Brain Concussion
Conditions
Keywords
child, Adolescent, exercise, rehabilitation, physical activity, virtual, mobile health
Brief summary
Non-randomized pilot intervention using mobile-administered sub-threshold exercise to treat youth with prolonged symptoms of concussion.
Detailed description
6-week pilot study of a novel intervention for concussion, administering a sub-threshold exercise program in a mobile fashion using video conferencing and providing feedback using wrist-worn accelerometry and heart rate monitoring.
Interventions
BEHAVIORALM-STEP
Youth will be assessed using actigraphy at baseline, and will then be asked to exercise for 1) a duration of 10 minutes \> MVPA at baseline with 2) HR\>120 while being monitored by a Fitbit. Youth will be asked to exercise daily, and intensity and duration will be increased every few days for a goal of 60 minutes per day at a HR\>140 (low end of MVPA). The intervention will be 6 weeks in duration.
Sponsors
Seattle Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
All youth will receive the intervention
Eligibility
Sex/Gender
ALL
Age
9 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Concussion diagnosed by a healthcare provider that occurred 2 weeks-6 months ago * Continued symptoms with at least 3 symptoms on the HBI and a score of 20+ * No other issues that would preclude physical activity * Parents and youth are English-speaking
Exclusion criteria
\- Already participating in \>30 minutes of MVPA/day
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Health Behavior Inventory (HBI), 21 item 0-3 likert, higher scores indicate more severe symptoms | Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) | Self-report questionnaire regarding concussive symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fear of pain questionnaire (FOPQ)-P/C, adapted for concussion, 24 item (child) and 23 item (parent) 0-4 likert, higher scores indicate greater fear-avoidance | Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) | Self-report questionnaire completed by parent and child regarding their fear of concussive symptoms and avoidance of activities that might produce concussive symptoms |
| Change in Patient Health Questionnaire 9 (PHQ-9), 9 item 0-3 likert, higher scores indicate greater symptoms | Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) | Self-report questionnaire of depression symptoms |
| Change in Pediatric Quality of Life Inventory (PedsQL), 23 item 0-4 likert, converted to a 0-100 scale, higher scores indicate improved function | Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) | Self-report questionnaire regarding Health-related quality of life |
| Change in Generalized anxiety disorder--7 item (GAD7), 7-item 0-3 likert, higher scores indicate more severe symptoms | Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) | Self-report questionnaire regarding anxiety symptoms (7-item) |
| Study Satisfaction Questionnaire | 6 weeks | 8 item survey regarding satisfaction with study, 0-3 likert, higher scores indicate greater satisfaction |
| Change in Adolescent Sleep Wake Scale (ASWS), 10-item 0-5 likert, higher scores indicate improved sleep quality | Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) | Self-report 10-item questionnaire regarding difficulty falling asleep, night wakenings and other sleep issues |
Countries
United States
Outcome results
None listed