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Mild traumatic brain injury (MTBI) is a common injury that involves loss of consciousness or alteration in mental status induced by an external mechanical force to the head. Education about symptoms and reassurance of a prompt recovery usually results in full recovery. However, a subgroup appears to have persistent symptoms and disability. This study will recruit MTBI patients from two Emergency Departments with the aim of identifying modifiable patient characteristics that can delay or prevent full recovery. A secondary aim is to determine if providing education in writing or in-person makes a difference.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Written Education | Active Comparator |
| |
| Verbal Education | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Educational Brochure | Other | Participants will receive written education materials about mild traumatic brain injury. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Presence of Postconcussional Syndrome | The primary outcome is the presence of Postconcussion Syndrome, defined as 3+ symptoms endorsed as "mild" or greater on the Rivermead Postconcussion Symptom Questionnaire. | 3 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Glasgow Outcome Scale-Extended (GOS-E) | Structured interview to assess disability level. | 3 Months |
| Patient Health Questionnaire-9 (PHQ-9) | Depressive symptoms questionnaire. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Noah Silverberg, PhD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lions Gate Hospital | Vancouver | British Columbia | Canada | |||
| Vancouver General Hospital |
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| ID | Term |
|---|---|
| D001924 | Brain Concussion |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Verbal education module | Other | A structured in-person education module about mild traumatic brain injury. |
|
| 3 Months |
| PTSD Checklist-Civilian version (PCL-C) | Post-traumatic stress symptoms questionnaire. | 3 Months |
| Vancouver |
| British Columbia |
| Canada |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016489 | Head Injuries, Closed |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |