アスレチック強化ジャーナル

Comparison of Direct Entry and Face to Face Delivery of the Sports Concussion Assessment Tool (SCAT) Symptoms

Cone LH1, Holmberg PM2, Olmon S2, Owens C2, Davis K2, Canacoo JO2, Hijazin K1, Kohout K1, Powner S1, Tremonti N3 and Kelly LA1*

Background: With an increase in sport-related concussions and heightened accessibility of technology, computer-based assessments via direct entry have become widely used among sports medicine professionals. However, the validity of direct entry as compared to face to face interviews on a common concussion assessment tool has not been examined.

Purpose: Thus, the aims of this study were 1) to compare the results of the Sport Concussion Assessment Tool (SCAT) symptoms using direct entry and face to face interview protocols; 2) to assess for gender differences in reporting modalities.

Study Design: Cross-sectional.

Methods: Three hundred and eighty-five (N=385) National Collegiate Athletic Association (NCAA) Division III student-athletes completed the study. Participants completed the SCAT symptoms via face to face interviews and a participant direct entry platform. Correlations and KAPPA statistics were used to compare the results of the assessment protocols.

Results: Spearman’s rank correlation coefficient ranged from r=0.189–0.775 (P<0.001) for the total group; r=0.142–0.788 (P<0.001) among males; and, r=0.093-0.743 (P<0.001) among females. KAPPA statistics for the total group, males and females, ranged from 0.089-0.620 (P<0.001), demonstrating poor-to-good strength.

Conclusion: Overall, these findings suggest that the direct entry platform is an acceptable mechanism for data collection, particularly in female populations.