Department of Communication Sciences and Special Education, University of Georgia, Athens.
Complex Concussion Clinic, Crawford Research Institute, Shepherd Center, Atlanta, GA.
Am J Speech Lang Pathol. 2021 Apr 16;30(2S):933-948. doi: 10.1044/2020_AJSLP-20-00076. Epub 2021 Feb 8.
Purpose College students with concussion are often ill-equipped to manage their health and learning needs, and college campuses are slow to react. We present the development of a peer mentoring program for college students with concussion: Success in College after Concussion with Effective Student Supports (SUCCESS), focusing on the process by which student needs and preferences drove development of the program for testing. Method Principles of person-centered design were used to guide program development, engaging stakeholders at each stage of development and resulting in the intervention package presented to student participants here. A series of interviews and focus groups with 11 students with concussion addressed student needs after concussion, student perceptions of the role of peers in recovery, and feedback on program development. Results Findings indicate students have limited knowledge about concussion, and concussion impacts extend beyond school, although students are most concerned about their studies. Students reported struggling to communicate with professors and find resources on campus to aid in their reentry to learning. Regarding peer mentoring, students report benefiting from hearing about other's successes and sharing personal narratives of injury and recovery. Students reported high acceptability of a peer mentoring program, both for psychosocial support and access to resources. Conclusions College students with concussion have unmet needs as they return to learn. The SUCCESS peer mentoring program is highly acceptable to students, who report that they would expect such a program to be engaging and to meet their needs. The program's impact on student academic and psychosocial outcomes should be investigated through comparative efficacy trials.
目的 患有脑震荡的大学生通常无法很好地管理自己的健康和学习需求,而大学校园对此反应迟缓。我们提出了一项针对患有脑震荡的大学生的朋辈辅导计划:有效的学生支持有助于脑震荡后大学生重返校园(SUCCESS),重点介绍了学生需求和偏好推动该计划开发以供测试的过程。
方法 采用以人为本的设计原则指导计划的制定,在制定计划的各个阶段都让利益相关者参与进来,最终形成了这里呈现给学生参与者的干预方案。对 11 名患有脑震荡的学生进行了一系列访谈和焦点小组讨论,探讨了学生在脑震荡后的需求、学生对同伴在康复中作用的看法,以及对计划开发的反馈。
结果 研究结果表明,学生对脑震荡的了解有限,脑震荡的影响不仅限于学校,尽管学生最关心的是学业。学生们表示,他们在与教授沟通和在校园内寻找资源以帮助他们重新开始学习方面存在困难。关于朋辈辅导,学生们报告说,从他人的成功中受益,并分享受伤和康复的个人经历,这对他们有帮助。学生们报告说,他们非常接受朋辈辅导计划,既可以获得心理支持,也可以获得资源。
结论 患有脑震荡的大学生在重返校园学习时存在未满足的需求。SUCCESS 朋辈辅导计划深受学生欢迎,学生报告说,他们希望这样的计划能够吸引人,并满足他们的需求。应通过比较疗效试验来调查该计划对学生学业和心理社会结果的影响。