Factors associated with concussion-symptom knowledge and attitudes toward concussion care seeking in a national survey of parents of middle-school children in the US

Background:Developing appropriate concussion prevention and management paradigms in middle school(MS)settings requires understanding parents’general levels of concussion-related knowledge and attitudes.This study examined factors associated with concussion-symptom knowledge and care-seeking attitudes among parents of MS children(aged 10-15 years).Methods:A panel of 1224 randomly selected U.S.residents,aged ≥18 years and identifying as parents of MS children,completed an online questionnaire capturing parental and child characteristics.The parents’concussion-symptom knowledge was measured using 25 questions,with possible answers being“yes”,“maybe”,and“no”.Correct answers earned 2 points,“maybe”answers earned 1 point,and incorrect answers earned 0 point(range:0-50;higher scores=better knowledge).Concussion care-seeking attitudes were also collected using five 7-point scale items(range:5-35;higher scores=more positive attitudes).Multivariable ordinal logistic regression models identified predictors of higher scores.Models met proportional odds assumptions.Adjusted odds ratios(aORs)with 95%confidence intervals(95%CIs)(excluding 1.00)were deemed statistically significant.Results:Median scores were 39(interquartile range:32-44)for symptom knowledge and 32(interquartile range:28-35)for care-seeking attitude.In multivariable models,odds of better symptom knowledge were higher in women vs.men(aOR=2.28;95%CI:1.71-3.05),white/non-Hispanics vs.other racial or ethnic groups(aOR=1.88;95%CI:1.42-2.49),higher parental age(10-year-increase aOR=1.47;95%CI:1.26-1.71),and greater competitiveness(10%-scale-increase aOR=1.24;95%CI:1.13-1.36).Odds of more positive care-seeking attitudes were higher in white/non-Hispanics vs.other racial or ethnic groups(aOR=1.45;95%CI:1.06-1.99)and in older parental age(10-year-increase aOR=1.24;95%CI:1.05-1.47).Conclusion:Characteristics of middle school children’s parents(e.g.,sex,race or ethnicity,age)are associated with their concussion-symptom knowledge and care-seeking attitudes.Parents’variations in concussion knowledge and attitudes warrant tailored concussion education and prevention.     

Traditional education and methods of access: Transcripting extrainstitutional education

Innovative Higher Education - The evaluation of training and education sponsored by the Armed Forces, business, and industry as well as prior learning assessment has been systematically...     

How Team Interlock Ecosystems Shape the Assembly of Scientific Teams: A Hypergraph Approach

ABSTRACT

Today’s most pressing scientific problems necessitate scientific teamwork; the increasing complexity and specialization of knowledge render “lone geniuses” ill-equipped to make high-impact scientific breakthroughs. Social network research has begun to explore the factors that promote the assembly of scientific teams. However, this work has been limited by network approaches centered conceptually and analytically on “nodes as people,” or “nodes as teams.” In this article, we develop a “team-interlock ecosystem” conceptualization of collaborative environments within which new scientific teams, or other creative team-based enterprises, assemble. Team interlock ecosystems comprise teams linked to one another through overlapping memberships and/or overlapping knowledge domains. They depict teams, people, and knowledge sets as nodes, and thus, present both conceptual advantages as well as methodological challenges. Conceptually, team interlock ecosystems invite novel questions about how the structural characteristics of embedding ecosystems serve as the primordial soup from which new teams assemble. Methodologically, however, studying ecosystems requires the use of more advanced analytics that correspond to the inherently multilevel phenomenon of scientists nested within multiple teams. To address these methodological challenges, we advance the use of hypergraph methodologies combined with bibliometric data and simulation-based approaches to test hypotheses related to the ecosystem drivers of team assembly.