Key result
Child self-reported sport-related concussion history shows substantial agreement with parent reports.
Why the study?
The agreement between parent-reported and child self-reported sport-related concussion history in youth contact sports was unclear.
Cross-Sectional (n=405)
Effect estimate: κ = 0.613
Absolute Event Rate: 8.6% vs 6.2%
p-value: p=≤ .001
Parent and youth athlete accounts of diagnosed sport-related concussion history generally correspond, though determining specific counts may benefit from concurrent reports or medical records.
Substantial agreement supports interchangeable child or parent SRC reports in surveys; leaves open validation against records before wider use.
This cross sectional investigation measured the agreement between parent report of their 8–14 year old child’s sport-related concussion (SRC) history and their child’s self-report of their own SRC history. Parent–child dyads (n = 405) within a youth contact sports (e.g., football, ice hockey, lacrosse, soccer) setting participated in the study. Parents (6.2%) and 8.6% of children self-reported a history of at least one diagnosed SRC. We observed substantial agreement between the number of parent-reported and child self-reported SRCs (κ = 0.613, p ≤ .001). Partial agreement regarding the number of SRCs reported by both groups was also substantial (weighted κ = 0.693, p ≤ .001). Removing dyads where neither the parent nor the child reported a diagnosed SRC, sensitivity analyses revealed only fair agreement in parent–child SRC recall. These results indicate that parents and youth athletes overall accounts of their diagnosed SRC history correspond. However determining specifics (e.g., total concussion counts) may benefit from concurrent parent reports, or documented events in medical histories.
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Bretzin et al. (2022) conducted a cross-sectional in Sport-related concussion (n=405). Child self-report of sport-related concussion history vs. Parent report of sport-related concussion history was evaluated on Agreement between the number of parent-reported and child self-reported sport-related concussions (κ = 0.613, p=≤ .001). Child self-reported sport-related concussion history demonstrated substantial agreement with parent reports (κ = 0.613, p ≤ 0.001), with 8.6% of children and 6.2% of parents reporting a prior SRC.
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