","year":"2011","journal-title":"Clin Sports Med"},{"key":"2020060504204134400_i1062-6050-55-5-456-b04","article-title":"Self-reported concussion among NCAA student-athletes: executive summary","journal-title":"The National Collegiate Athletic Association Web site"},{"key":"2020060504204134400_i1062-6050-55-5-456-b05","unstructured":"Committee on Sports-Related Concussions in Youth; Board on Children, Youth, and Families; Institute of Medicine; National Research Council;\n            \n              Graham\n              R\n            , RivaraFP, FordMA, SpicerCM, eds. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture. Washington, DC: National Academies Press;2014."},{"key":"2020060504204134400_i1062-6050-55-5-456-b06","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.socscimed.2015.04.011","article-title":"Concussion under-reporting and pressure from coaches, teammates, fans, and parents","volume":"134","author":"Kroshus","year":"2015","journal-title":"Soc Sci Med"},{"issue":"5","key":"2020060504204134400_i1062-6050-55-5-456-b07","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1177\/0363546514521774","article-title":"The effect of coach education on reporting of concussions among high school athletes after passage of a concussion law","volume":"42","author":"Rivara","year":"2014","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060504204134400_i1062-6050-55-5-456-b08","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1080\/15438620802678495","article-title":"Effects of field location, time in competition, and phase of play on injury severity in high school football","volume":"17","author":"Yard","year":"2009","journal-title":"Res Sports Med"},{"issue":"1","key":"2020060504204134400_i1062-6050-55-5-456-b09","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jocn.2011.08.002","article-title":"An overview of concussion in sport","volume":"19","author":"Khurana","year":"2012","journal-title":"J Clin Neurosci"},{"issue":"5","key":"2020060504204134400_i1062-6050-55-5-456-b10","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2010.9.FOCUS10187","article-title":"A prospective study of concussion education in 2 junior ice hockey teams: implications for sports concussion education","volume":"29","author":"Echlin","year":"2010","journal-title":"Neurosurg Focus"},{"issue":"5","key":"2020060504204134400_i1062-6050-55-5-456-b11","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1136\/injuryprev-2014-041479","article-title":"An examination of concussion education programmes: a scoping review methodology","volume":"21","author":"Caron","year":"2015","journal-title":"Inj Prev"},{"key":"2020060504204134400_i1062-6050-55-5-456-b12","unstructured":"Azjen\n              I\n            , AlbarracinD, HornikRC. \n          Prediction and Change of Health Behavior: Applying the Reasoned Action Approach. Mahwah, NJ: Lawrence Erlbaum Associates;2007."},{"issue":"7\u20138","key":"2020060504204134400_i1062-6050-55-5-456-b13","doi-asserted-by":"crossref","first-page":"878","DOI":"10.3109\/02699052.2013.775508","article-title":"Using theory to understand high school aged athletes' intentions to report sport-related concussion: implications for concussion education initiatives","volume":"27","author":"Register-Mihalik","year":"2013","journal-title":"Brain Inj"},{"issue":"3","key":"2020060504204134400_i1062-6050-55-5-456-b14","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.jadohealth.2013.11.011","article-title":"Understanding concussion reporting using a model based on the theory of planned behavior","volume":"54","author":"Kroshus","year":"2014","journal-title":"J Adolesc Health"},{"issue":"1","key":"2020060504204134400_i1062-6050-55-5-456-b15","doi-asserted-by":"crossref","first-page":"762","DOI":"10.4102\/sajhivmed.v19i1.762","article-title":"Cognitive-behavioural theories and adherence: application and relevance in antiretroviral therapy","volume":"19","author":"Adefolalu","year":"2018","journal-title":"South Afr J HIV Med"},{"key":"2020060504204134400_i1062-6050-55-5-456-b16","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2019.1679816","article-title":"Collegiate athletes' perceptions of the culture of concussion reporting","author":"Kneavel","year":"2019","journal-title":"J Am Coll Health"},{"issue":"3","key":"2020060504204134400_i1062-6050-55-5-456-b17","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1111\/j.1460-2466.2006.00302.x","article-title":"How peers mediate media influence on adolescents' sexual attitudes and sexual behavior","volume":"56","author":"Chia","year":"2006","journal-title":"J Commun"},{"issue":"4","key":"2020060504204134400_i1062-6050-55-5-456-b18","doi-asserted-by":"crossref","first-page":"367","DOI":"10.17105\/SPR-14-0009.1","article-title":"Peer management interventions: a meta-analytic review of single-case research","volume":"43","author":"Dart","year":"2014","journal-title":"School Psychol Rev"},{"issue":"4","key":"2020060504204134400_i1062-6050-55-5-456-b19","doi-asserted-by":"crossref","first-page":"609","DOI":"10.3102\/0034654314540007","article-title":"On the effectiveness of supplemental instruction: a systematic review of supplemental instruction and peer-assisted study sessions literature between 2001 and 2010","volume":"84","author":"Dawson","year":"2014","journal-title":"Rev Educ Res"},{"issue":"8","key":"2020060504204134400_i1062-6050-55-5-456-b20","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.3109\/02699052.2014.904049","article-title":"Disclosure and non-disclosure of concussion and concussion symptoms in athletes: review and application of the socio-ecological framework","volume":"28","author":"Kerr","year":"2014","journal-title":"Brain Inj"},{"issue":"5","key":"2020060504204134400_i1062-6050-55-5-456-b21","doi-asserted-by":"publisher","first-page":"448","DOI":"10.4085\/1062-6050-212-19","article-title":"Development of a peer education program to improve concussion knowledge and reporting in collegiate athletes","volume":"55","author":"Ernst","year":"2020","journal-title":"J Athl Train"},{"key":"2020060504204134400_i1062-6050-55-5-456-b22","unstructured":"Gioia\n              G\n            , CollinsM.\n          Acute concussion evaluation. Heads Up: Brain Injury in Your Practice tool kit. Centers for Disease Control and Prevention Web site. https:\/\/www.cdc.gov\/headsup\/pdfs\/providers\/ace_v2-a.pdf. Published 2006. Accessed January 15, 2020."},{"issue":"2","key":"2020060504204134400_i1062-6050-55-5-456-b23","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/JSM.0b013e31803212ae","article-title":"Sport-related concussion misunderstandings among youth coaches","volume":"17","author":"Valovich McLeod","year":"2007","journal-title":"Clin J Sport Med"},{"key":"2020060504204134400_i1062-6050-55-5-456-b24","article-title":"Constructing a TpB questionnaire: conceptual and methodological considerations","author":"Ajzen","journal-title":"Scientific Research Web site"},{"key":"2020060504204134400_i1062-6050-55-5-456-b25","doi-asserted-by":"crossref","unstructured":"Morgan\n              DL\n            . \n          Basic and Advanced Focus Groups. Thousand Oaks, CA: SAGE Publications;2019.","DOI":"10.4135\/9781071814307"},{"key":"2020060504204134400_i1062-6050-55-5-456-b26","doi-asserted-by":"crossref","unstructured":"Moustakas\n              CE\n            . \n          Phenomenological Research Methods. Thousand Oaks, CA: SAGE Publications;1994.","DOI":"10.4135\/9781412995658"},{"key":"2020060504204134400_i1062-6050-55-5-456-b27","unstructured":"Creswell\n              JW\n            . \n          Qualitative Inquiry & Research Design: Choosing Among Five Approaches. 2nd ed. Thousand Oaks, CA: SAGE Publications;2013."},{"issue":"3","key":"2020060504204134400_i1062-6050-55-5-456-b28","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/j.1750-8606.2008.00061.x","article-title":"Empirical benchmarks for interpreting effect sizes in research","volume":"2","author":"Hill","year":"2008","journal-title":"Child Dev Perspect"},{"issue":"5","key":"2020060504204134400_i1062-6050-55-5-456-b29","doi-asserted-by":"crossref","first-page":"283","DOI":"10.3102\/0013189X16656615","article-title":"How methodological features affect effect sizes in education","volume":"45","author":"Cheung","year":"2016","journal-title":"Educ Res"},{"issue":"2","key":"2020060504204134400_i1062-6050-55-5-456-b30","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/1090198115599380","article-title":"Concussion education in U.S. collegiate sport: what is happening and what do athletes want?","volume":"43","author":"Kroshus","year":"2016","journal-title":"Health Educ Behav"},{"issue":"4","key":"2020060504204134400_i1062-6050-55-5-456-b31","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1212\/CPJ.0b013e3182a1ba22","article-title":"Sports-related concussion: anonymous survey of a collegiate cohort","volume":"3","author":"Torres","year":"2013","journal-title":"Neurol Clin Pract"},{"issue":"4","key":"2020060504204134400_i1062-6050-55-5-456-b32","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1177\/1090198115602676","article-title":"Engaging teammates in the promotion of concussion help seeking","volume":"43","author":"Kroshus","year":"2016","journal-title":"Health Educ Behav"},{"issue":"2","key":"2020060504204134400_i1062-6050-55-5-456-b33","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1080\/23279095.2013.860604","article-title":"Limited knowledge of concussion symptoms in college athletes","volume":"22","author":"Fedor","year":"2015","journal-title":"Appl Neuropsychol Adult"},{"key":"2020060504204134400_i1062-6050-55-5-456-b34","unstructured":"Wenke\n              BD\n            . \n          The Impact of Previous Concussions and a Peer-Mediated Concussion Education Program on Knowledge of Concussion and Intention to Report Among Student Athletes [dissertation]. Philadelphia, PA: Chestnut Hill College;2019."}],"container-title":["Journal of Athletic Training"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/55\/5\/456\/2497881\/1062-6050-0182_19.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/55\/5\/456\/2497881\/1062-6050-0182_19.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T14:50:22Z","timestamp":1749653422000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/55\/5\/article-p456.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,1]]},"references-count":34,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5,1]]}},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-0182.19","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5,1]]}}}