Development and feasibility of an evidence-informed self-management education program in pediatric concussion rehabilitation
| Autor: | Anne Hunt, Nick Reed, Jennifer Macintyre, Dayna Greenspoon, Melissa Paniccia, Luciano De Feo, Talia Dick, Christine Provvidenza, Katherine Mah |
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| Rok vydání: | 2015 |
| Předmět: |
Program evaluation
Male Youth Adolescent medicine.medical_treatment Concussion Poison control Health informatics Knowledge translation Health administration Education Translational Research Biomedical 03 medical and health sciences 0302 clinical medicine Nursing Patient Education as Topic Surveys and Questionnaires medicine Self-management Humans Child Curriculum Children Brain Concussion Retrospective Studies Pediatric Internet Rehabilitation Evidence-Based Medicine Schools business.industry Nursing research Health Policy 030229 sport sciences Return to Sport Self Care Athletic Injuries Feasibility Studies Female Public Health business 030217 neurology & neurosurgery Program Evaluation Research Article |
| Zdroj: | BMC Health Services Research |
| ISSN: | 1472-6963 |
| Popis: | Background Concussion 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. Methods Synthesis 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. Results The program, “Concussion & 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. Conclusion Findings indicate that “Concussion & You” is a feasible program that is acceptable to youth and their families, and fills a health system service gap. Electronic supplementary material The online version of this article (doi:10.1186/s12913-016-1664-3) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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