Concussion knowledge, attitudes, and norms: How do they relate?

Concussion knowledge, attitudes, and norms: How do they relate?
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DOI:
10.1371/journal.pone.0282061
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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脑震荡相关的知识,态度和规范的结构之间的关系和它们对观察到的寻求照顾的行为的影响以前已经研究。目前的模型认为,这些结构作为潜在的调解人的求医行为,然而,它们之间的动态尚未得到调和。一项横断面的在线调查探讨了在多种环境下参加体育运动的中学生家长中脑震荡相关知识、态度和规范的潜在结构之间的关系。一个刚刚确定和两个过度识别的路径模型进行了探索和比较,努力了解这种关系。共有426名美国中学生的父母接受了调查并纳入分析(平均年龄= 38.7±9.9岁; 55.6%为女性; 51.4%为白色/非西班牙裔; 56.1%至少拥有学士学位)。所有家长都有在俱乐部和学校参加体育活动的中学生。最佳拟合模型是一个刚刚确定的模型与脑震荡相关的规范影响脑震荡相关的知识和态度,脑震荡相关的知识影响态度。该模型解释了14%的态度方差和12%的知识方差。研究结果表明,脑震荡相关的知识,态度和规范的结构是直接相互关联的,但这种关系的动态可能是复杂的。因此,对这些结构的简约解释可能是不适当的。未来的研究应该努力进一步协调这些结构之间的动态,以及这些动态可能对寻求护理行为产生的影响,而不仅仅是作为中介。
Relationships between the constructs of concussion-related knowledge, attitudes, and norms and their influence on observed care-seeking behaviors have previously been examined. Current models posit that these constructs serve as potential mediators of care-seeking behaviors; however, the dynamics between them have yet to be reconciled. A cross-sectional, online survey explored relationships among the latent constructs of concussion-related knowledge, attitudes, and norms in parents of middle school children who participate in sports in multiple settings. A just-identified and two overidentified path models were explored and compared in an effort to understand such relationships. A total of 426 parents of United States middle school students were surveyed and included in analyses (mean age = 38.7±9.9 years; 55.6% female; 51.4% white/non-Hispanic; 56.1% with at least a bachelor’s degree). All parents had middle school aged children who participated in sport in both the club and school settings. The best fitting model was a just-identified model with concussion-related norms influencing concussion-related knowledge and attitudes, and concussion-related knowledge influencing attitudes. This model accounted for 14% of the variance in attitude and 12% of the variance in knowledge. Study findings suggest that the constructs of concussion-related knowledge, attitudes and norms are directly related to one another, yet the dynamics of such relationships may be complex. As such, a parsimonious interpretation of these constructs may not be appropriate. Future research should work to further reconcile the dynamics between these constructs, and the impact these dynamics may have in influencing care-seeking behaviors beyond serving as mediators.
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