Identifying the specific needs of adolescents after a mild traumatic brain injury: A service provider perspective

Swaine, Bonnie; Gagnon, Isabelle; Champagne, François; Lefebvre, Hélène; Friedman, Debbie; Atkinson, Jeff; Feldman, Debbie

doi:10.1080/02699050802189701

Cited by 11 publications

(33 citation statements)

References 18 publications

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“…The identified papers included 932 participants, [18][19][20][21][22][23][24][25][26][27][28][29] including 105 injured adolescents, 19,20 418 parents (57 mothers, 25 fathers, 336 unspecified parents), 18,19,[21][22][23][24]28 302 unspecified primary carers, 25 66 other family members (5 brothers, 2 sisters, 2 grandmothers, 57 unspecified), 26,28,29 and 41 healthcare providers (occupational therapists, physiotherapists, psychologists, nurses, social workers, surgeons) 27 and unspecified numbers of teachers, 24 general practitioners, school counsellors and nurses. 20 A summary of the identified papers can be found in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Only five papers specifically focussed on the needs of the injured child, 20,[22][23][24][25] the others focussed on the families' needs, 18,26,29 or a combination of both. 19,21,27,28 Papers directly collecting data from the injured child were limited to adolescents. 19,20 The needs of younger children were ascertained indirectly from their family or professionals.…”

Section: Resultsmentioning

confidence: 99%

“…Two papers involved health professionals and teaching staff, 20,27 in addition to the injured adolescents. 20 Eight papers specifically focussed on children with solely traumatic brain injuries, 19,21,[23][24][25][27][28][29] two papers involved children with head, orthopaedic and/or spinal cord injuries, 22,26 and two did not specify the type of traumatic injury. 18,20 No papers included children with chest or abdominal trauma or orthopaedic injuries in isolation.…”

Section: Resultsmentioning

confidence: 99%

“…The age range of the children involved was wide, from pre-school/ nursery age to teenagers. [18][19][20][21][22][23][24][25][26][27][28][29] Most identified papers examined the participants' long-term problems except Kirk et al, 28 Falk et al 29 and Foster et al, 18 who focussed on the families' needs during the acute and sub-acute phases of care.…”

Section: Resultsmentioning

confidence: 99%

“…All the included papers were exploratory and most used a cross-sectional design. [18][19][20]23,24,[26][27][28][29] The most common method of data collection was face-to-face semi-structured interviews 18,19,21,24,26,28 (see Table 1 for further details).…”

Section: Resultsmentioning

confidence: 99%

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A scoping review of the needs of children and other family members after a child’s traumatic injury

2017

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Objective:To review children’s and their families’ needs after a child’s traumatic injury and assessment tools to measure needs.Data sources:Medline, Embase, CINAHL and PsycINFO databases (2005–September 2017) were searched and screened for papers (of any design) investigating children’s and families’ needs after a child’s traumatic physical injury.Review methods:Data regarding children’s and families’ needs were extracted by two independent raters. Methodological quality of the identified papers was not assessed. Thematic content analysis drew out the key needs.Results:A total of 12 studies were identified, involving 932 participants including 105 injured adolescents and 827 family members or professionals. The needs of children under 12 years were identified indirectly from families or professionals. Most studies focussed on traumatic brain injuries. Two groups of needs were identified: person-related and service-related. Person-related needs were categorized into adolescent-specific needs, need for support with cognitive, emotional, social and physical problems and help with practical problems. Service-related needs were categorized into the need for information, educational needs and support during care transitions (specifically access to community-based services). These needs were largely unmet, particularly regarding information, emotional support and care transitions, which were compounded by professionals’ limited understanding of the children’s difficulties. We found no published measurement tools to assess children’s and families’ needs after a child’s traumatic injury.Conclusion:The evidence about children’s and families’ needs following a child’s traumatic injury was limited, but needs for information, emotional support and access to community-based services were consistently unmet.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A scoping review of the needs of children and other family members after a child’s traumatic injury

2017

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New Zealand Teachers’ Understanding of Childhood Mild Traumatic Brain Injury: Investigating and Enhancing Teacher Knowledge and Practice

et al. 2017

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Evaluation of Parent and Child Psychoeducation Resources for the Prevention of Paediatric Post-concussion Symptoms

et al. 2014

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Background: Persistent post-concussion symptoms (PCS) are associated with adverse psychosocial outcomes, including psychological distress and poorer healthrelated quality of life (HRQOL). Research has found that the occurrence of persistent PCS can be lowered via paper-based psychoeducation. Unfortunately, these resources have mostly been evaluated in adult populations. Studies in children have failed to address the role of parents in the development and maintenance of PCS, and unfortunately fail to reach a large proportion of the mild traumatic brain injury (mTBI) population who do not attend hospital. This study aimed to describe and evaluate a parent information booklet and child information website, for the prevention of paediatric PCS. Methods: Children with uncomplicated mTBI were randomly assigned to either the Intervention (n = 29) or Usual Care condition (n = 20). Families completed pre-treatment, post-treatment (3 month) and follow-up (6 month) assessments of children's PCS, cognitive and psychosocial functioning, and parent's psychosocial functioning. Families also provided feedback on the psychoeducation resources. Results: The Intervention programme, compared to Usual Care, was not associated with significant reductions in children's PCS or HRQOL, parent or child psychological distress, or parent or child knowledge of mTBI. Conclusions: Psychoeducation resources do not appear to be superior to usual care in promotion of both child and parent psychosocial outcomes following mTBI.

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Identifying the specific needs of adolescents after a mild traumatic brain injury: A service provider perspective

Abstract: The notion that teens represent a specific group of consumers of healthcare services is supported by findings in this study. These results provide important information to those involved in the structuring of service provision to adolescents following MTBI.

Cited by 11 publications

References 18 publications

A scoping review of the needs of children and other family members after a child’s traumatic injury

A scoping review of the needs of children and other family members after a child’s traumatic injury

New Zealand Teachers’ Understanding of Childhood Mild Traumatic Brain Injury: Investigating and Enhancing Teacher Knowledge and Practice

Evaluation of Parent and Child Psychoeducation Resources for the Prevention of Paediatric Post-concussion Symptoms

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