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Concussion Awareness Training Tool for Youth : Impact on Concussion Knowledge, Beliefs, and Reporting Intentions Shepherd, Heather A.; Galarneau, Jean-Michel; Neill, Matthew; Karmali, Shazya; Turcotte, Kate; Williamson, Rylen A.; Cowle, Stephanie; Macpherson, Alison; Reed, Nick; Schneider, Kathryn J.; Belton, Kathy L.; Gagnon, Isabelle; Black, Amanda M.; Emery, Carolyn A.; Babul, Shelina

Abstract

Background. Concussion education is recommended to increase concussion knowledge, beliefs, and reporting intentions. The Concussion Awareness Training Tool for Youth (CATT-Youth) is a 40-minute e-Learning module developed for high school– aged youth. Aim. The aim of the study was to evaluate changes in concussion knowledge, beliefs, and reporting intentions in high school youth from Calgary, Canada, following completion of the CATT-Youth. Methods. This study used a modified stepped-wedge trial design. High school classes were randomly assigned to an intervention (Ix) or delayed intervention (DIx) group. Ix group participants completed a pre-CATT survey immediately followed by the CATT-Youth, then a post-CATT survey 2 to 6 weeks later. DIx group participants completed two pre-CATT surveys 2 to 6 weeks apart, with the CATTYouth completed immediately following the second pre-CATT, then a post-CATT survey 2 to 6 weeks later. The pre-/ post-CATT survey encompassed 11 subtests evaluating concussion knowledge, beliefs, and reporting intentions. Independent mixed linear regression models were conducted to examine changes in scores for each subtest. Results. Participants included 454 high school students: five Ix schools (16 classes, n = 323) and two DIx schools (six classes, n = 131). The CATT-Youth significantly increased general concussion knowledge, Ix δ = 0.546/8 (95% confidence interval [CI] = [0.243, 0.849]), DIx δ = 0.728/8 (95% CI = [0.389, 1.106]), and beliefs about capabilities, Ix δ = 2.462/28 (95% CI = [1.086, 3.838]), DIx δ = 3.219/28 (95% CI = [1.594, 4.844]) for both groups. For some subtests, improvements were noted in the DIx group only. Conclusion. The CATT-Youth module improved concussion knowledge and beliefs about capabilities for students in both groups. Future studies should explore the utility of the CATT-Youth in changing knowledge, beliefs, and reporting intentions in high school students.

Item Metadata

Title
Concussion Awareness Training Tool for Youth : Impact on Concussion Knowledge, Beliefs, and Reporting Intentions
Creator
Shepherd, Heather A.; Galarneau, Jean-Michel; Neill, Matthew; Karmali, Shazya; Turcotte, Kate; Williamson, Rylen A.; Cowle, Stephanie; Macpherson, Alison; Reed, Nick; Schneider, Kathryn J.; Belton, Kathy L.; Gagnon, Isabelle; Black, Amanda M.; Emery, Carolyn A.; Babul, Shelina
Contributor
B.C. Injury Research and Prevention Unit; Children's Hospital (Vancouver, B.C.). Research Institute
Date Issued
2024-08-13
Description
Background. Concussion education is recommended to increase concussion knowledge, beliefs, and reporting intentions. The Concussion Awareness Training Tool for Youth (CATT-Youth) is a 40-minute e-Learning module developed for high school– aged youth. Aim. The aim of the study was to evaluate changes in concussion knowledge, beliefs, and reporting intentions in high school youth from Calgary, Canada, following completion of the CATT-Youth. Methods. This study used a modified stepped-wedge trial design. High school classes were randomly assigned to an intervention (Ix) or delayed intervention (DIx) group. Ix group participants completed a pre-CATT survey immediately followed by the CATT-Youth, then a post-CATT survey 2 to 6 weeks later. DIx group participants completed two pre-CATT surveys 2 to 6 weeks apart, with the CATTYouth completed immediately following the second pre-CATT, then a post-CATT survey 2 to 6 weeks later. The pre-/ post-CATT survey encompassed 11 subtests evaluating concussion knowledge, beliefs, and reporting intentions. Independent mixed linear regression models were conducted to examine changes in scores for each subtest. Results. Participants included 454 high school students: five Ix schools (16 classes, n = 323) and two DIx schools (six classes, n = 131). The CATT-Youth significantly increased general concussion knowledge, Ix δ = 0.546/8 (95% confidence interval [CI] = [0.243, 0.849]), DIx δ = 0.728/8 (95% CI = [0.389, 1.106]), and beliefs about capabilities, Ix δ = 2.462/28 (95% CI = [1.086, 3.838]), DIx δ = 3.219/28 (95% CI = [1.594, 4.844]) for both groups. For some subtests, improvements were noted in the DIx group only. Conclusion. The CATT-Youth module improved concussion knowledge and beliefs about capabilities for students in both groups. Future studies should explore the utility of the CATT-Youth in changing knowledge, beliefs, and reporting intentions in high school students.
Subject
concussion; youth; education; knowledge; beliefs; behavior change; Children and youth (0-19); Concussion/traumatic brain injury
Genre
Article
Type
Text
Language
eng
Date Available
2025-03-12
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial 4.0 International
DOI
10.14288/1.0448191
URI
http://hdl.handle.net/2429/90479
Affiliation
Medicine, Faculty of; Other UBC; Non UBC; Pediatrics, Department of
Citation
Shepherd HA, Galarneau J-M, Neill M, et al. Concussion Awareness Training Tool for Youth: Impact on Concussion Knowledge, Beliefs, and Reporting Intentions. Health Education & Behavior. 2025;52(1):17-27.
Publisher DOI
10.1177/10901981241263577
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Rights URI
http://creativecommons.org/licenses/by-nc/4.0/
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Attribution-NonCommercial 4.0 International