Evaluating the Implementation of an Occupational Therapy-Led Concussion Clinic Model Into Usual Practice: A Mixed...

Area of Science:

• Neuroscience
• Rehabilitation Medicine
• Public Health

Background:

• Concussion management requires effective clinical models.
• Occupational therapy's role in concussion care is evolving.
• Integrating specialized clinics into healthcare systems presents implementation challenges.

Purpose of the Study:

• To evaluate the implementation of an occupational therapy-led concussion clinic.
• To assess clinician and service user acceptability and fidelity.
• To explore the feasibility of embedding outcome measures for long-term evaluation.

Main Methods:

• Prospective, mixed-methods design at a tertiary trauma hospital.
• Clinician interviews and patient satisfaction surveys for acceptability.
• Service usage data for fidelity and outcome measures for concussion, mood, and daily living.

Main Results:

• High referral (73%) and attendance (75%) rates observed over 18 months.
• Clinicians viewed the clinic as a valuable safety net with growth potential.
• High patient satisfaction supported clinic acceptance, but many required further specialist referrals.

Conclusions:

• Occupational therapy-led concussion clinics are accepted for immediate post-concussion needs.
• Coordinated pathways to multidisciplinary care are essential for persistent symptoms.
• Further integration is needed to address long-term challenges in returning to daily activities.