Development of a Concussion Management Platform for Children and Youth: Bridging the Gap Between Research and Practice

脑震荡是一个主要的公共卫生问题。尽管人们越来越认识到脑震荡对健康的严重影响，但受伤人数仍在上升。脑震荡后出现的症状可能会对儿童/青少年参与日常生活产生重大影响，包括在学校和体育运动中。虽然有专门针对儿童/青少年的指导方针，以帮助引导他们重返活动和重返学校，但在一般做法中，人们对这些指导方针的理解和遵守程度很低。大多数现有 脑震荡管理应用程序，其中只有少数，旨在提供教育和一些记录和跟踪症状的方法。这些应用程序信息密集，缺乏用户交互，无法将儿童/青少年活动模式与症状加重相结合，无法根据循证指南提供有关RTA和RTS的指导。 拟议的项目旨在创建一个脑震荡管理平台，整合和简化脑震荡管理和监测的各个方面。该平台将是互动的，为儿童及其家庭提供更多的自主权，了解和控制他们的康复轨迹，提高整体依从性。该平台的特点包括 症状监测、认知测试以及实时活动监测和反馈。反馈将允许儿童/青少年立即调整活动水平，以防止症状恶化和更长的恢复时间。

Concussion is a major public health concern. Despite increased recognition of the serious health impacts of concussion, the number of injuries is rising. The presentation of symptoms after a concussion can have a significant impact on a child/youths participation in daily life, including at school and in sport. While child/youth specific guidelines exist to help navigate return to activity (RTA) and return to school (RTS), they are poorly understood and adhered to in general practice. Most existing concussion management Apps, of which there are only a few, aim to provide education and some method for recording and tracking symptoms. These Apps are information dense, lack user interaction and fail to integrate child/youth patterns of activity with symptom exacerbation to provide guidance about RTA- and RTS based on evidence-based guidelines. The proposed project aims to create a concussion management platform that incorporates and streamlines all aspects of concussion management and monitoring. The platform will be interactive and provide children and their families with more autonomy, knowledge and control of their recovery trajectories, increasing overall adherence. Features of the platform include symptom monitoring, cognitive testing, and real-time activity monitoring and feedback. Feedback will allow the child/youth to immediately adjust activity level to prevent symptom exacerbation and longer recovery time.