Occupational Inheritance in Service Academy Cadets and Midshipmen

2008 ◽  
Vol 2 (2) ◽  
pp. 43-46
Author(s):  
Brain Roller ◽  
◽  
Lee E. Doerries ◽  
2010 ◽  
Author(s):  
Sheila Nataraj Kirby ◽  
Harry J. Thie ◽  
Scott Naftel ◽  
Marisa Adelson
Keyword(s):  

2021 ◽  
pp. 109019812199573
Author(s):  
Christine M. Baugh ◽  
Craig A. Foster ◽  
Brian R. Johnson ◽  
Christopher D’Lauro

Background Concussion underreporting is endemic, and social norms are an established predictor of concussion reporting behavior. However, pluralistic ignorance—a situation in which most individuals in a group hold the belief that their peers’ views differ from their own, despite views actually being similar—has not been studied in this context. Aim To assess whether pluralistic ignorance contributes to concussion underreporting. Method We surveyed 2,504 military service academy cadets. Each cadet was presented with a survey asking about their willingness to self-report a concussion, their perception of other cadets’ willingness to report a concussion, and personal and demographic factors. Results Most cadets viewed themselves as more willing to report a concussion than others (mean difference = 1.12, 95% CI [1.02, 1.21]), a belief consistent with pluralistic ignorance. Demographic characteristics were associated with holding this belief. For example, female cadets and upper-class cadets were more likely to show this disparity than male or under-class cadets, respectively. Collegiate athletes not only showed similar willingness to report concussion as nonathletes but also perceived other cadets as less likely to report concussions. Meanwhile, future pilots showed less self-report willingness and perceived that others were similarly unwilling to report concussions. Discussion A majority of this economically and geographically diverse population displays characteristics of pluralistic ignorance: They largely share proconcussion reporting sentiments but incorrectly perceive that others do not. This belief is not held uniformly in all subpopulations, which may inform how these beliefs are developed and maintained. Conclusions Pluralistic ignorance is an important consideration in concussion education efforts.


Author(s):  
Drew J. Van Dam ◽  
James L. Eller ◽  
James A. Swezey
Keyword(s):  

2021 ◽  
Author(s):  
Kathryn L Van Pelt ◽  
Laura Wolff ◽  
Darren E Campbell ◽  
Gerald McGinty ◽  
Michael Zupan ◽  
...  

ABSTRACT Introduction Concussion has become the signature injury facing the U.S. military. However, little is understood about the relationship between military fitness and concussion recovery. The current study examined the recoveries of cadets at a U.S. Service Academy to determine whether preinjury physical fitness improved recovery and whether recovery was associated with post-injury physical fitness measures. Methods Participants were enrolled in a longitudinal study of concussion. Aerobic Fitness Test (AFT) and Physical Fitness Test (PFT) data were used to estimate cadet fitness. Survival analysis evaluated significant estimators of concussion recovery time. Linear regression models were used to explore the relationship between recovery duration and change in physical fitness scores. Results Between 2014 and 2017, 307 (n = 70; 22.80% Women) cadets who had sustained a concussion were enrolled. Preinjury physical fitness was not significantly associated with recovery duration (P > .05). Men and intercollegiate cadets took fewer days to reach recovery milestones. Compared to women, men had greater decrements in the Aerobic Fitness Test total score (P < .05) and increased 1.5-mile time postconcussion (P < .05). Women had greater decreases in push-ups postconcussion compared to males (P < .05). There was a trend for a negative association between days until asymptomatic and change in the Physical Fitness Test score (P = .07). Conclusion Preconcussion physical fitness levels do not appear to impact concussion recovery time among a highly physically fit cohort. Possible methods to reduce the effect of symptom duration on strength-related physical fitness should be investigated along with evaluating reductions in strength as a possible mechanism for postconcussion injury risk.


Author(s):  
Rachel N. Lipari ◽  
Karen K. Wessels ◽  
Paul J. Cook ◽  
Alan M. Jones ◽  
Jon C. Pennington ◽  
...  

2018 ◽  
Vol 50 (5S) ◽  
pp. 1
Author(s):  
Kenneth L. Cameron ◽  
Megan N. Houston ◽  
Kathryn L. O’Connor ◽  
Karen Y. Peck ◽  
Steven J. Svoboda ◽  
...  
Keyword(s):  

2020 ◽  
Vol 54 (22) ◽  
pp. 1314-1320 ◽  
Author(s):  
Emily Kroshus ◽  
Kenneth L Cameron ◽  
J Douglas Coatsworth ◽  
Christopher D'Lauro ◽  
Eungjae Kim ◽  
...  

Early disclosure of possible concussive symptoms has the potential to improve concussion-related clinical outcomes. The objective of the present consensus process was to provide useful and feasible recommendations for collegiate athletic departments and military service academy leaders about how to increase concussion symptom disclosure in their setting. Consensus was obtained using a modified Delphi process. Participants in the consensus process were grant awardees from the National Collegiate Athletic Association and Department of Defense Mind Matters Research & Education Grand Challenge and a multidisciplinary group of stakeholders from collegiate athletics and military service academies. The process included a combination of in-person meetings and anonymous online voting on iteratively modified recommendations for approaches to improve concussion symptom disclosure. Recommendations were rated in terms of their utility and feasibility in collegiate athletic and military service academy settings with a priori thresholds for retaining, discarding and revising statements. A total of 17 recommendations met thresholds for utility and feasibility and are grouped for discussion in five domains: (1) content of concussion education for athletes and military service academy cadets, (2) dissemination and implementation of concussion education for athletes and military service academy cadets, (3) other stakeholder concussion education, (4) team and unit-level processes and (5) organisational processes. Collectively, these recommendations provide a path forward for athletics departments and military service academies in terms of the behavioural health supports and institutional processes that are needed to increase early and honest disclosure of concussion symptoms and ultimately to improve clinical care outcomes.


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