Moving forward on the road to recovery after concussion: participant experiences of interdisciplinary intervention for persisting post-concussion symptoms

被引:1
作者
Nguyen, Jack V. K. [1 ,2 ,7 ]
Willmott, Catherine [1 ,2 ,3 ]
Ponsford, Jennie [1 ,2 ]
Davies, Katie [4 ]
Makdissi, Michael [3 ,5 ]
Drummond, Sean P. A. [1 ]
Reyes, Jonathan [1 ,2 ,3 ]
Makovec Knight, Jennifer [1 ]
Peverill, Tess [4 ]
Brennan, James H. [3 ,6 ]
Mckay, Adam [1 ,2 ]
机构
[1] Monash Univ, Turner Inst brain & Mental Hlth, Sch Psychol Sci, Melbourne, Australia
[2] Monash epworth Rehabil Res Ctr, Melbourne, Australia
[3] Australian Football league, Melbourne, Australia
[4] Neurol Rehabil Grp, Melbourne, Australia
[5] Olymp Pk Sports Med Ctr, Melbourne, Australia
[6] Epworth Sports & Exercise Med Grp, Melbourne, Australia
[7] Turner Inst brain & Mental Hlth, 18 innovat Walk, Clayton, Vic 3800, Australia
关键词
Concussion; mild traumatic brain injury; interdisciplinary; rehabilitation; thematic analysis; REPORTING QUALITATIVE RESEARCH; TRAUMATIC BRAIN-INJURY; POSTCONCUSSION SYNDROME; PREDICTORS;
D O I
10.1080/09638288.2023.2261374
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
PurposeMany factors contribute to persisting post-concussion symptoms (PPCSs), necessitating multi-modal treatment. Quantitative investigations have shown the potential of interdisciplinary intervention to reduce the burden of PPCSs and facilitate return to activities. There are often varied responses to intervention, warranting further investigation of potential factors underlying treatment response. This study aimed to explore participant experiences of i-RECOveR, an interdisciplinary intervention for PPCSs and its impact on symptoms, daily function, and concussion beliefs.Materials and MethodSemi-structured interviews were conducted 1-month post-treatment via videoconferencing with 13 individuals (61% female) with mild traumatic brain injury (Mage=39.77 years, SD = 16.27) who participated in i-RECOveR. Interview transcripts were analysed thematically.ResultsThree themes reflected participants' treatment journeys from concussion to life after treatment: (1) Dissatisfaction with Previous Consultations, reflected personal experiences prior to commencing treatment; (2) Perceived Active Ingredients of Intervention, reflected participant experiences of i-RECOveR; and (3) Impact of Interdisciplinary Intervention, reflected a range of positive changes after completing i-RECOveR.ConclusionsFindings highlight current gaps in the acute management of concussion and provide end-user insights into the facilitators and barriers of treatment engagement and response. Responses also highlight the potential positive impact of interdisciplinary treatments. Clinician perspectives should be explored in future research. Access to additional training in concussion care and referral pathways may help medical practitioners manage patients after concussion.Clinicians working with individuals with persisting post-concussion symptoms should develop an understanding of the individual's perceived control over their symptoms, and work with them toward increasing autonomy and control and recognition that symptoms are often multifactorial in nature.Persisting post-concussion symptom rehabilitation may be improved by taking an interdisciplinary approach that is integrated individualised, and is specialised for concussion.Telehealth and hybrid treatment models are well tolerated by individuals with persisting post-concussion symptoms and may facilitate treatment engagement, especially for individuals with mild traumatic brain injury who report disabling symptoms made worse by travelling to in-person treatments.
引用
收藏
页码:3961 / 3969
页数:9
相关论文
共 50 条
  • [31] Diffusion MRI findings in patients with extensive and minimal post-concussion symptoms after mTBI and healthy controls: a cross sectional study
    Naess-Schmidt, Erhard Trillingsgaard
    Blicher, Jakob Udby
    Tietze, Anna
    Rask, Charlotte Ulrikka
    Svendsen, Susanne Wulff
    Schroder, Andreas
    Thastum, Mille Moller
    Tuborgh, Astrid Hoeg
    Frederiksen, Oana-Veronica
    Ostergaard, Leif
    Eskildsen, Simon Fristed
    Hansen, Brian
    Jespersen, Sune
    Nielsen, Jorgen Feldbaek
    BRAIN INJURY, 2018, 32 (01) : 91 - 98
  • [32] Influence of Sociodemographic, Premorbid, and Injury-Related Factors on Post-Concussion Symptoms after Traumatic Brain Injury
    Zeldovich, Marina
    Wu, Yi-Jhen
    Gorbunova, Anastasia
    Mikolic, Ana
    Polinder, Suzanne
    Plass, Anne Marie
    Covic, Amra
    Asendorf, Thomas
    Andelic, Nada
    Voormolen, Daphne C.
    von Steinbuechel, Nicole
    JOURNAL OF CLINICAL MEDICINE, 2020, 9 (06) : 1 - 24
  • [33] Lack of association between four biomarkers and persistent post-concussion symptoms after a mild traumatic brain injury
    Boucher, Valerie
    Frenette, Jerome
    Neveu, Xavier
    Tardif, Pier-Alexandre
    Mercier, Eric
    Chauny, Jean-Marc
    Berthelot, Simon
    Archambault, Patrick
    Lee, Jacques
    Perry, Jeffrey J.
    McRae, Andrew
    Lang, Eddy
    Moore, Lynne
    Cameron, Peter
    Ouellet, Marie-Christine
    de Guise, Elaine
    Swaine, Bonnie
    Emond, Marcel
    Le Sage, Natalie
    JOURNAL OF CLINICAL NEUROSCIENCE, 2023, 118 : 34 - 43
  • [34] PERSISTENT POST-CONCUSSION SYMPTOMS AFTER PEDIATRIC TRAUMATIC BRAIN INJURY: VULNERABILITY AND PROTECTIVE FACTORS
    Ewing-Cobbs, Linda
    Cox, Charles S., Jr.
    Clark, Amy
    Holubkov, Richard
    Keenan, Heather
    JOURNAL OF NEUROTRAUMA, 2018, 35 (16) : A98 - A98
  • [35] Case Study: Neuropsychology-Informed Brief Intervention for Persisting Symptoms after Pediatric Concussion in a Multi-Disciplinary Clinic Setting
    Mcnally, Kelly A.
    Shiplett, Kathleen M.
    Davidson, Ashley M.
    Solesbee, Cody
    Rose, Sean C.
    JOURNAL OF PEDIATRIC NEUROPSYCHOLOGY, 2024, 10 (04) : 298 - 305
  • [36] A Preliminary Study of the Effectiveness of an Allostatic, Closed-Loop, Acoustic Stimulation Neurotechnology in the Treatment of Athletes with Persisting Post-concussion Symptoms
    Tegeler C.H.
    Tegeler C.L.
    Cook J.F.
    Lee S.W.
    Gerdes L.
    Shaltout H.A.
    Miles C.M.
    Simpson S.L.
    Sports Medicine - Open, 2016, 2 (1)
  • [37] Relationship between competency in activities, injury severity, and post-concussion symptoms after traumatic brain injury
    Sveen, Unni
    Bautz-Holter, Erik
    Sandvik, Leiv
    Alvsaker, Kristin
    Roe, Cecilie
    SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY, 2010, 17 (03) : 225 - 232
  • [38] A systematic review of age and gender factors in prolonged post-concussion symptoms after mild head injury
    King, Nigel S.
    BRAIN INJURY, 2014, 28 (13-14) : 1639 - 1645
  • [39] Post-concussion symptoms after mild traumatic brain injury: influence of demographic factors and injury severity in a 1-year cohort study
    Roe, Cecilie
    Sveen, Unni
    Alvsaker, Kristin
    Bautz-Holter, Erik
    DISABILITY AND REHABILITATION, 2009, 31 (15) : 1235 - 1243
  • [40] Post-Concussion Symptoms Rule: Derivation and Validation of a Clinical Decision Rule for Early Prediction of Persistent Symptoms after a Mild Traumatic Brain Injury
    Le Sage, Natalie
    Chauny, Jean-Marc
    Berthelot, Simon
    Archambault, Patrick
    Neveu, Xavier
    Moore, Lynne
    Boucher, Valerie
    Frenette, Jerome
    De Guise, Elaine
    Ouellet, Marie-Christine
    Lee, Jacques
    McRae, Andrew D.
    Lang, Eddy
    Emond, Marcel
    Mercier, Eric
    Tardif, Pier-Alexandre
    Swaine, Bonnie
    Cameron, Peter
    Perry, Jeffrey J.
    JOURNAL OF NEUROTRAUMA, 2022, 39 (19-20) : 1349 - 1362