N/A
N=98
Developing an Implementation Strategy for Post-concussion Communication With Low Health Literacy Parents in the Emergency Department
Concussion, Brain
Bottom Line
View on ClinicalTrials.gov: NCT04112914 ↗Enrolled (actual)
98
Serious AEs
0.0%
Results posted
Apr 2024
Primary outcome: Primary: Change in Concussion Management Behaviors: Communication — 5.49; 6.71 Score on a scale — p=0.021
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Post-concussion education for families (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Seattle Children's Hospital
- Primary completion
- Jul 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Concussion Management Behaviors: Communication |
5.49; 6.71 | 0.021 sig |
| PRIMARY Change in Concussion Management Behaviors: Supportive/Rehabilitation-related |
7.35; 7.57 | 0.638 |
| PRIMARY Change in Concussion Management Behaviors: Follow-up Appointment |
22; 7; 39; 7 | 0.338 |
| SECONDARY Change in Concussion Management Self-efficacy: Communication |
4.69; 4.71; 4.80; 4.81 | 0.606 |
| SECONDARY Change in Concussion Management Self-efficacy: Supportive/Rehabilitation-related |
3.39; 3.48; 3.28; 3.41 | 0.508 |
| SECONDARY Change in Concussion Management Self-efficacy: Follow-up |
4.83; 4.77; 4.70; 5.00 | 0.042 sig |
| SECONDARY Change in Concussion Knowledge |
6.05; 6.22; 6.45; 7.29 | 0.128 |
Summary
Investigators will conduct a hybrid implementation-effectiveness evaluation of an educational intervention that supports communication with families post-concussion in the emergency department. Primary outcomes will be parent self-report of specific concussion management behaviors two weeks post-visit. Investigators will also explore whether successful implementation is associated with (1) improved parent knowledge and self-efficacy related to helping their child adhere to CDC guidelines for returning to daily activities, school and sports, and (2) decreased disparity in knowledge and self-efficacy between high and low health literacy parents.
Eligibility Criteria
Inclusion criteria
- Parent/guardian of a child between the ages of 5 and 17 who presented to the Seattle Children's Hospital Emergency Department and was treated for closed head injury.
- Child for whom care was sought was not admitted for inpatient care
- Parent/guardian of child without chronic disease or with non-complex chronic disease
- Parent/guardian with a preferred language for medical care of English or Spanish
- Parent/guardian present in the ED is child's legal guardian
Data sourced from ClinicalTrials.gov (NCT04112914). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.