Evidence map›Paper›PMID 31533799›Full record

ArticleTrials2019

Collaborative care model for treatment of persistent symptoms after concussion among youth (CARE4PCS-II): Study protocol for a randomized, controlled trial.

Carolyn A McCarty, Douglas Zatzick, Teah Hoopes, Katelyn Payne, Rebecca Parrish, Frederick P Rivara

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03034720 (Collaborative Care Model for the Treatment of Persistent Symptoms After Concussion Among Youth), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT03034720 nacompletednot on this map

Collaborative Care Model for the Treatment of Persistent Symptoms After Concussion Among Youth

TypeinterventionalSponsorSeattle Children's HospitalRan2017 to 2020Enrolled200ConditionsConcussion, Brain, TBI, Depression, AnxietyArmsCollaborative Care
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Carolyn A McCartySeattle Children's Research Institute, P.O. Box 5371, M/S: CW8-5, Seattle, WA, 98145-5005, USA. cari.mccarty@seattlechildrens.org.ORCID http://orcid.org/0000-0002-9747-0927
Douglas ZatzickDepartment of Psychiatry and Behavioral Sciences, University of Washington, Harborview Medical Center 325 9th Avenue, Box 359911, Seattle, WA, 98104-2499, USA.
Teah HoopesSeattle Children's Research Institute, P.O. Box 5371, M/S: CW8-5, Seattle, WA, 98145-5005, USA.
Katelyn PayneSeattle Children's Research Institute, P.O. Box 5371, M/S: CW8-5, Seattle, WA, 98145-5005, USA.
Rebecca ParrishSeattle Children's Research Institute, P.O. Box 5371, M/S: CW8-5, Seattle, WA, 98145-5005, USA.
Frederick P RivaraSeattle Children's Research Institute, P.O. Box 5371, M/S: CW8-5, Seattle, WA, 98145-5005, USA.
Children’s Institute · USCenter for Infectious Disease Research · USUniversity of Washington · US

Funding

Optimizing Collaborative Care for Youth with Persistent Post-Concussive SymptomsR01HD090230 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI Sara P.D. Chrisman, CAROLYN A MC CARTY · 2017 to 2026
$5.8M
NICHD NIH HHS R01 HD090230
6 · The paper itself

Abstract

backgroundCurrently, there is limited evidence to guide intervention and service delivery coordination for youth who suffer a concussion and subsequently experience persistent post-concussive symptoms (PCS) (Lumba-Brown et al. JAMA Pediatr 172(11):e182853, 2018; Lumba-Brown A et al. JAMA Pediatr 172(11):e182847, 2018). We have developed a collaborative care intervention with embedded cognitive-behavioral therapy, care management, and stepped-up psychotropic medication consultation to address persistent PCS and related psychological comorbidities. The CARE4PCS-II study was designed to assess whether adolescents with persistent symptoms after sports-related concussion will demonstrate better outcomes when receiving this collaborative care intervention compared to a usual care (control) condition. METHODS/

designThis investigation is a randomized comparative effectiveness trial to receive intervention (collaborative care) or control (usual care). Two hundred sports-injured male and female adolescents aged 11-18 years with three or more post-concussive symptoms that persist for at least 1 month but less than 9 months after injury will be recruited and randomized into the study. The trial focuses on the effects of the intervention on post-concussive, depressive, and anxiety symptoms measured 3, 6, and 12 months after baseline. DISCUSSION: The CARE4PCS II study is a large comparative effectiveness trial targeting symptomatic improvements in sports injured adolescents after concussion. The study is unique in its adaptation of the collaborative care model to a broad spectrum of primary care, sports medicine, and school settings. The investigation incorporates novel elements such as the delivery of CBT through HIPAA complaint video conferenceing technology and has excellent widespread dissemination potential should effectiveness be demonstrated.

trial registrationClinicalTrials.gov, NCT03034720 . Registered on January 27, 2017.

Indexed as

Cognitive Behavioral TherapyDelivery of Health Care, IntegratedPatient Care TeamAdolescentAthletic InjuriesBrain ConcussionChildCombined Modality TherapyComparative Effectiveness ResearchFemaleHumansMalePsychotropic DrugsRandomized Controlled Trials as TopicReferral and ConsultationTime FactorsPsychotropic DrugsAdolescent healthCognitive-behavior therapyCollaborative careConcussionRandomized trialsSports injury

Identifiers

PMID31533799
PMCPMC6749638
OpenAlexW2973680267

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.