@article{ref1,
title="Improving post-concussion discharge education for families seeking emergency department care: intervention development",
journal="Brain injury",
year="2024",
author="Kroshus, Emily and Steiner, Mary Kathleen and Chrisman, Sara P. D. and Lion, K. Casey and Rivara, Frederick and Lowry, Sarah J. and Strelitz, Bonnie and Klein, Eileen J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Pediatric emergency departments (ED) are where many families receive post-concussion medical care and thus an important context for helping parents build skills to support their child after discharge. <br><br>OBJECTIVE: Develop a strategy for increasing parent provision of emotional and instrumental support to their child after discharge and conduct a pilot test of this strategy's acceptability. <br><br>METHODS: In a large pediatric ED in the United States, we partnered with parents (n = 15) and clinicians (n = 15) to understand needs and constraints related to discharge education and to operationalize a strategy to feasibly address these needs. This produced a brief daily text message intervention for parents for 10 days post-discharge. We used a sequential cohort design to assess the acceptability this intervention and its efficacy in changing parenting practices in the 2-weeks post-discharge (n = 98 parents). <br><br>RESULTS: Parents who received the messaging intervention rated it as highly acceptable and had meaningfully higher scores for emotionally supportive communication with their child in the two weeks post-discharge than parents in the control condition (Cohen's d = 0.65, p = 0.021). <br><br>CONCLUSIONS: This brief messaging intervention is a promising strategy for enhancing discharge education post-concussion that warrants further evaluation.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2024.2318595",
url="http://dx.doi.org/10.1080/02699052.2024.2318595"
}