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Parent and Child Agreement of Brain Injury Perceptions Following Pediatric Concussion

Ara J Schmitt1, Mohamad Khalaifa2, Kirstin Franklin1

  • 1Department of Counselor Education and School Psychology, Duquesne University, Pittsburgh, PA, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists
|January 30, 2026
PubMed

Insights

Parent and child agreement on concussion perceptions is low, with only 13% consistency on the Brain Injury Perception Scale (BIPS). This highlights the need to address individual parent and child views in pediatric concussion care.

Area of Science:

  • Pediatric neurology
  • Psychology of illness perception
  • Clinical research methodology

Background:

  • Pediatric concussion management requires understanding patient and caregiver perspectives.
  • The Brain Injury Perception Scale (BIPS) assesses illness perceptions in children post-concussion.
  • Limited data exists on parent-child agreement regarding concussion perceptions.

Purpose of the Study:

  • To evaluate the agreement between parent and child self-reports on the BIPS following pediatric concussion.
  • To identify specific BIPS items with low parent-child consistency.

Main Methods:

  • Cross-sectional study of 88 parent-child dyads (children aged 11-18 years).
  • Participants completed the BIPS within 30 days of concussion diagnosis.
  • Spearman's rho and cross-tabulations analyzed item consistency and direction.

Main Results:

  • Low parent-child agreement observed across 38 BIPS items (only 5 items showed consistency, p < .05).
  • Significant disagreement noted on items concerning the permanence, life consequences, emotional impact, social impact, and duration of the brain injury.
  • Spearman's rho values ranged from .22 to .29 for inconsistent items.

Conclusions:

  • Parent-child agreement on perceptions of pediatric concussion is notably low (13%).
  • Individual assessment of parent and child perceptions is crucial for effective pediatric concussion management.
  • Addressing discrepancies in illness perception may improve treatment outcomes and patient/family coping.
Abstract

Keywords:
Caregiver issuesHead injuryRehabilitationTraumatic brain injury

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