TY  - JOUR
PY  - 2021//
TI  - Understanding racial differences in computerized neurocognitive test performance and symptom-reporting to deliver culturally competent patient-centered care for sport-related concussion
JO  - Applied neuropsychology. Adult
A1  - Wallace, Jessica
A1  - Beidler, Erica
A1  - Covassin, Tracey
A1  - Hibbler, Tamaria
A1  - Schatz, Philip
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: This study examined neurocognitive performance and symptoms between concussed Black and White collegiate athletes at baseline, post-injury, and change from baseline to post-injury. <br><br>METHOD: The Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) was used to measure neurocognitive performance and four concussion symptom clusters for 235 concussed collegiate athletes. Between-groups differences were documented at baseline and post-injury, along with change in scores for sex/race, and sport/race groups, using ANOVAs. Baseline scores, and days-to-post-test were covariates in post-injury comparisons. Symptom endorsement by race was evaluated using chi-square analyses. <br><br>RESULTS: At baseline, group comparisons by race and sex showed that Black male/female athletes scored lower on reaction time (RT; p =.008), White females scored higher on verbal memory (VerbMem; p =.001), Black females scored lower on visual motor processing speed (VMS; p =.001), and Black football athletes scored slower/poorer on RT (p =.001) and VMS (p =.006). Post-injury, Black males scored lower on visual memory (VisMem; p =.005) and VMS (p =.002), and Black football athletes scored slower on VMS (p =.005), whereas White non-football athletes scored higher on VerbMem (p =.002) and reported fewer symptoms. Significant time-by-sport/race interactions were found for VerbMem (p <.001), VisMem (p <.001) and reported symptoms. With respect to post-injury symptom scores/endorsement, Black athletes scored significantly higher for physical (p =.01) and sleep (p =.01) symptoms. <br><br>CONCLUSION: These findings drive the conversation of how subjective measures of symptoms, and objective clinical concussion measures, may relate to the concussion recovery process and providing a culturally competent clinical management approach for diverse patients.<p />  <p>Language: en</p>
LA  - en
SN  - 2327-9095
UR  - http://dx.doi.org/10.1080/23279095.2021.1912047
ID  - ref1
ER  -