Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED.
Roger Zemek, Nick Barrowman, Stephen B Freedman...
https://pubmed.ncbi.nlm.nih.gov/26954410Actively Recruiting
Phase Not Applicable
Age: 13Years - 18Years
All Genders
ID05741411
Utilizing Mobile Health to Expedite Access to Specialty Care for Youth Presenting to the Emergency Department With Concussion at Highest Risk of Developing Persisting Symptoms
Led by Children's Hospital of Philadelphia · Updated on 2026-05-22
210
Participants Needed
1
Research Sites
17 weeks
Total Duration
On this page
Sponsors
C
Children's Hospital of Philadelphia
Lead Sponsor
N
National Institute of Neurological Disorders and Stroke (NINDS)
Collaborating Sponsor
AI-Summary
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 intervention's 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.
CONDITIONS
Brief Title
Facilitating Access to Specialty Treatment
Who Can Participate
Age: 13Years - 18Years
All Genders
Eligibility Criteria
You may qualify if you...
- Males and females age 13 to 18 years
- Present to the Emergency Department within 72 hours of head injury
- Meet concussion criteria as defined by the latest International Consensus Statement
- Own a smartphone
- At moderate-to-high risk for persistent post-concussion symptoms (5P rule score >3/12)
- Parents of eligible children
- Emergency or specialty providers caring for patients via the mobile health care handoff
You will not qualify if you...
- Glasgow Coma Scale score less than 13
- Lower extremity trauma
- Prior concussion within 1 month
- Non-English speaking
- Hospital admission at initial head injury visit
- Previous enrollment in the study
- Inability to complete study procedures
- Non-English speaking parents or providers
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) at the Emergency Department within 72 hours of head injury
Treatment
Duration - Up to 28 days following injury
Participants report symptoms and activity daily via remote patient monitoring chat technology for up to 28 days following injury. A nurse navigator monitors symptoms and facilitates scheduling of specialist visits as needed.
Daily symptom reporting via mobile health technology with additional specialist visits as needed
Trial Site Locations
Total: 1 location
1
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104
Actively Recruiting
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Research Team
M
Melissa Godfrey
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
OTHER
Number of Arms
1
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Published Research Related To This Trial
Characteristics and Outcomes for Delayed Diagnosis of Concussion in Pediatric Patients Presenting to the Emergency Department.
Daniel J Corwin, Kristy B Arbogast, Rebecca A Haber...
https://pubmed.ncbi.nlm.nih.gov/33036827Vision and Vestibular System Dysfunction Predicts Prolonged Concussion Recovery in Children.
Christina L Master, Stephen R Master, Douglas J Wiebe...
https://pubmed.ncbi.nlm.nih.gov/29064869Factors Affecting Recovery Trajectories in Pediatric Female Concussion.
Natasha Desai, Douglas J Wiebe, Daniel J Corwin...
https://pubmed.ncbi.nlm.nih.gov/31460948Ecologic Momentary Assessment to Accomplish Real-Time Capture of Symptom Progression and the Physical and Cognitive Activities of Patients Daily Following Concussion.
Douglas J Wiebe, Michael L Nance, Eileen Houseknecht...
https://pubmed.ncbi.nlm.nih.gov/27617669A Randomized Trial of Incentivization to Maximize Retention for Real-Time Symptom and Activity Monitoring Using Ecological Momentary Assessment in Pediatric Concussion.
Daniel J Corwin, Julia Orchinik, Bernadette D'Alonzo...
https://pubmed.ncbi.nlm.nih.gov/36730797Using mobile health to expedite access to specialty care for youth presenting to the emergency department with concussion at highest risk of developing persisting symptoms: a protocol paper for a non-randomised hybrid implementation-effectiveness trial.
Daniel J Corwin, Melissa Godfrey, Kristy B Arbogast...
https://pubmed.ncbi.nlm.nih.gov/38904136