Utilizing Mobile Health to Expedite Access to Specialty Care for Youth Presenting to the Emergency Department With Concussion at Highest Risk of Developing Persisting Symptoms
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Mild Traumatic Brain Injury
- Sponsor
- Children's Hospital of Philadelphia
- Enrollment
- 210
- Locations
- 1
- Primary Endpoint
- Incidence of Persisting Post-Concussion Symptoms (PPCS, Primary Effectiveness)
- Status
- Recruiting
- Last Updated
- 10 months ago
Overview
Brief Summary
The goal of this hybrid implementation-effectiveness study is to evaluate the effectiveness (hastened recovery times) and feasibility (fidelity in connecting to concussion specialty care) of a novel mobile health intervention, designed to reduce disparities in access to specialty care through the use of remote patient monitoring (RPM) to facilitate care hand-off from the emergency department (ED) to concussion specialty care. Participants will report their symptoms and activity once daily through RPM chat technology that is linked to their electronic health record and prompts referral to specialty care.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Incidence of Persisting Post-Concussion Symptoms (PPCS, Primary Effectiveness)
Time Frame: 28 days from injury
Persistence of at least 3 concussion-like symptoms above the pre-injury state beyond 28 days from injury, defined as a positive difference between patient-reported symptoms and the perceived pre-injury symptom rating
Percent of participants meeting referral criteria who interact with a specialty care provider (Fidelity, Primary Implementation)
Time Frame: 28 days from injury
Among those participants who flag to see a specialist, at least 1 interaction with a specialty provider either in person or via telehealth during the acute study period
Secondary Outcomes
- Days until clearance (Secondary Effectiveness)(Up to 90 days from injury)
- Modeling of fidelity (Secondary Implementation)(28 days from injury)
- Patient-defined qualitative appropriateness (Secondary Implementation)(Within 1 year of completing study procedures)
- Days until return to symptoms baseline (Secondary Effectiveness)(Up to 90 days from injury)
- Modeling of PPCS (Secondary Effectiveness)(28 days from injury)
- Days until return to school (Secondary Effectiveness)(Up to 90 days from injury)
- Patient-defined quantitative appropriateness (Secondary Implementation)(Within 1 year of completing study procedures)
- Provider-defined qualitative acceptability (Secondary Implementation)(Within 1 year of completing study procedures)