Summary: To evaluate the feasibility and potential benefits of an interactive, Web-based intervention for mTBI, 13 of 21 adolescents aged 11 to 18 years with mTBI recruited from November 2013 to June 2014 within 96 hours of injury completed a prospective, open pilot Web-based Self-Management Activity-restriction and Relaxation Training (SMART) program. This program incorporates anticipatory guidance and psychoeducation, self-management and pacing of cognitive and physical activities, and cognitive-behavioral principles for early management of mTBI in adolescents. Average time from injury to baseline testing was 14.0 (standard deviation = 16.7) hours. Repeated-measures, generalized linear mixed-effects model analysis demonstrated a significant decrease of PCSS at a rate of 2.0 points. Per day that stabilized after about 2 weeks. Daily activities, screen time, and physical activity increased by 0.06, 0.04, and 0.03 hours per day, respectively, over the 4-week follow-up. Satisfaction was rated highly by parents and youth.
Feasibility and potential benefits of a web-based intervention delivered acutely after mild traumatic brain injury in adolescents: A pilot study
Citation: Kurowski, B. G., S. L. Wade, et al. (2015). "Feasibility and Potential Benefits of a Web-Based Intervention Delivered Acutely After Mild Traumatic Brain Injury in Adolescents: A Pilot Study." J Head Trauma Rehabil.