Improving In-hospital and Post-discharge Patient Education for Mild Traumatic Brain Injury

Improving In-hospital and Post-discharge Patient Education for Mild Traumatic Brain Injury

The purpose of this study is to develop and validate ways to provide better patient education and clinical management for individuals who go to the emergency department (ED) with concussion or mild traumatic brain injury (mTBI).

The study will address three aims: (1) identify factors that help and hinder providing in-ED education to patients with mTBI prior to discharge; (2) examine the impact of tailored implementation strategies on ED providers' provision of in-ED patient education; and (3) evaluate the impact of providing patient education in the ED and through a mobile Health (mHealth) tool post-discharge on patient-level outcomes after mTBI.

Inclusion Criteria:

ED clinicians:

• Faculty attending physician, advanced practice professional (APP), resident, fellow, or nurse who practices in an eligible Froedtert & Medical College of Wisconsin (MCW) emergency department

Patients-Survey Cohort:

• Seen and discharged from a Froedtert & MCW emergency department.
• Age 18 or older.
• Has a clinical diagnosis of TBI, as reflected by a relevant International Classification of Disease-10th Edition (ICD-10) code or other evidence (e.g., diagnosis and educational information in the After Visit Summary)
• Speaks English or Spanish.

Patients-Chart Review Only:

• Seen and discharged from a Froedtert & MCW emergency department.
• Age 18 or older.
• Has a clinical diagnosis of TBI, as reflected by a relevant ICD-10 code or other evidence (e.g., diagnosis and educational information in the After Visit Summary). Note that for evaluation of Secondary Aim #1 (% trauma patients with an mTBI diagnosis), a broader sample of emergency department patients evaluated for trauma will be evaluated).

Exclusion Criteria:

ED clinicians:

• Providers that do not practice in a Froedtert & Medical College of Wisconsin emergency department.

Patients-Survey Cohort.

• In protective custody.
• On psychiatric hold.
• Is not own decision maker (e.g., activated healthcare power of attorney).
• Indicated Do Not Contact in their research contact preferences.
• Left the emergency department prematurely (e.g., against medical advice).
• History of serious health condition that, in the opinion of the investigator, would interfere with engagement in or validity of the survey (e.g., active thought disorder; terminal cancer; dementia).

Patients-Chart Review Only:

• Minors under the age of 18.