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BMC Health Services Research

, 16:400

Organization, structure and delivery of healthcare


BackgroundConcussion is a considerable public health problem in youth. However, identifying, understanding and implementing best evidence informed recovery guidelines may be challenging for families given the vast amount of information available in the public domains e.g. Internet. The objective of this study was to develop, implement and evaluate the feasibility of an evidence-informed self-management education program for concussion recovery in youth.

MethodsSynthesis of best evidence, principles of knowledge translation and exchange, and expert opinion were integrated within a self-management program framework to develop a comprehensive curriculum. The program was implemented and evaluated in a children’s rehabilitation hospital within a universal health care system. A retrospective secondary analysis of anonymous data from a program evaluation survey was used to evaluate program feasibility, to identify features of importance to program participants and to assess changes in participants’ knowledge.

ResultsThe program -Concussion and You- includes a comprehensive, evidence informed, population specific curriculum that teaches participants practical strategies for management of return to school and play, sleep, nutrition, relaxation and energy conservation. A ‘wheel of health’ is used to facilitate participants’ self-management action plan. Results from eighty-seven participant surveys indicate that the program is feasible and participant knowledge increased in all areas of the program with the highest changes reported in knowledge about sleep hygiene, rest and energy conservation.

ConclusionFindings indicate that -Concussion and You- is a feasible program that is acceptable to youth and their families, and fills a health system service gap.

KeywordsEducation Concussion Children Youth Knowledge translation Self-management Pediatric AbbreviationKTEKnowledge translation and exchange

Electronic supplementary materialThe online version of this article doi:10.1186-s12913-016-1664-3 contains supplementary material, which is available to authorized users.

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Autor: Anne W. Hunt - Luciano De Feo - Jennifer Macintyre - Dayna Greenspoon - Talia Dick - Katherine Mah - Melissa Paniccia - Ch


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