Mouthgard BITES (Behavior, Impulsivity, Theory Evaluation Study)

Mouthgard BITES（行为、冲动、理论评估研究）

• 批准号: 7868007
• 负责人: Dawn Comstock
• 金额: $ 7.13万
• 依托单位: RESEARCH INST NATIONWIDE CHILDREN'S HOSP
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7868007
• 关键词: Accidental Injury; Address; Adolescent; Adoption; Attitude; Behavior; Behavioral; Belief; Childhood; Conflict (Psychology); Decision Making; Development; Effectiveness; Ensure; Equipment; Evaluation Studies; Exhibits; Eye; Face; Future; Goals; Head; Health; Health Knowledge, Attitudes, Practice; Healthy People 2010; Impulsivity; Injury; Intervention; Knowledge; Manufactured Baseball; Manufactured basketball; Measures; Mission; Modeling; National Institute of Dental and Craniofacial Research; Oral; Oral cavity; Oral health; Parents; Perception; Physical activity; Population; Prevention program; Preventive; Process; Research; Research Project Grants; Research Training; Risk-Taking; School-Age Population; Schools; Softball; Sports; Staging; Students; Time; age group; base; behavior measurement; cost; craniofacial; discount; discounting; high school; improved; injury prevention; interest; prevent; public health relevance; social; theories; violence prevention

DESCRIPTION (provided by applicant): High school aged adolescents often behave in ways inconsistent with their long-term best interests. This includes risk taking and failing to take known preventive measures to ensure long-term health. Their behaviors are often based on avoiding immediate small effort, cost, time burden, or physical or social discomfort and discounting delayed or uncertain consequences. Understanding such delay discounting can drive development of targeted interventions based on behavioral processes associated with failing to utilize preventive measures. Similarly, although high school athletes have an intense desire to participate in their sport, when given a choice, they often fail to utilize proven effective protective equipment (PE) which can prevent time loss injuries. This behavioral conflict between long- and short-term interests renders useless PE which can not prevent injuries if the athlete does not use it. Specific behavioral measures of impulsivity may be associated not only with an adolescent athlete's initial use of PE but also with maintaining consistent use. To maximize the effectiveness of proven yet underutilized PE like mouthguards, we must improve our understanding of athletes' decision making regarding PE use. This study's main objective is to investigate the relationship between high school baseball, softball, and basketball players' mouthguard use stage (Precaution Adoption Process Model (PAPM) stage) and impulsive delay discounting (DD). The specific aims are: 1) measure athletes' knowledge, attitudes, beliefs, and behaviors (KABs) regarding mouthguard use as well as the athletes' perception of their parent's and coach's beliefs regarding mouthguard use, 2) assign athletes to a mouthguard use stage using the PAPM, 3) measure the concept of DD in athletes, and 4) investigate the relationship between DD and mouthguard use stage. The study hypothesis is that there will be a strong inverse relationship between DD and mouthguard use stage with student athletes' exhibiting high DD being in the lowest mouthguard use stage and student athletes' exhibiting low DD being in the highest mouthguard use stage. The information gained from this research, the first developmental stage of an anticipated new line of research, is expected to improve our understanding of high school athletes' decision making regarding use of mouthguards. Such knowledge is necessary to develop targeted interventions based on identification of behavioral factors that influence athletes' decision making regarding mouthguard use. The findings of this study will be used to develop future research projects in broader populations (i.e., broader age group of pediatric athletes, broader range of sports, and broader range of PE). The long term goal of this line of research is to decrease sports-related injuries among pediatric athletes by increasing use of proven effective yet underutilized sports PE such as mouthguards through targeted interventions based on behavioral factors that influence decision making regarding PE use. PUBLIC HEALTH RELEVANCE: The long term goal of this line of research is to decrease sports-related injuries among pediatric athletes by increasing use of proven effective yet underutilized sports PE such as mouthguards through targeted interventions based on behavioral factors that influence decision making regarding PE use. This addresses Healthy People 2010 Objective 15, Injury and Violence Prevention, sections 15-14, Reduce nonfatal unintentional injuries, and 15-31, Increase the proportion of public and private schools that require use of appropriate head, face, eye, and mouth protection for students participating in school-sponsored physical activities. Additionally this research addresses the general NIDCR mission to improve and promote craniofacial, oral and dental health through research and research training as well as the NIDCR plan to expand current research and encourage new studies of craniofacial injuries, including injury prevention programs targeted to the public to promote wearing protective head and face gear in sports and in operating riding vehicles.

描述（由申请人提供）：高中年龄的青少年往往表现出与他们的长期最佳利益不一致的方式。这包括冒险和未能采取已知的预防措施，以确保长期健康。他们的行为往往是基于避免立即的小努力，成本，时间负担，或身体或社会不适，并贴现延迟或不确定的后果。理解这种延迟折扣可以推动基于与未能利用预防措施相关的行为过程的有针对性的干预措施的发展。同样，虽然高中运动员有强烈的愿望参加他们的运动，当给予选择，他们往往未能利用行之有效的保护设备（PE），可以防止时间损失伤害。这种长期和短期利益之间的行为冲突，使无用的体育不能防止伤害，如果运动员不使用it. Specific行为措施的冲动可能不仅与青少年运动员的最初使用的体育，但也与保持一致的使用。为了最大限度地提高已被证明但未被充分利用的体育运动的有效性，如护齿，我们必须提高我们对运动员的决策关于体育使用的理解。本研究主要目的在探讨高中棒、垒球、篮球运动员护齿套使用阶段（预防采用过程模型（PAPM）阶段）与冲动延迟折扣（DD）之间的关系。具体目标是：1）测量运动员关于使用护齿套的知识、态度、信念和行为（KABs），以及运动员对其父母和教练关于使用护齿套的信念的感知，2）使用PAPM将运动员分配到护齿套使用阶段，3）测量运动员的DD概念，以及4）调查DD与护齿套使用阶段之间的关系。本研究假设：戴护齿数与戴护齿使用阶段呈显著的负相关，高戴护齿数的运动员处于戴护齿最少的阶段，低戴护齿数的运动员处于戴护齿最多的阶段。从这项研究中获得的信息，一个预期的新的研究线的第一个发展阶段，预计将提高我们对高中运动员的决策使用护齿的理解。这些知识是必要的，以制定有针对性的干预措施的基础上确定的行为因素，影响运动员的决定，关于使用牙套。这项研究的结果将用于在更广泛的人群中开发未来的研究项目（即，更广泛的儿童运动员年龄组，更广泛的运动范围，更广泛的体育）。这一系列研究的长期目标是通过增加使用已证明有效但未充分利用的运动PE，如通过基于影响PE使用决策的行为因素的有针对性的干预措施，减少儿科运动员中与运动相关的损伤。 公共卫生关系：这一系列研究的长期目标是通过增加使用已证明有效但未充分利用的运动PE，如通过基于影响PE使用决策的行为因素的有针对性的干预措施，减少儿科运动员中与运动相关的损伤。这涉及到《2010年健康人》目标15“伤害和暴力预防”，第15-14节“减少非致命性意外伤害”和第15-31节“增加要求对参加学校主办的体育活动的学生使用适当的头部、面部、眼睛和口腔保护的公立和私立学校的比例”。此外，这项研究涉及一般NIDCR使命，以改善和促进颅面，口腔和牙齿健康，通过研究和研究培训，以及NIDCR计划，以扩大目前的研究，并鼓励新的颅面损伤的研究，包括伤害预防计划，针对公众，以促进佩戴保护性的头部和面部齿轮在运动和操作骑车辆。