TY - JOUR
T1 - Accuracy of recall of musculoskeletal injuries in elite military personnel
T2 - A cross-sectional study
AU - Lovalekar, Mita
AU - Abt, John P.
AU - Sell, Timothy C.
AU - Lephart, Scott M.
AU - Pletcher, Erin
AU - Beals, Kim
N1 - Publisher Copyright:
© 2017 Article author(s). All rights reserved.
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Background Self-reported data are often used in research studies among military populations. Objective The accuracy of self-reported musculoskeletal injury data among elite military personnel was assessed for issues with recall. Design: Cross-sectional study. Setting: Applied research laboratory at a military installation. Participants: A total of 101 subjects participated (age 28.5±5.6 years). Study participants were active duty military personnel, with no conditions that precluded them from full duty. Primary and secondary outcome measures Self-reported and medical record reviewed injuries that occurred during a 1-year period were matched by anatomic location, injury side (for extremity injuries), and injury year and type. The accuracy of recall was estimated as the per cent of medical record reviewed injuries correctly recalled in the self-report. The effect of injury anatomic location, injury type and severity and time since injury, on recall, was also assessed. Injuries were classified as recent (≤4 years since injury) or old injuries (>4 years since injury). Recall proportions were compared using Fisher's exact tests. Results: A total of 374 injuries were extracted from the subjects' medical records. Recall was generally low (12.0%) and was not different between recent and old injuries (P=0.206). Injury location did not affect recall (P=0.418). Recall was higher for traumatic fractures as compared with less severe non-fracture injuries (P values 0.001 to <0.001). Recall for non-fracture injuries was higher for recent as compared with old injuries (P=0.033). This effect of time since injury on recall was not observed for fractures (P=0.522). Conclusions: The results of this study highlight the importance of weighing the advantages and disadvantages of self-reported injury data before their use in research studies in military populations and the need for future research to identify modifiable factors that influence recall.
AB - Background Self-reported data are often used in research studies among military populations. Objective The accuracy of self-reported musculoskeletal injury data among elite military personnel was assessed for issues with recall. Design: Cross-sectional study. Setting: Applied research laboratory at a military installation. Participants: A total of 101 subjects participated (age 28.5±5.6 years). Study participants were active duty military personnel, with no conditions that precluded them from full duty. Primary and secondary outcome measures Self-reported and medical record reviewed injuries that occurred during a 1-year period were matched by anatomic location, injury side (for extremity injuries), and injury year and type. The accuracy of recall was estimated as the per cent of medical record reviewed injuries correctly recalled in the self-report. The effect of injury anatomic location, injury type and severity and time since injury, on recall, was also assessed. Injuries were classified as recent (≤4 years since injury) or old injuries (>4 years since injury). Recall proportions were compared using Fisher's exact tests. Results: A total of 374 injuries were extracted from the subjects' medical records. Recall was generally low (12.0%) and was not different between recent and old injuries (P=0.206). Injury location did not affect recall (P=0.418). Recall was higher for traumatic fractures as compared with less severe non-fracture injuries (P values 0.001 to <0.001). Recall for non-fracture injuries was higher for recent as compared with old injuries (P=0.033). This effect of time since injury on recall was not observed for fractures (P=0.522). Conclusions: The results of this study highlight the importance of weighing the advantages and disadvantages of self-reported injury data before their use in research studies in military populations and the need for future research to identify modifiable factors that influence recall.
KW - mental recall
KW - military personnel
KW - musculoskeletal system/injuries
KW - sports medicine
UR - http://www.scopus.com/inward/record.url?scp=85043497741&partnerID=8YFLogxK
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U2 - 10.1136/bmjopen-2017-017434
DO - 10.1136/bmjopen-2017-017434
M3 - Article
C2 - 29247087
AN - SCOPUS:85043497741
SN - 2044-6055
VL - 7
JO - BMJ Open
JF - BMJ Open
IS - 12
M1 - e017434
ER -