Evidence map›Paper›PMID 29097272›Full record

Trial reportPM & R : the journal of injury, function, and rehabilitation2018

Use of Mental Health Services by Adolescents After Traumatic Brain Injury: A Secondary Analysis of a Randomized Controlled Trial.

Andrea R S Huebner, Amy Cassedy, Tanya M Brown, H Gerry Taylor, Terry Stancin, Michael W Kirkwood, Shari L Wade

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PM & R : the journal of injury, function, and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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 at 4 institutions in 1 country.

Andrea R S HuebnerDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
Amy CassedyDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
Tanya M BrownDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
H Gerry TaylorDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
Terry StancinDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
Michael W KirkwoodDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
Shari L WadeDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
Children's Hospital Colorado · USUniversity of Colorado Denver · USCase Western Reserve University · USCincinnati Children's Hospital Medical Center · US

Funding

Improving Mental Health Outcomes of Child Brain InjuryR01MH073764 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI WADE, SHARI L · 2006 to 2010
$3.0M
NIMH NIH HHS R01 MH073764
6 · The paper itself

Abstract

backgroundMental health problems are common after pediatric traumatic brain injury (TBI). Many patients in need of mental health services do not receive them, but studies have not consistently used prospective and objective methods or followed samples for more than 1 year.

objectiveTo examine adolescents' use of mental health services after TBI.

designSecondary analysis from multicenter prospective randomized controlled trial.

settingFive level 1 U.S. trauma centers.

participantsAdolescents aged 12-17 years with moderate-to-severe TBI were recruited for a randomized clinical trial (n = 132 at baseline, 124 at 6 months, 113 at 12 months, and 101 at 18 months).

methodsParticipants were randomly assigned to counselor-assisted problem-solving or Internet resource comparison. Follow-up assessments were completed at 6, 12, and 18 months after baseline. Generalized estimating equations with a logit link were used to examine use of mental health services. Treatment group and participant impairment were examined as predictors of use. MAIN OUTCOME MEASUREMENTS: Mental health care use was measured with the Service Assessment for Children and Adolescents; daily functioning and clinical outcome with the Child and Adolescent Functional Assessment Scale; behavioral and emotional functioning with the Child Behavior Checklist; and executive dysfunction with the Behavior Rating Inventory of Executive Function.

resultsUse of mental health services ranged from 22% to 31% in the 2 years post-TBI. Participants with impairments were about 3 times more likely than those without impairments to receive services (odds ratio 4.61; 95% confidence interval 2.61-8.14; P < .001). However, 50%-68% of patients identified as impaired had unmet mental health care needs.

conclusionsLess than one half of adolescents with behavioral health needs after TBI received mental health services. Future studies are needed to examine barriers associated with seeking services after TBI and psychoeducation as preventive care for this population. LEVEL OF EVIDENCE: II.

Indexed as

Mental HealthPhysical Therapy ModalitiesAdolescentAdolescent Health ServicesBrain Injuries, TraumaticChildChild Health ServicesExecutive FunctionFemaleFollow-Up StudiesHealth Services Needs and DemandHumansMaleMental Health ServicesProspective StudiesQuality of Life

Identifiers

PMID29097272
PMCPMC5930129
OpenAlexW2766789000

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.