INtegrative approaches for Optimizing Recognition, Management and Education of concussion at the community sports level

A multidisciplinary telehealth program with neuropsychologists, physiotherapists, emergency physicians, neurologists, critical care nurse, neuroscientists and sports physicians will be available to the participant. Among participants randomised to the telehealth arm, the consultation will be conducted primarily by a neuropsychologist or physiotherapist, rostered 4 half-days per week. The neuropsychologist will be co-located with a medical specialist (emergency physician or neurologist) for assessment of symptoms related to the head injury outside the scope of possible concussion . Follow-up consultations using telehealth will be scheduled at 7 days and 14 days and may also occur at greater frequency if recommended by the assessing team. Should the telehealth team feel the need for in-person assessment and management, including physiotherapy or occupational therapy for example, this will be facilitated. Additional nurse follow-up will occur at 30 days to assess satisfaction with the telehealth program. All other standard care processes will be continued as per normal clinical practice. The telehealth consultation will be delivered via online video call by the neuropsychologist. The duration of the consult will be 45minutes. If the neuropsychologist deems that further in-person care is required, they will, with the participant’s consent, refer the participant to ED or their GP, or in the case of persistent concussive symptoms after 14 days, refer them to the Monash Turner clinic (https://www.monash.edu/turner-institute/turner-clinics). On day 30, the nurse will follow up with a telephone call. The follow-up will be less than 10 minutes unless the situation warrants further investigation. There are no specific strategies for monitoring adherence, but the episodes of intervention will be recorded.