biostudies-literatureBuckley TANational Institute of Neurological Disorders and StrokeNINDS NIH HHS288-294https://www.ebi.ac.uk/biostudies/studies/S-EPMC10911450biostudies-literatureUnknown38(4)<h4>Objective</h4>The purpose of this study was to assess changes in concussion knowledge and attitudes amongst incoming intercollegiate student-athletes over the course of a decade (2010-2012 vs 2021-2023).<h4>Methods</h4>There were 592 student-athletes from 2 cohorts (2010-2012, 2021-2023) who completed the Rosenbaum Concussion Knowledge and Attitudes Survey (ROCKaS) questionnaire which is comprised of a concussion knowledge index (CKI, 0-24) and attitude index (CAI, 15-75) with higher scores reflecting better performance. A three factor ANOVA (Group, Sex, Concussion History) compared performance on the CKI and CAI. Individual questions were compared between groups with a Chi-Square analysis.<h4>Results</h4>For the CKI, there was a significant main effect for Group (2010-2012: 18.5 ± 2.6, 2021-2023: 19.4 ± 2.5, <i>p</i> < 0.001, η2=0.032). For the CAI, there was also a significant main effect for group (2010-2012: 52.9 ± 6.0, 2021-2023: 62.2 ± 6.5, <i>p</i> < 0.001, η2=0.359).<h4>Conclusions</h4>The results of this study show a modest increase in concussion knowledge; however, large improvements in concussion attitudes were observed between groups. These results suggest a continued improvement in student-athlete concussion awareness and provide specific areas to continue addressing persistent misconceptions.Brain injuryCollegiate student-athletes concussion knowledge and attitudes: what a difference a decade Makes.PMC10911450R03NS104371R21 NS1220331R15NS070744R03 NS104371R15 NS070744Bodt BEvans KMMunkasy BAGallo CAPassalugo SWBuckley TAfalseCollegiate student-athletes concussion knowledge and attitudes: what a difference a decade Makes.<h4>Objective</h4>The purpose of this study was to assess changes in concussion knowledge and attitudes amongst incoming intercollegiate student-athletes over the course of a decade (2010-2012 vs 2021-2023).<h4>Methods</h4>There were 592 student-athletes from 2 cohorts (2010-2012, 2021-2023) who completed the Rosenbaum Concussion Knowledge and Attitudes Survey (ROCKaS) questionnaire which is comprised of a concussion knowledge index (CKI, 0-24) and attitude index (CAI, 15-75) with higher scores reflecting better performance. A three factor ANOVA (Group, Sex, Concussion History) compared performance on the CKI and CAI. Individual questions were compared between groups with a Chi-Square analysis.<h4>Results</h4>For the CKI, there was a significant main effect for Group (2010-2012: 18.5 ± 2.6, 2021-2023: 19.4 ± 2.5, <i>p</i> < 0.001, η2=0.032). For the CAI, there was also a significant main effect for group (2010-2012: 52.9 ± 6.0, 2021-2023: 62.2 ± 6.5, <i>p</i> < 0.001, η2=0.359).<h4>Conclusions</h4>The results of this study show a modest increase in concussion knowledge; however, large improvements in concussion attitudes were observed between groups. These results suggest a continued improvement in student-athlete concussion awareness and provide specific areas to continue addressing persistent misconceptions.2024-01-01T00:00:00Z2024 Mar2026-06-27T03:22:29.612Z2025-04-05T12:37:03.968ZS-EPMC109114503836986910.1080/02699052.2024.2314549