《Brains Ahead! 干预的有效性：一项针对轻度创伤性脑损伤学龄儿童的随机对照试验的 6 个月结果》。

Effectiveness of the Brains Ahead! Intervention: 6 Months Results of a Randomized Controlled Trial in School-Aged Children With Mild Traumatic Brain Injury.

机构信息

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).

出版信息

J Head Trauma Rehabil. 2020 Nov/Dec;35(6):E490-E500. doi: 10.1097/HTR.0000000000000583.

DOI:10.1097/HTR.0000000000000583

PMID:32472840

Abstract

OBJECTIVE

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).

PARTICIPANTS

In total, 124 children, aged 6 to 18 years, diagnosed with mTBI and their caregivers.

METHOD

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.

PRIMARY OUTCOME MEASURES

Activities and participation (Child and Adolescent Scale of Participation [CASP]).

SECONDARY OUTCOMES

fatigue, postconcussive symptoms (PCSs), posttraumatic stress symptoms (PTSSs), and quality of life (QOL).

RESULTS

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.

CONCLUSIONS

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.

摘要