Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial.
Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial.
复制标题
DOI：
10.1111/josh.13123
复制
发表时间：
2022-03
影响因子：
2.2
通讯作者：
McCarty, Carolyn A.
中科院分区：
文献类型：
--
作者：
Rivara, Frederick P.;Marcynyszyn, Lyscha A.;Wang, Jin;Chrisman, Sara P. D.;Hilt, Robert;Zatzick, Douglas F.;Johnson, Ashleigh M.;Jinguji, Thomas;Quitiquit, Celeste;McCarty, Carolyn A.
关键词：
关于持续性脑震荡后症状（PPCS）青少年的学校相关问题和学术需求的长期数据有限。这是一项随机试验，比较了200名11-18岁PPCS青少年的协作护理与常规护理。在这份报告中，主要结果是学术功能，GPA，缺课，返校日期和缺课天数。青年组平均年龄14.7岁（SD = 1.7），女性占62.0%。受伤后12个月，两组中有一半的参与者出现了新的或恶化的学业问题。学生们最关心的是成绩和落后。研究组在学校问题或GPA方面没有显着差异，但与3个月时相比，合作护理组的缺课天数较低（12.5 [SD = 14.5] vs 16.1天[20.4]调整后相对危险度[aRR] 0.67 [95% CI：0.61，0.74; p < .001]），6个月（14.5 [22.1] vs 19.3 [26.6] aRR 0.77 [95% CI：0.71，0.84; p < .001]），12个月（16.9 [25.4] vs 19.6 [27.7]，aRR 0.68 [95% CI：0.62，0.74; p < .001]）。患有PPCS的青少年在受伤后的一年中面临学校问题的风险很高。
There is limited long-term data on the course of school-related problems and academic needs for youth with persistent post-concussive symptoms (PPCS). This was a randomized trial comparing collaborative care to usual care for 200 youth 11-18 years of age with PPCS. In this report, the main outcomes were academic functioning, GPA, school absences, date of return to school, and school days missed. Youth were mean age of 14.7 (SD = 1.7), 62.0% female. New or worsening academic problems occurred in half of participants in both groups at 12 months after injury. Students were most concerned about grades and falling behind. There were no significant differences by study group on school problems or GPA, but number of days missed was lower in the collaborative care group compared at 3 months (12.5 [SD = 14.5] vs 16.1 days [20.4] adjusted relative risk [aRR] 0.67 [95% CI: 0.61, 0.74; p < .001]), 6 months (14.5 [22.1] vs 19.3 [26.6] aRR 0.77 [95% CI: 0.71, 0.84; p < .001]), and 12 months (16.9 [25.4] vs 19.6 [27.7], aRR 0.68 [95% CI: 0.62, 0.74; p < .001]). Youth with PPCS are at high risk of school problems in the year after injury.
登录
查看更多内容
影响因子：
1.7
作者：
Tiwari, Devashish;Goldberg, Allon;Alsalaheen, Bara
通讯作者：
Alsalaheen, Bara
影响因子：
3.7
作者：
Russell, Kelly;Selci, Erin;Ellis, Michael
通讯作者：
Ellis, Michael
高中生脑震荡后的学习成绩： 基于人群的回顾性分析。
影响因子：
3.7
作者：
Russell K;Hutchison MG;Selci E;Leiter J;Chateau D;Ellis MJ
通讯作者：
Ellis MJ
影响因子：
8
作者：
Bryan, Mersine A.;Rowhani-Rahbar, Ali;Rivara, Frederick
通讯作者：
Rivara, Frederick
影响因子：
18.4
作者：
McCrory, Paul;Meeuwisse, Willem;Vos, Pieter E.
通讯作者：
Vos, Pieter E.