Positive Assurance and mTBI
MTBI - Mild Traumatic Brain Injury
About this trial
This is an interventional treatment trial for MTBI - Mild Traumatic Brain Injury
Eligibility Criteria
Inclusion Criteria:
- 13-21 years
- Has sustained an external force to head or body resulting in neurological symptoms and at least one reported symptom is attributed to the mTBI (e.g., dizziness, confusion, headache, postural instability, light/noise sensitivity, nausea)
- Has receive a medical diagnosis of mTBI from an emergency physical at the IFH Pediatrics ED within 72 hours of injury
- Is able to provide informed written consent (parent) and assent
Exclusion Criteria:
- Loss of consciousness > 30 minutes in conjunction with the injury
- Glasgow Coma Scale (GCS) score < 13
- Has sustained a previous mTBI within the past 6 months
- Has a neurological disorder (e.g., epilepsy)
- Has a positive finding on brain imaging (e.g., CT, MRI) that suggests a severe closed head or open injury involving any structural damage or abnormality (e.g., fracture, subdural hematoma)
- Has a previous history of neurosurgery
- Does not speak English as a primary language
- Requires admission to the hospital
- Has developmental delays
- Prisoner
- Pregnant*
- Has been previously enrolled in the study
Sites / Locations
- Inova Health SystemRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
ED Positive Assurance Discharge Video Educational Intervention (EDUC).
Standard of Care ED Discharge Instructions (Treatment as Usual: TAU )
The video intervention will be administered to participants that are randomly assigned to the EDUC group. In addition, current standard of care discharge instructions will also be provided to the participant. This EDUC intervention will consist of a brief, three to five-minute informative video message from the clinical neuropsychologist at the Inova Sports Medicine Concussion Program. In addition to the viewing of the video after ED discharge, all participants will be instructed to view the video at least once every 24 - 48 hours prior to their visit to the concussion clinic.
The Acute Concussion Evaluation (ACE) Care plan in place at the Inova PED is the standard-of-care discharge instruction for individuals with mTBI. This care plan provides patient and caregiver education about mTBI and emphasizes the monitoring of symptoms, signs of deterioration that may warrant urgent medical attention, and encourages the patient to follow up with their physician for follow up. Participants who are randomized into the TAU group will receive this standard of care treatment in video format as well, however these participants will not be given a QR code to watch the intervention video.