Post-Concussion Syndrome Clinical Trial
Official title:
Move&Connect: A Holistic Interdisciplinary Program of Care for Youth Experiencing Persistent Symptoms Post-concussion and Their Caregivers
Move&Connect is an interdisciplinary group-based program co-designed with youth and caregivers that provides skills training, mental health support, and psychoeducation to caregivers and combines these tenets with active rehabilitation for youth with concussion.
Status | Recruiting |
Enrollment | 150 |
Est. completion date | September 2024 |
Est. primary completion date | September 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 8 Years to 21 Years |
Eligibility | Inclusion Criteria Youth: - Between the ages of 8-21 years old with capacity to provide consent/assent. - Diagnosed with a concussion by a physician or nurse practitioner and are experiencing concussion symptoms for = 4 weeks post concussion. - Willing to engage in weekly sessions - Have access to reliable internet connection. Inclusion Criteria Caregivers: - Caregiver to youth experiencing PPCS - Fluent in English - Have the capacity to consent - Have access to a reliable internet connection. Exclusion Criteria Youth: - Unable to read and speak English - Unable to provide informed consent. - Diagnosed with autism spectrum disorder (ASD), a physical disability (requiring a-mobility device) and and/or intellectual disabilities. - Diagnosed with a functional neurological disorder (e.g. conversion disorder, somatization, personality disorder) or an acute psychiatric condition (e.g. schizophrenia, suicidality, or a recent hospital admission for another psychiatric condition). Exclusion Criteria Caregivers: • Diagnosed with an acute psychiatric condition that resulted in a recent hospital admission (e.g. schizophrenia, suicidality, etc.). |
Country | Name | City | State |
---|---|---|---|
Canada | Holland Bloorview Kids Rehabilitation Hospital | East York | Ontario |
Lead Sponsor | Collaborator |
---|---|
Holland Bloorview Kids Rehabilitation Hospital | Canadian Institutes of Health Research (CIHR) |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Satisfaction Survey | To collect general feedback related to the structure and delivery of the Move&Connect intervention | Week 8 | |
Primary | Change from baseline Canadian Occupational Performance Measure at 8 weeks and 3-month follow up | An evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living (satisfaction in self-care, productivity and leisure). It assists therapists in using a client-centred approach to service delivery by indicating the family's priorities. | Baseline, 8 weeks, 3-month follow-up | |
Primary | Change from baseline Health and Behavior Inventory at 8-weeks and 3-month follow up | A 20-item self-report form that focuses on concussion symptoms in the cognitive, emotional, and somatic domains. Questions are scored on a scale from 0-3 with higher scores indicating higher symptom frequency. | Baseline, 8 Weeks, 3-month follow-up | |
Primary | Change from baseline Family Assessment Device-General Functioning at 8-weeks and 3-month follow up | A 12-item measure of family functioning. Each item is a statement about a family and participants rate how well it describes their own family. Each item is scored based on the level of agreement with each statement with four options from strongly agree, to strongly disagree | Baseline, 8 weeks, 3 month follow-up | |
Primary | Change from baseline Patient-Reported Outcomes Measurement Information System Bank v1.0- Depression at 8-weeks and 3-month follow up | A 28-item self-report form that focuses on negative mood, social cognition and decreased positive affect and engagement. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of depressive symptoms | Baseline, 8 weeks, 3-month follow-up | |
Primary | Change from baseline Patient-Reported Outcomes Measurement Information System Bank v1.0- Anxiety at 8-weeks and 3-month follow up | A 29-item self-report form that focuses on feelings of fear, anxiousness, hyperarousal, and somatic symptoms related to arousal. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of symptoms of anxiety | Baseline, 8 weeks, 3-month follow-up | |
Secondary | Semi-Structured Exit Interview | To assess perceived changes in persistent concussion symptoms, education, and social support a participant may/may not have experienced during the intervention and to gather feedback on the structure and delivery of the intervention | Week 8 | |
Secondary | Change from baseline Brief Illness Perception Questionnaire at 8-weeks and 3-month follow up | An 8-item questionnaire to assess cognitive and emotional representations of illness.
Each item represents one domain of illness perception and each item is scored on a scale from 1-10. Items 3,4, and 7 are reverse scored and all scores are added together with a higher score indicating a more threatening view of illness |
baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Patient-Reported Outcomes Measurement Information System Pediatric Bank v2.0- Depression at 8-weeks and 3-month follow up | A 14-item self-report form that focuses on negative mood, social cognition and decreased positive affect and engagement. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of depressive symptoms | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Patient-Reported Outcomes Measurement Information System Pediatric Bank v2.0- Anxiety at 8-weeks and 3-month follow up | A 15-item self-report form that focuses on feelings of fear, anxiousness, hyperarousal, and somatic symptoms related to arousal. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of symptoms of anxiety | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Patient-Reported Outcomes Measurement Information System Pediatric Bank v2.0 Fatigue Short form 10a at 8-weeks and 3-month follow up | Assesses a range of symptoms, from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of symptoms of fatigue | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Healthy Lifestyle and Behaviours Checklist at 8-weeks and 3-month follow up | A self-report questionnaire of an individual's physical activity, and sleep behaviors. | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Progressive Activities of Controlled Exertion- Self Efficacy at 8-weeks and 3-month follow up | A 17-item measure that assesses children's perceptions of self-efficacy for an active approach toward pediatric concussion recovery. Each item is scored on a scale of 1-10 with higher scores indicating greater perceived self efficacy. | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline University of California, Los Angeles Loneliness Scale at 8-weeks and 3-month follow up | A 20-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. each item is scored on a scale of 1 (never) to 4 (often). Items 1, 5, 6, 9, 10, 15, 16, 19, 20 are all reverse scored. Higher total scores indicate elevated feelings loneliness and likelihood of interpersonal problems. | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Pediatric Quality of Life Index: Generic Core Scales at 8-weeks and 3-month follow up | a 23-item measure that assesses the core dimensions of health as delineated by the World Health Organization including Physical Functioning, Emotional Functioning, Social Functioning and School Functioning. Each item is scored from 0 (never) to 4 (almost always) with higher scores representing worse outcomes in each domain. | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Patient-Reported Outcomes Measurement Information System Parent Proxy Bank v2.0-Depressive Symptoms short form 6a at 8-weeks and 3-month follow up | A 6 item parent proxy-report that focuses on negative mood, social cognition and decreased positive affect and engagement in their child. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of depressive symptoms reported in their child | baseline, week 8, 3-month follow-up | |
Secondary | Change from baseline Patient-Reported Outcomes Measurement Information System Parent Proxy Bank v2.0 - Anxiety short form 8a at 8-weeks and 3-month follow up. | A 8 item parent proxy-report form that focuses on feelings of fear, anxiousness, hyperarousal, and somatic symptoms related to arousal in their child. Each item is scored on a scale from 1-5 with higher scores indicating increased frequency of symptoms of anxiety in their child | baseline, week 8, 3-month follow-up |
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