Improving access to specialty care for concussion patients
Utilizing Mobile Health to Expedite Access to Specialty Care for Youth Presenting to the Emergency Department With Concussion at Highest Risk of Developing Persisting Symptoms
This study is testing a new mobile health program to help concussion patients get better care faster and improve their recovery by allowing them to share their symptoms daily with doctors.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 210 (estimated) |
| Ages | 13 Years to 18 Years |
| Sex | All |
| Sponsor | Children's Hospital of Philadelphia Academic / other |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Trial ID | NCT05741411 on ClinicalTrials.gov |
What this trial studies
This study evaluates a mobile health intervention aimed at enhancing recovery times and facilitating access to concussion specialty care for patients presenting to the emergency department. By utilizing remote patient monitoring (RPM), participants will report their symptoms daily, which will be linked to their electronic health records to streamline referrals to specialists. The goal is to reduce disparities in access to care for individuals with mild to severe concussions, particularly focusing on those at moderate-to-high risk for persistent post-concussion symptoms.
Who should consider this trial
Good fit: Ideal candidates are males and females aged 13 to 18 who present to the emergency department within 72 hours of a head injury and meet specific concussion criteria.
Not a fit: Patients with a Glasgow Coma Scale score below 13 or those with recent concussions or other significant injuries may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly improve recovery times and access to specialized care for concussion patients.
How similar studies have performed: Other studies utilizing mobile health technologies for concussion management have shown promise, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria for concussed subjects: * Males and females age 13 - 18 * Present to the Children's Hospital of Philadelphia (CHOP) Emergency Department (ED) within 72 hours of head injury * Meet criteria for concussion as defined by the most recent International Consensus Statement on Concussion * Own a smartphone * Meet criteria for moderate-to-high risk for Persistent Post-Concussion Symptoms according to 5P rule (score \>3/12) Exclusion Criteria for concussed subjects: * Glasgow Coma Scale score \<13 * Lower extremity trauma * A prior concussion within 1 month * Non-English speaking * Admission to the hospital at the initial head injury visit * Previously enrolled in the study * Inability to complete study procedures. Inclusion Criteria for parents: * Child meets the study eligibility criteria Exclusion Criteria for parents: * Non-English speaking Inclusion Criteria for providers: * ED or specialty provider caring for at least one patient via the mobile Health (mHealth)-facilitated care handoff strategy Exclusion Criteria for providers: * Non-English speaking
Where this trial is running
Philadelphia, Pennsylvania
- Children's Hospital of Philadelphia — Philadelphia, Pennsylvania, United States (Recruiting)
Study contacts
- Principal investigator: Daniel J Corwin, MD, MSCE — Children's Hospital of Philadelphia
- Study coordinator: Melissa Godfrey
- Email: godfreym2@chop.edu
- Phone: 267-425-0386
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.