Evidence map›Paper›PMID 39562313›Full record

ArticleBrain injury2025

Understanding factors influencing exercise program adherence for youth with persistent post-concussive symptoms (PPCS).

Beth J Bollinger, Sara Pd Chrisman, Jordan Sahlberg, Jason A Mendoza, Tonya M Palermo, Chuan Zhou, M Alison Brooks, Frederick P Rivara, Payton Pedersen, Emily Prentice and 1 more

Abstract read
In one paragraph

Article in Brain injury, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Beth J BollingerCenter for Child Health, Behavior and Development, Seattle Children's Research Institute.
Sara Pd ChrismanCenter for Child Health, Behavior and Development, Seattle Children's Research Institute.ORCID 0000-0001-5373-7223
Jordan SahlbergSeattle Institute for Biomedical and Clinical Research.
Jason A MendozaCenter for Child Health, Behavior and Development, Seattle Children's Research Institute.
Tonya M PalermoCenter for Child Health, Behavior and Development, Seattle Children's Research Institute.
Chuan ZhouCenter for Child Health, Behavior and Development, Seattle Children's Research Institute.
M Alison BrooksUniversity of Wisconsin, Madison, US.
Frederick P RivaraCenter for Child Health, Behavior and Development, Seattle Children's Research Institute.
Payton PedersenSchool of Public Health, University of Washington, Seattle, US.
Emily PrenticeSchool of Medicine, University of Washington, Seattle, US.
Colby HansenDepartment of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, US.ORCID 0000-0002-8012-2483

Funding

Mobile Subthreshold Exercise Program for Concussion (M-STEP)R01HD094722 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI CHRISMAN, SARA P.D. · 2020 to 2024
$3.2M
NICHD NIH HHS R01 HD094722
6 · The paper itself

Abstract

backgroundA significant portion of youth sustain a concussion every year, with around 30% experiencing persistent post-concussion symptoms (PPCS). Research has shown exercising just below the exertion level that provokes symptoms can lead to more rapid recovery. However, youth often struggle to adhere to exercise recommendations following concussion.

methodsWe conducted structured qualitative interviews (

resultsFour primary factors appeared to motivate youth to exercise after receiving a concussion: 1) social support, 2) accountability, 3) goal setting, and 4) structure. Utilizing the lens of SDT, one could theorize that including social support and accountability helped fulfill the need of relatedness, setting goals helped fulfill the need of autonomy, and providing program structure helped fulfill the need for competence.

conclusionsOur results suggest that Self-Determination Theory may be a useful frame for examining exercise adherence post-concussion. Incorporating social support, accountability, goal setting and structure could increase the effectiveness of exercise prescription post-concussion and should be the focus of further study.

Indexed as

ExerciseExercise TherapyPatient CompliancePost-Concussion SyndromeAdolescentChildFemaleGoalsHumansMaleMotivationPersonal AutonomyQualitative ResearchSocial SupportconcussionHead injuryphysical activityqualitative researchself-determination theory

Identifiers

PMID39562313
PMCPMC11850204

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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.