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Related Experiment Video

Updated: Jun 11, 2025

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
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Concussion Health Improvement Program (CHIP): study protocol for a randomized controlled optimization trial for youth

Carolyn A McCarty1,2, Tayler Hennings3, Chuan Zhou3

  • 1Division of General Pediatrics, Department of Pediatrics, University of Washington School of Medicine, Seattle, USA. cari.mccarty@seattlechildrens.org.

Trials
|October 10, 2024
PubMed
Summary

This study optimizes collaborative care for persistent post-concussive symptoms (PPCS) in youth. It identifies which components of concussion-focused cognitive behavioral therapy, parenting skills training, and care management best improve youth recovery.

Keywords:
Adolescent healthBrain concussionCase managementCognitive behavioral therapyMental healthPsychosocial interventionRandomized clinical trialSports injury

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Area of Science:

  • Pediatric neurology
  • Adolescent mental health
  • Rehabilitation medicine

Background:

  • Millions of youth experience concussions annually, with up to 30% developing persistent post-concussive symptoms (PPCS).
  • PPCS significantly impacts social, emotional, and academic functioning in adolescents.
  • Limited evidence-based treatments exist for youth with PPCS.

Purpose of the Study:

  • To determine the most effective components of a collaborative care intervention for treating PPCS in youth.
  • To optimize a previously effective collaborative care model using the Multiphase Optimization Strategy (MOST) framework.
  • To inform mental health screening, intervention, and referral for youth and families post-concussion.

Main Methods:

  • A MOST factorial design will test all combinations of three intervention components: concussion-focused cognitive behavioral therapy (cf-CBT), parenting skills training (PST), and care management (CM).
  • 368 youth with PPCS will be recruited from Seattle and Dallas and randomized into 8 treatment groups.
  • Intervention delivery via video conferencing over 3 months, with outcomes assessed at multiple time points up to 12 months.

Main Results:

  • This section is not available in the provided abstract.
  • This section is not available in the provided abstract.
  • This section is not available in the provided abstract.

Conclusions:

  • The study aims to identify the most effective collaborative care components for treating PPCS in youth.
  • Findings will guide the refinement and optimization of interventions for widespread implementation.
  • This research will enhance support systems for young individuals experiencing concussion-related symptoms.