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. 2024 May 11;38(6):479-488.
doi: 10.1080/02699052.2024.2318595. Epub 2024 Mar 5.

Improving post-concussion discharge education for families seeking emergency department care: intervention development

Emily Kroshus  1   2 , Mary Kathleen Steiner  1 , Sara P D Chrisman  1   2 , K Casey Lion  1   2 , Frederick Rivara  1   2 , Sarah J Lowry  1 , Bonnie Strelitz  3 , Eileen J Klein  2   3
Affiliations

Improving post-concussion discharge education for families seeking emergency department care: intervention development

Emily Kroshus et al. Brain Inj. .

Abstract

Background: 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.

Objective: 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.

Methods: 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).

Results: 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).

Conclusions: This brief messaging intervention is a promising strategy for enhancing discharge education post-concussion that warrants further evaluation.

Trial registration: ClinicalTrials.gov 04112914.

Keywords: calvert; concussion; discharge; education; recovery.

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Conflict of interest statement

No authors have conflicts of interest to report.

References

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