Using Mobile Health to Speed Access to Specialty Care for Teens 13-18 With Concussion at Risk for Long-Lasting Symptoms

What this Trial Is About

Researchers are evaluating a new mobile health intervention to improve access to specialty care for youth aged 13 to 18 who visit the emergency department with a concussion and are at risk for persistent symptoms. This study aims to shorten recovery times and ensure patients connect effectively with concussion specialists. The intervention uses remote patient monitoring RPM technology linked to electronic health records to support care handoff and reduce disparities in specialty care access. Participants will use a chat-based RPM tool daily for up to 28 days after their injury to report symptoms and activities. If symptoms worsen or remain steady, an alert is sent to a nurse navigator who helps arrange an in-person or telehealth consultation with a concussion specialist. Symptom monitoring continues throughout the 28-day acute study period, with additional clinical visits scheduled as needed. During the study, participants will report symptoms and activity daily, and researchers will track outcomes like ongoing post-concussion symptoms at 28 days, time to symptom baseline, clearance, and return to school up to 90 days after injury. The study also assesses how well participants connect with specialty care and gathers feedback on the interventions appropriateness and acceptability. Participation involves monitoring through the mobile tool and possible clinical visits, with data collected via electronic health records and follow-up evaluations.

Facilitating Access to Specialty Treatment