Evidence map›Paper›PMID 27624513›Full record

Trial reportPediatrics2016

Collaborative Care for Adolescents With Persistent Postconcussive Symptoms: A Randomized Trial.

Carolyn A McCarty, Douglas Zatzick, Elizabeth Stein, Jin Wang, Robert Hilt, Frederick P Rivara, Seattle Sports Concussion Research Collaborative

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06036147 (Optimizing Collaborative Care for Youth With Persistent Post-Concussive Symptoms), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06036147 narecruitingnot on this mapstarted 2023, after this paper: background citation

Optimizing Collaborative Care for Youth With Persistent Post-Concussive Symptoms

TypeinterventionalSponsorSeattle Children's HospitalRan2023 to 2028Enrolled304ConditionsConcussion, Brain, Brain Injury Traumatic MildArmsConcussion-focused cognitive behavioral therapy, Parent skills training, Care management
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carolyn A McCartyResearch Institute, Center for Child Health, Behavior and Development, and.
Douglas ZatzickPsychiatry and Behavioral Sciences, and.
Elizabeth SteinResearch Institute, Center for Child Health, Behavior and Development, and.
Jin WangHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington.
Robert HiltPsychiatry and Behavioral Sciences, and.
Frederick P RivaraResearch Institute, Center for Child Health, Behavior and Development, and.
Seattle Sports Concussion Research Collaborative

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPostconcussive and co-occurring psychological symptoms are not uncommon after sports-related concussion and are associated with functional impairment and societal costs. There is no evidence-based treatment targeting postconcussive symptoms in children and adolescents. The goal of this study was to test a collaborative care intervention model with embedded cognitive-behavioral therapy, care management, and psychopharmacological consultation. We hypothesized that patients in collaborative care would demonstrate greater reductions in postconcussive, depressive, and anxiety symptoms and improvement in functioning over the course of 6 months, compared with usual care control.

methodsPatients aged 11 to 17 years with persistent symptoms ≥1 month after sports-related concussion were randomly assigned to receive collaborative care (n = 25) or care as usual (n = 24). Patients were assessed before randomization and after 1, 3, and 6 months. Groups were compared over time via linear mixed effects regression models.

resultsAdolescents assigned to collaborative care experienced clinically and statistically significant improvements in postconcussive symptoms in addition to functional gains at 6 months compared with controls. Six months after the baseline assessment, 13.0% of intervention patients and 41.7% of control patients reported high levels of postconcussive symptoms (P = .03), and 78% of intervention patients and 45.8% of control patients reported ≥50% reduction in depression symptoms (P = .02). No changes between groups were demonstrated in anxiety symptoms.

conclusionsOrchestrated efforts to systematically implement collaborative care treatment approaches for slow-to-recover adolescents may be useful given the reductions in postconcussive and co-occurring psychological symptoms in addition to improved quality of life.

Indexed as

Combined Modality TherapyPatient Care TeamAdolescentAnxietyAthletic InjuriesBrain ConcussionChildCognitive Behavioral TherapyDepressionFemaleHumansLinear ModelsMaleMotivational InterviewingPatient SatisfactionPost-Concussion Syndrome

Identifiers

PMID27624513
PMCPMC5051206

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.