Term of Award

Spring 2021

Degree Name

Master of Science in Kinesiology (M.S.)

Document Type and Release Option

Thesis (open access)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

Department

Department of Health and Kinesiology

Committee Chair

Bridget Melton

Committee Member 1

Greg Ryan

Committee Member 2

Jessica Mutchler

Abstract

CONTEXT: Firefighting is a dangerous profession often leading to minor and severe injuries. Injuries range from basic first aid to fatalities. Over a third of injuries linked to muscular-skeletal injuries (MSKI). To address MSKI, the fire service has turned to preventative and rehabilitation care such as on-site health care professionals.

OBJECTIVE: The purpose of this study was 1) to understand rural firefighters' self-efficacy of injury care and willingness to report MSKIs, 2) compare on-site preventative care fire departments to traditional fire departments and 3) describe the influence of on-site self-efficacy of MSKI care and willingness to report injuries based on past injuries.

DESIGN: Cross-sectional study

SETTING AND PARTICIPANTS: 100 southeastern firefighters completed the online survey.

MAIN OUTCOME MEASURES: A 17-question survey included questions on demographics, self-efficacy and self-care of musculoskeletal injuries, and willingness to report injuries was sent to firefighters in the southeast region.

RESULTS: Firefighters with an on-site health care professional and experienced an injury median scores were statistically significantly different between Yes and Not Applicable for self-efficacy and self-care in evaluating the importance of your symptoms (p= 0.022), doing something to relieve their symptoms (p= 0.029), persisting in finding a symptom remedy even when difficult (p= 0.042), and in my department, there is no blame or stigma attached to reporting an injury(p= 0.020). Firefighters without an on-site health care professional experienced an injury median scores were statistically significantly different between no and not applicable for recognize changes in your health if they occur (p= 0.024), feel quite comfortable reporting an injury (p= 0.017), in my department, people tent to cover up their injuries (p= 0.004), and in my department, there is no blame or stigma attached to reporting an injury (p= 0.004). No significant difference found overall between departments.

CONCLUSION: No difference between firefighters with an on-site health care professional compared to traditional departments. However, firefighters with an on-site health care professional who have been injured show more confidence in self-care and self-efficacy of injuries. Firefighters with on-site health care professionals show an increase in willingness to report.

Research Data and Supplementary Material

No

Available for download on Tuesday, April 14, 2026

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