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Research Letter
May 11, 2020

Goals for Persistent Postconcussive Symptom Treatment From Adolescent and Parent Perspectives

Author Affiliations
  • 1Seattle Children's Research Institute Center for Child Health, Behavior, and Development, Seattle, Washington
  • 2Harvard University, Boston, Massachusetts
  • 3Department of Pediatrics, University of Washington, Seattle
JAMA Pediatr. Published online May 11, 2020. doi:10.1001/jamapediatrics.2020.0898

Assessment and treatment for pediatric symptoms from sports-associated concussions is a growing concern in the US.1,2 Although symptoms of concussion typically resolve within weeks, for some youth, sequelae can persist for months.3 Persistent postconcussive symptoms (PPCS) elicit a variety of concerns from the adolescents experiencing the symptoms and their families, including physical, cognitive, emotional, social, school, and quality-of-life issues.1,4 For those with prolonged recovery, an individualized treatment approach based on their history and nature of the symptoms has been recommended, consistent with a patient-centered framework.4 However, little is known about adolescent and family goals to remediate PPCS. We conducted a content analysis of adolescent and caregiver goals for treatment using data collected during a collaborative care intervention, to categorize, describe, and quantify goal areas.

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