British Columbia Injury Research and Prevention Unit, British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada.
British Columbia Centre for Disease Control, Population and Public Health, Provincial Health Services Authority, Vancouver, BC, Canada.
Front Public Health. 2021 Jan 11;8:557814. doi: 10.3389/fpubh.2020.557814. eCollection 2020.
Concussion is a global public health problem. In Canada, concussion is among the top five reasons for workplace time-loss. Concussion results in physical, cognitive, and/or emotional symptoms that temporarily worsen with physical and mental exertion, such as viewing electronic screens. The Internet is the primary source of consumer health information. Studies on the end-user needs of adults with brain injuries in regards to digital health technologies largely focus on informational content. There is little to no research on the accessibility of screen-based informational websites and smartphone applications among this population. The aim of this research was to involve stakeholders in the design of a comprehensive educational resource to guide concussion recognition, recovery, and return-to-work, called the Concussion Awareness Training Tool for Workers and Workplaces (CATT WW). In order to ensure both relevant content and appropriate delivery of the information to the target groups, participants were asked whether adaptations could increase the accessibility of online health information for the general adult population experiencing concussion symptoms. Data have been generated through semi-structured in-depth interviews and focus groups with participants from across British Columbia (BC): workers from various industries who were in the concussion recovery process or had returned to work ( = 31); and healthcare or workplace professionals who support concussion diagnosis, recovery, and return-to-work ( = 16). Data were analyzed using NVivo 12. Before commencing data collection, ethical permission was granted by the University of British Columbia Research Ethics Board (H18-00604), and approval was received from WorkSafeBC Research Services. Participants ( = 47) recommended twenty adaptations or supplements to electronic screen-based digital health technologies. Given the high prevalence of concussion among the working adult population, the symptom exacerbation commonly caused by prolonged use of electronic screens, and the demand for online educational resources, these findings can guide clinicians, researchers, technology developers, employers, and occupational health and safety committees to further support adults in concussion recovery and return-to-work.
脑震荡是一个全球性的公共卫生问题。在加拿大，脑震荡是导致员工工作时间损失的五大原因之一。脑震荡会导致身体、认知和/或情绪方面的症状，这些症状会因体力和脑力的消耗而暂时加重，例如观看电子屏幕。互联网是消费者健康信息的主要来源。关于数字健康技术，针对脑损伤成年人的最终用户需求的研究主要集中在信息内容上。针对该人群，基于屏幕的信息网站和智能手机应用程序的可访问性研究几乎没有。本研究的目的是让利益相关者参与设计一个全面的教育资源，以指导脑震荡的识别、康复和重返工作岗位，该资源称为《工人和工作场所脑震荡意识培训工具》（CATT WW）。为了确保相关内容和信息能够以适当的方式传递给目标群体，参与者被要求对是否可以通过调整来提高一般脑震荡症状成年人对在线健康信息的可访问性进行回答。 研究数据通过对不列颠哥伦比亚省（BC）各地参与者（ = 47 名）的半结构式深入访谈和焦点小组收集得出，这些参与者来自不同行业，正处于脑震荡康复过程中或已重返工作岗位（ = 31 名）；或来自支持脑震荡诊断、康复和重返工作岗位的医疗保健或工作场所专业人员（ = 16 名）。数据分析采用了 NVivo 12 软件。在开始收集数据之前，不列颠哥伦比亚大学伦理审查委员会（H18-00604）已经批准了这项研究，WorkSafeBC 研究服务部门也已经批准。 参与者（ = 47 名）建议对电子屏幕数字健康技术进行二十项调整或补充。 鉴于工作成年人中脑震荡的高患病率、长时间使用电子屏幕通常会导致症状加重，以及对在线教育资源的需求，这些发现可以为临床医生、研究人员、技术开发人员、雇主以及职业健康和安全委员会提供指导，进一步帮助脑震荡康复和重返工作岗位的成年人。
