ArticleThe Journal of head trauma rehabilitation
Feasibility and Potential Benefits of a Web-Based Intervention Delivered Acutely After Mild Traumatic Brain Injury in Adolescents: A Pilot Study.
Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Digital psychological interventions in youth with neurological disorders: a systematic review.Journal of pediatric psychology · 2026Pooled it
- Impact of Early Activity and Behavioral Management on Acute Concussion Recovery: A Randomized Controlled Trial.The Journal of pediatrics · 2025Trial
- Findings from a Randomized Controlled Trial of SMART: An EHealth Intervention for Mild Traumatic Brain Injury.Journal of pediatric psychology · 2023Trial
- The MyGuide Web-Based Self-Management Tool for Concussion Rehabilitation: Mixed Methods Cross-Sectional Study.JMIR rehabilitation and assistive technologies · 2025Article
- Education on the consequences of traumatic brain injury for children and adolescents with TBI and families/caregivers: a systematic scoping review.Brain injury · 2023Article
- Service Delivery Models for the Management of Pediatric and Adolescent Concussion: A Systematic Review.Archives of rehabilitation research and clinical translation · 2022Review
- Risk Factors for High Symptom Burden Three Months after Traumatic Brain Injury and Implications for Clinical Trial Design: A Transforming Research and Clinical Knowledge in Traumatic Brain Injury Study.Journal of neurotrauma · 2022Article
- Tele-Active Rehabilitation for Youth With Concussion: Evidence-Based and Theory-Informed Intervention Development.JMIR pediatrics and parenting · 2022Article
- Establishing a Working Definition of User Experience for eHealth Interventions of Self-reported User Experience Measures With eHealth Researchers and Adolescents: Scoping Review.Journal of medical Internet research · 2021Article
- A Live Video Mind-Body Treatment to Prevent Persistent Symptoms Following Mild Traumatic Brain Injury: Protocol for a Mixed Methods Study.JMIR research protocols · 2021Article
- User experience (re)design and evaluation of a self-guided, mobile health app for adolescents with mild Traumatic Brain Injury.Journal of formative design in learning · 2020Article
- A Mobile Phone App for the Self-Management of Pediatric Concussion: Development and Usability Testing.JMIR human factors · 2019Article
- Psychological Intervention in Traumatic Brain Injury Patients.Behavioural neurology · 2019Review
- Lived Experiences of Adolescent Athletes Following Sport-Related Concussion.Orthopaedic journal of sports medicine · 2017Article
- Adolescents with Mild Traumatic Brain Injury Get SMART: An Analysis of a Novel Web-Based Intervention.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017Article
- Blue-Light Therapy following Mild Traumatic Brain Injury: Effects on White Matter Water Diffusion in the Brain.Frontiers in neurology · 2017Article
- Usability evaluation of the SMART application for youth with mTBI.International journal of medical informatics · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThere is a paucity of evidence-based interventions for mild traumatic brain injury (mTBI).
objectiveTo evaluate the feasibility and potential benefits of an interactive, Web-based intervention for mTBI.
settingEmergency department and outpatient settings.
participantsOf the 21 adolescents aged 11 to 18 years with mTBI recruited from November 2013 to June 2014 within 96 hours of injury, 13 completed the program.
designProspective, open pilot.
interventionThe Web-based Self-Management Activity-restriction and Relaxation Training (SMART) program incorporates anticipatory guidance and psychoeducation, self-management and pacing of cognitive and physical activities, and cognitive-behavioral principles for early management of mTBI in adolescents. MAIN MEASURES: Primary: Daily Post-Concussion Symptom Scale (PCSS). Secondary: Daily self-reported ratings of activities and satisfaction survey.
resultsAverage time from injury to baseline testing was 14.0 (standard deviation = 16.7) hours. Baseline PCSS was 23.6 (range: 0-46), and daily activity was 1.8 (range: 0-5.75) hours. Repeated-measures, generalized linear mixed-effects model analysis demonstrated a significant decrease of PCSS at a rate of 2.0 points per day that stabilized after about 2 weeks. Daily activities, screen time, and physical activity increased by 0.06 (standard error [SE] = 0.04, P = .09), 0.04 (SE = 0.02, P = .15), and 0.03 (SE = 0.02, P = .05) hours per day, respectively, over the 4-week follow-up. Satisfaction was rated highly by parents and youth.
conclusionsSelf-Management Activity-restriction and Relaxation Training is feasible and reported to be helpful and enjoyable by participants. Future research will need to determine the comparative benefits of SMART and ideal target population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.