ArticlePLOS digital health2025
Multi-method proof-of-concept evaluation for R2Play: a novel multi-domain return-to-play assessment tool for concussion.
Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
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Who cites it
1 citing paper in PubMed.
- Evaluating R2Play, A Novel Multidomain Return-to-Play Assessment Tool for Concussion: Mixed Methods Feasibility and Face Validity Study.JMIR rehabilitation and assistive technologies · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Return-to-play (RtoP) clearance after concussion typically involves single- and dual-task assessments that do not reflect the speed or complexity of sport. We developed R2Play, a dynamic multi-domain assessment tool for concussion. This study aimed to (1) demonstrate proof of concept for R2Play by evaluating alignment with design objectives (easy to use, fun, sport-like, clinically valuable, resource efficient, and flexible); and (2) document subsequent iterations to R2Play design. A multi-method evaluation was performed wherein clinicians were paired with youth to test R2Play together and complete separate semi-structured interviews. Quantitative metrics included the System Usability Scale (SUS), heart rate (HR), ratings of perceived exertion (RPE), assessment durations, and R2Play completion times, errors, and multi-task cost scores (changes in performance with the introduction of new challenges). Interviews explored perspectives on design objectives, analyzed using content analysis. Participants included five clinicians (n = 2 occupational therapy; n = 1 physiotherapy; n = 1 athletic therapy; n = 1 medicine) and 10 youth (ages 10-22 years). Assessments took 30-40 minutes despite minor technical challenges (e.g., unresponsive equipment). Clinician-rated usability was good-to-excellent (SUS = 81 ± 8.4; 95% CI: 73.6, 88.4) and youth reported that instructions were easy to follow. Moderate-to-high-intensity exertion was achieved (peak HR = 80 ± 11% age-predicted maximal; 95% CI: 77.4%, 88.5%). Multi-task cost scores reflected some aspects of hypothesized level demand loading. Clinicians described R2Play as potentially valuable to assess sport tolerance and enable rich observations of multi-domain skill integration. Tables were constructed to map study findings onto design iterations. This study supports proof-of-concept for R2Play, a new multi-domain concussion assessment tool, and identified areas for improvement, which has informed changes to the design of R2Play before broader evaluation among youth post-concussion.
Identifiers
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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.