Preliminary efficacy and predictors of response to a remotely-delivered symptom self-management program for persistent symptoms after concussion.
Brain Inj
; 37(11): 1245-1252, 2023 09 19.
Article
in En
| MEDLINE
| ID: mdl-37452884
ABSTRACT
BACKGROUND:
More than a quarter of adults with concussion endure prolonged symptoms of >3 months. We developed the Concussion Education Self-Management program to help people manage persisting symptoms. Here, we assess feasibility, preliminary efficacy, and correlates of response.METHODS:
N = 80 adults participated in the program; ages ranged from 18 to 65 years and time post-injury ranged from 6 months to 18 years. Weekly sessions, delivered remotely and in groups, comprised education and strategies for management of cognitive, emotional, and physical symptoms. Primaryoutcome:
Confidence to self-manage symptoms. Secondaryoutcomes:
Quality of life; mood/anxiety/stress. Predictors of response Self-reported cognitive, emotional and physical symptoms at intake.RESULTS:
Pre- to post-program improvements were observed in confidence to self-manage, p < 0.03; quality of life, p < 0.001; depression, p < 0.001; anxiety, p < 0.001; and stress, p < 0.001. Considering confidence to self-manage, those with fewer cognitive and physical symptoms benefitted more (p's < 0.0005 and p < 0.01, respectively).DISCUSSION:
This program shows promise for improving self-management of prolonged symptoms. Those with high symptom burden may need extra sessions to benefit. This is a cost-effective and scalable program that can reach people regardless of geographic location or impediments to travel.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Brain Concussion
/
Self-Management
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Patient_preference
Limits:
Adult
/
Child, preschool
/
Humans
/
Infant
Language:
En
Journal:
Brain Inj
Journal subject:
CEREBRO
Year:
2023
Document type:
Article
Affiliation country:
Canada