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Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical

Frederick P Rivara1,2,3,4, Lyscha A Marcynyszyn5, Jin Wang6

  • 1Department of Pediatrics, University of Washington, Seattle, WA, 98104.

The Journal of School Health
|December 14, 2021
PubMed
Summary

Youth with persistent post-concussive symptoms (PPCS) face significant school challenges. Collaborative care reduced school days missed compared to usual care in a randomized trial.

Keywords:
academic achievementadolescencecollaborative carepediatricspersistent postconcussive symptomsschool attendance

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Area of Science:

  • Pediatric neurology
  • Adolescent health
  • School-based health interventions

Background:

  • Limited long-term data exists on school-related issues for youth experiencing persistent post-concussive symptoms (PPCS).
  • Understanding academic needs and outcomes is crucial for this population.

Purpose of the Study:

  • To evaluate the impact of collaborative care versus usual care on academic functioning in youth with PPCS.
  • To assess school-related problems, GPA, and school absences over a 12-month period.

Main Methods:

  • A randomized trial involving 200 youth aged 11-18 with PPCS.
  • Comparison of collaborative care to usual care, measuring academic functioning, GPA, school absences, and days missed.

Main Results:

  • Half of participants experienced new or worsening academic problems within 12 months, regardless of care group.
  • No significant differences were observed in overall school problems or GPA between groups.
  • The collaborative care group showed a significant reduction in school days missed at 3, 6, and 12 months post-injury.

Conclusions:

  • Youth with PPCS are at high risk for academic difficulties in the year following injury.
  • Collaborative care may be effective in reducing school absenteeism for adolescents with PPCS.