Athletes' concussion risk is part of a complex system of personal and contextual factors. This study differentiated athletes based on attitudes and intentions towards protective behaviours. A cross-sectional survey design was used to sample varsity athletes. Three intention response subgroups (indifferent, reactive, and proactive) were identified. The indifferent group (28%) reported little-to-no intent to engage in risk reduction behaviours. These athletes reported lower belief in the efficacy of concussion management behaviours and greater risk acceptance attitudes. The proactive group (32%) reported intent to actively reduce personal concussion risk through engaging in behaviours such as confronting aggressive opponents about the risk they pose to others. The reactive group (40%) only reported intent to engage in concussion management behaviours. Indifferent athletes had the highest likelihood of concussion exposure followed by reactive athletes. The proactive athletes had the lowest likelihood. Concussion programs must address beliefs and intentions towards protective behaviours to improve effectiveness.
Author Keywords: Athlete, Attitudes, Concussion, Injury Prevention, Intentions, Risk