학술논문

Improving post-concussion discharge education for families seeking emergency department care: intervention development.
Document Type
Article
Source
Brain Injury. 2024, Vol. 38 Issue 6, p479-488. 10p.
Subject
*FAMILIES & psychology
*PATIENT compliance
*RESEARCH funding
*PARENT-child relationships
*HUMAN beings
*PILOT projects
*EMERGENCY medical services
*DISCHARGE planning
*HOSPITAL emergency services
*DESCRIPTIVE statistics
*LONGITUDINAL method
*POSTCONCUSSION syndrome
*SOCIAL support
*TEXT messages
Language
ISSN
0269-9052
Abstract
Pediatric emergency departments (ED) are where many families receive post-concussion medical care and thus an important context for helping parents build skills to support their child after discharge. Develop a strategy for increasing parent provision of emotional and instrumental support to their child after discharge and conduct a pilot test of this strategy's acceptability. In a large pediatric ED in the United States, we partnered with parents (n = 15) and clinicians (n = 15) to understand needs and constraints related to discharge education and to operationalize a strategy to feasibly address these needs. This produced a brief daily text message intervention for parents for 10 days post-discharge. We used a sequential cohort design to assess the acceptability this intervention and its efficacy in changing parenting practices in the 2-weeks post-discharge (n = 98 parents). Parents who received the messaging intervention rated it as highly acceptable and had meaningfully higher scores for emotionally supportive communication with their child in the two weeks post-discharge than parents in the control condition (Cohen's d = 0.65, p = 0.021). This brief messaging intervention is a promising strategy for enhancing discharge education post-concussion that warrants further evaluation. [ABSTRACT FROM AUTHOR]