Care for Post-Concussive Symptoms
| Status: | Completed |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 11 - 18 |
| Updated: | 9/20/2018 |
| Start Date: | October 2014 |
| End Date: | January 2016 |
The proposed study is a pilot randomized trial of a stepped collaborative care intervention
designed to decrease post-concussive symptoms and improve post-injury functioning among
sports-injured youth aged 11-17. Participants with persistent post-concussive symptoms
(symptoms persisting at least two months post-injury) will be recruited from Seattle
Children's Hospital departments of sports medicine and rehabilitation medicine. Consent and
assent will be obtained in-person. Participants will be randomized to receive either the
stepped collaborative care intervention, or treatment-as-usual. Participants will be assessed
on a range of symptoms and areas of functioning at four time points: 0 months, 1 month, 3
months, and 6 months after enrollment. The primary hypothesis is that the intervention group
athletes, when compared to usual care control group athletes, will demonstrate clinically and
statistically significant reductions in postconcussive, anxiety, and depressive symptoms over
the course of the 6-month study. Secondary analyses will assess the impact of the
intervention on functional impairment including missed school days and other academic
outcomes. Exploratory analyses will examine MRI findings that are characteristic of
postconcussive neuropathology, if available in medical record, as predictors of treatment
responses.
designed to decrease post-concussive symptoms and improve post-injury functioning among
sports-injured youth aged 11-17. Participants with persistent post-concussive symptoms
(symptoms persisting at least two months post-injury) will be recruited from Seattle
Children's Hospital departments of sports medicine and rehabilitation medicine. Consent and
assent will be obtained in-person. Participants will be randomized to receive either the
stepped collaborative care intervention, or treatment-as-usual. Participants will be assessed
on a range of symptoms and areas of functioning at four time points: 0 months, 1 month, 3
months, and 6 months after enrollment. The primary hypothesis is that the intervention group
athletes, when compared to usual care control group athletes, will demonstrate clinically and
statistically significant reductions in postconcussive, anxiety, and depressive symptoms over
the course of the 6-month study. Secondary analyses will assess the impact of the
intervention on functional impairment including missed school days and other academic
outcomes. Exploratory analyses will examine MRI findings that are characteristic of
postconcussive neuropathology, if available in medical record, as predictors of treatment
responses.
Inclusion Criteria:
- Between ages 11 and 18
- Have sustained a head impact during sports participation
- Have incurred an onset or increase of at least three post-concussive symptoms
following head impact
- Have increased post-concussive symptoms following head impact have continued for at
least 4 weeks
- Live with their parents or legal guardians
- Live within commuting distance of Seattle Children's Hospital
- Willing to participate in assessment and treatment
- Have at least one parent/caregiver willing to participate in assessment and treatment
Exclusion Criteria:
- Meet Diagnostic and Statistical Manual of Mental Disorders (DSM - V) criteria for a
psychotic disorder or bipolar disorder
- Active suicidality
- Substance dependence
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