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Research Objectives
To examine the feasibility of Move&Connect, a novel active rehabilitation (AR) group-based
intervention, for youth with persistent post-concussion symptoms (PPCS).
Design
Qualitative descriptive study.
Setting
A children's rehabilitation hospital in Toronto, Ontario, Canada.
Participants
There is a total of ten participants: five females aged 12-17 years with PPCS ranging
from 4-12 months post injury, and their parents of five mothers. The selection procedure
is purposive sampling from the hospital's brain injury clinic.
Interventions
Move&Connect is an interdisciplinary group-based intervention that integrates AR and
education to address PPCS in youth. It includes individualized low-intensity exercises
and teaching of concussion self-management skills. The six-week intervention consists
of weekly one hour sessions, and is co-facilitated by an occupational therapist and
a physical therapist.
Main Outcome Measures
Semi-structured interviews with youth and parent participants.
Results
Based on content analysis of interview data, a visual representation was developed
to capture youth experiences with the intervention. The visual illustrates three overarching
categories: (a) Therapeutic engagement, (b) Youth feelings, and (c) Program outcomes.
Youth participants reported engaging in meaningful intervention activities, bonding
with peers over shared experiences, and learning relevant skillset. Additionally,
youth noted feeling confident, motivated, and increased participation in activities
of daily living. Parent participants also appreciated the intervention unique features,
and emphasized the importance of their children connecting to peers with similar experiences.
Conclusions
Move&Connect merges the benefits of social support, physical activity, and concussion
education to help youth with PPCS return to daily activities. Results suggest that
the intervention is feasible and meaningful to youth with PPCS. A large-scale pilot
study is required to examine the effectiveness of Move&Connect. Study findings will
guide future AR and group interventions on concussion care.
Author(s) Disclosures
There are no conflicts or disclosures to be declared by the authors.
Key Words
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Copyright
© 2021 Published by Elsevier Inc.