Screening Emotions in Adolescents Receiving Care at the Hospital for mTBI (SEARCH-mTBI)
University of California, Davis
Summary
The goal of this observational study is to develop and validate a clinical tool to predict which adolescents aged 11 to less than 18 years of age with mild traumatic brain injury (mTBI) are at an increased risk for developing significant new or worsening mental health conditions. The main aims the study wish to answer are: * Does the adolescent have new or worsening depression or anxiety defined as a change from their previous medical history using self-reported questionnaires at either one or three months post-injury? * Does the adolescent have unmet mental health care needs, defined as not receiving any mental or behavior health care in patients with new or worsening anxiety or depression as defined by the self reported questionnaires? Participants will be enrolled after being diagnosed in the emergency department (ED) with an mTBI. During the ED visit, the child's parent/caregiver and the adolescent will complete several questionnaires related to mental health which include tools to measure anxiety and depression. Participants will be asked to complete these questionnaires again at 1 month and 3 months post enrollment.
Description
This is an observational, multicenter study to develop and validate a clinical tool to predict mental health problems in adolescents (after mild traumatic brain injuries (mTBI). The primary objective of the study is to develop and validate a clinical tool to predict which adolescents with mTBIs are at an increased risk for developing significant new or worsening mental health conditions. The investigators believe that at completion of this study they will have developed and validated a clinical prediction tool that will help clinicians define adolescents with mTBIs by risk of follow up mental…
Eligibility
- Age range
- 11–17 years
- Sex
- All
- Healthy volunteers
- Not specified
Inclusion Criteria: Children 11 to less than 18 years old who meet the Centers for Disease Control and Prevention (CDC) definition of mTBI\*. In brief, this is defined as a Glasgow Coma Scale (GCS) score of 13 to 15 with: \- Head injury (e.g., direct blow or sudden deceleration/acceleration) plus any neurological sign and/or symptom such as headache, nausea, history of loss of consciousness, confusion, dizziness, amnesia (not limited to these symptoms/signs) AND/OR \- Traumatic intracranial abnormalities on CT or MRI (such as intracranial hemorrhage, skull fracture, or diffuse axonal injur…
Interventions
- BehavioralValidated Questionnaires
Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-8 (PHQ-8), The Rivermead Post Concussion Symptom Questionnaire (Rivermead), Pediatric Quality of Life Inventory (PedsQL), Strengths and Difficulties Questionnaire (SDQ)
- BehavioralQuestionnaires
Early Physical Activity/Return to School Questionnaire, Mental Health Utilization Questionnaire
- OtherClinician / Medical Record Variables
Medical History, Emergency Department Clinical Variables
Locations (6)
- University of California, Davis Medical CenterSacramento, California
- Children's Hospital of PhiladelphiaPhiladelphia, Pennsylvania
- Hasbro Children's Hospital and Brown UniversityProvidence, Rhode Island
- University of Texas Southwestern Medical CenterDallas, Texas
- Baylor College of Medicine, Texas Children's HospitalHouston, Texas
- The Medical College of Wisconsin, Inc.Milwaukee, Wisconsin