Application of the RE-AIM Framework for the Pediatric Mild Traumatic Brain Injury Evaluation and Management Intervention: A Study Protocol for Program Evaluation.
Application of the RE-AIM Framework for the Pediatric Mild Traumatic Brain Injury Evaluation and Management Intervention: A Study Protocol for Program Evaluation.
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DOI：
10.3389/fpubh.2021.740238
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发表时间：
2021
影响因子：
5.2
通讯作者：
Wright DW
中科院分区：
文献类型：
--
作者：
Tucker PW;Bull R;Hall A;Moran TP;Jain S;Sathian U;Simon HK;Gioia GA;Ratcliff JJ;Wright DW
经历轻度创伤性脑损伤（mTBI）的儿童可能会遇到认知和行为变化，这些变化通常会对学校表现产生负面影响。各种医疗保健系统和学校系统之间的沟通联系很少得到很好的协调，使mTBI儿童面临长期恢复，对学习产生不利影响和mTBI再次暴露的风险。本研究的目的是严格评估儿科轻度创伤性脑损伤评估和管理（TEaM）干预措施，旨在通过加强患者出院指导和学校与初级保健提供者之间的沟通联系来加强儿科mTBI的诊断和管理。这是一项结合随机和2 × 2准实验研究设计，在临床医生层面进行教育和技术干预，患者和学校结局作为关键终点。RE-AIM（范围、有效性、采用、实施、维持）框架将作为一种混合方法，用于评估多学科、多环境干预，旨在改善经历过mTBI的儿童的结局。利用RE-AIM框架辅以定性调查适合于评价TEaM干预的有效性，目的是强调儿科mTBI的优先事项。该项目评估有可能支持批判性评估mTBI恢复干预在多种环境中的影响所需的知识，从而能够在临床实践中吸收最佳证据。
Children who experience a mild Traumatic Brain Injury (mTBI) may encounter cognitive and behavioral changes that often negatively impact school performance. Communication linkages between the various healthcare systems and school systems are rarely well-coordinated, placing children with an mTBI at risk for prolonged recovery, adverse impact on learning, and mTBI re-exposure. The objective of this study is to rigorously appraise the pediatric Mild Traumatic Brain Injury Evaluation and Management (TEaM) Intervention that was designed to enhance diagnosis and management of pediatric mTBI through enhanced patient discharge instructions and communication linkages between school and primary care providers. This is a combined randomized and 2 × 2 quasi-experimental study design with educational and technology interventions occurring at the clinician level with patient and school outcomes as key endpoints. The RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework will be utilized as a mix methods approach to appraise a multi-disciplinary, multi-setting intervention with the intent of improving outcomes for children who have experienced mTBI. Utilization of the RE-AIM framework complemented with qualitative inquiry is suitable for evaluating effectiveness of the TEaM Intervention with the aim of emphasizing priorities regarding pediatric mTBI. This program evaluation has the potential to support the knowledge needed to critically appraise the impact of mTBI recovery interventions across multiple settings, enabling uptake of the best-available evidence within clinical practice.
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