Level of Agreement Between Child and Parent Reporting on the Child Sport Concussion Assessment Tool (SCAT5)

Author:

Moran Ryan N.12,Haller Mason1,Louis Melanie1,Guin J. Russell23,Allen Jeff2

Affiliation:

1. * Athletic Training Research Laboratory, The University of Alabama, Tuscaloosa

2. † Department of Intercollegiate Athletics, The University of Alabama, Tuscaloosa

3. ‡ College of Community Health Sciences, The University of Alabama, Tuscaloosa

Abstract

Context The Child Sport Concussion Assessment Tool, fifth edition (SCAT5), remains the consensus instrument for concussion evaluation in youth athletes. Both child and parent are recommended to complete the athlete background and symptom reporting. Objective To determine the level of agreement between child and parent medical history and symptom reporting and quantify their performance on the Child SCAT5 in male football athletes. Design Cross-sectional study. Setting National Collegiate Athletic Association Division I college football facility. Patients or Other Participants A total of 157 youth male football athletes (age = 10.7 ± 1.3 years) participating in a university-sanctioned youth football camp and their parent or legal guardian. Main Outcome Measure(s) Youth athletes and their parent completed the athlete background (demographics, diagnosed medical history) and symptom evaluation (symptom items, total number of symptoms, and symptom severity score) of the Child SCAT5 and were instructed not to discuss reporting with each other during testing. Cronbach α tests were conducted to determine the internal consistency, and descriptive statistics determined the level of agreement between medical history, symptom reporting, and baseline performance. Results The internal consistency of the symptom items was high for both child (Cronbach α = 0.91) and parent (α = 0.92). Agreement on medical history ranged from 67% (learning disability or dyslexia) to 85% (attention-deficit/hyperactivity disorder), with 82% agreement on sustaining a previous concussion. Fourteen youth athletes reported having been hospitalized for a head injury, with zero matched parent confirmations. Individual symptom agreement ranged from 70.7% (gets distracted easily) to 94.9% (going to faint). Agreement was 35% on total number of symptoms and severity. Abnormal scoring ranged from 2% (going to faint) to 25% (headache) for child and 2% (double vision) to 28% (gets distracted easily) for parent reporting. Conclusions Fair agreement was shown between children and their parent on medical history and self-reported symptoms on the Child SCAT5 at baseline. When available, child and parent reporting should be used for concussion assessment and clinical decision-making.

Publisher

Journal of Athletic Training/NATA

Reference35 articles.

1. Consensus statement on Concussion in Sport 3rd International Conference on Concussion in Sport held in Zurich, November 2008;McCrory;Clin J Sport Med,2009

2. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012;McCrory;Br J Sports Med,2013

3. Consensus statement on concussion in sport—the 5th International Conference on Concussion in Sport held in Berlin, October 2016;McCrory;Br J Sports Med,2017

4. The Sport Concussion Assessment Tool 5th Edition (SCAT5): background and rationale;Echemendia;Br J Sports Med,2017

5. Developing common demographic data elements to include in future editions of the SCAT and Child SCAT: a modified international Delphi study;Shanks;Br J Sports Med,2020

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