Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial

Autor/inn/en	Rivara, Frederick P.; Marcynyszyn, Lyscha A.; Wang, Jin; Chrisman, Sara P. D.; Hilt, Robert; Zatzick, Douglas F.; Johnson, Ashleigh M.; Jinguji, Thomas; Quitiquit, Celeste; McCarty, Carolyn A.
Titel	Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial
Quelle	In: Journal of School Health, 92 (2022) 3, S.261-269 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Rivara, Frederick P.) ORCID (Marcynyszyn, Lyscha A.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.13123
Schlagwörter	Head Injuries; Neurological Impairments; Symptoms (Individual Disorders); Health Services; Grade Point Average; Attendance; Learning Problems; Youth + Suchen Sie Ihr Suchwort? Kopfverletzung; Neurodegenerative Erkrankung; Psychiatrische Symptomatik; Health service; Gesundheitsdienst; Gesundheitswesen; Anwesenheit; Lernproblem; Jugend; Jugendlicher; Jugendalter
Abstract	Background: There is limited long-term data on the course of school-related problems and academic needs for youth with persistent post-concussive symptoms (PPCS). Methods: This was a randomized trial comparing collaborative care to usual care for 200 youth 11-18 years of age with PPCS. In this report, the main outcomes were academic functioning, GPA, school absences, date of return to school, and school days missed. Results: Youth were mean age of 14.7 (SD = 1.7), 62.0% female. New or worsening academic problems occurred in half of participants in both groups at 12 months after injury. Students were most concerned about grades and falling behind. There were no significant differences by study group on school problems or GPA, but number of days missed was lower in the collaborative care group compared at 3 months (12.5 [SD = 14.5] vs 16.1 days [20.4] adjusted relative risk [aRR] 0.67 [95% CI: 0.61, 0.74; p < 0.001]), 6 months (14.5 [22.1] vs 19.3 [26.6] aRR 0.77 [95% CI: 0.71, 0.84; p < 0.001]), and 12 months (16.9 [25.4] vs 19.6 [27.7], aRR 0.68 [95% CI: 0.62, 0.74; p < 0.001]). Conclusions: Youth with PPCS are at high risk of school problems in the year after injury. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01