Revant Rehabilitation Centre, Breda, the Netherlands (Drs Renaud, van de Port, and Lambregts); Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, the Netherlands (Drs Renaud and van Heugten); Limburg Brain Injury Center, Maastricht, the Netherlands (Drs Renaud and van Heugten); Departments of Paediatric Neurology (Dr Catsman-Berrevoets) and Rehabilitation Medicine (Dr Lambregts), Erasmus University Hospital/Sophia Children's Hospital, Rotterdam, the Netherlands; and Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre+, Maastricht, the Netherlands (Drs Köhler and van Heugten).
J Head Trauma Rehabil. 2020 Nov/Dec;35(6):E490-E500. doi: 10.1097/HTR.0000000000000583.
To examine the effectiveness of Brains Ahead!, a psychoeducational intervention aimed to prevent long-term problems with activities and participation in children after mild traumatic brain injury (mTBI).
In total, 124 children, aged 6 to 18 years, diagnosed with mTBI and their caregivers.
After randomization, participants in the intervention group received a face-to-face psychoeducational session with written take-home information and follow-up telephone call(s). Participants in the control group received usual care, consisting of a concise information brochure.
Activities and participation (Child and Adolescent Scale of Participation [CASP]).
fatigue, postconcussive symptoms (PCSs), posttraumatic stress symptoms (PTSSs), and quality of life (QOL).
Generalized Estimated Equation analyses showed that both groups improved over the first 6 months post-mTBI, but the intervention group did not differ significantly on the CASP. Mann-Whitney U tests showed that the intervention group reported significantly less fatigue, PCSs, and PTSSs and better QOL compared with the control group at 6 months post-MTBI.
The Brains Ahead! intervention resulted in significant improvements compared with usual care in reducing fatigue, PCSs, and PTSSs and improving QOL. Lack of an effect on activities and participation may be due to the ceiling effect of the CASP.
研究 BrainsAhead！的有效性，这是一种旨在预防轻度创伤性脑损伤（mTBI）后儿童活动和参与长期问题的心理教育干预措施。
共有 124 名年龄在 6 至 18 岁之间的 mTBI 儿童及其照顾者参与了该研究。
随机分组后，干预组的参与者接受了面对面的心理教育课程，同时提供了书面的家庭作业和后续电话随访。对照组的参与者接受了常规护理，包括简明的信息手册。
活动和参与（儿童和青少年参与量表 [CASP]）。
疲劳、脑震荡后症状（PCS）、创伤后应激症状（PTSS）和生活质量（QOL）。
广义估计方程分析显示，两组在 mTBI 后 6 个月内均有所改善，但干预组在 CASP 上的差异不显著。曼-惠特尼 U 检验显示，与对照组相比，干预组在 mTBI 后 6 个月时报告的疲劳、PCS 和 PTSS 显著减少，生活质量显著提高。
与常规护理相比，BrainsAhead！干预措施在减轻疲劳、PCS 和 PTSS 以及提高生活质量方面有显著改善。对活动和参与没有影响可能是由于 CASP 的上限效应。
