Non-randomized pilot intervention using mobile-administered sub-threshold exercise to treat youth with prolonged symptoms of concussion.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
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.
Seattle Children's Hospital
Seattle, Washington, United States
Change in Health Behavior Inventory (HBI), 21 item 0-3 likert, higher scores indicate more severe symptoms
Self-report questionnaire regarding concussive symptoms
Time frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks)
Change in Pediatric Quality of Life Inventory (PedsQL), 23 item 0-4 likert, converted to a 0-100 scale, higher scores indicate improved function
Self-report questionnaire regarding Health-related quality of life
Time frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks)
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
Self-report questionnaire completed by parent and child regarding their fear of concussive symptoms and avoidance of activities that might produce concussive symptoms
Time frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks)
Change in Patient Health Questionnaire 9 (PHQ-9), 9 item 0-3 likert, higher scores indicate greater symptoms
Self-report questionnaire of depression symptoms
Time frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks)
Change in Adolescent Sleep Wake Scale (ASWS), 10-item 0-5 likert, higher scores indicate improved sleep quality
Self-report 10-item questionnaire regarding difficulty falling asleep, night wakenings and other sleep issues
Time frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks)
Change in Generalized anxiety disorder--7 item (GAD7), 7-item 0-3 likert, higher scores indicate more severe symptoms
Self-report questionnaire regarding anxiety symptoms (7-item)
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Time frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks)
Study Satisfaction Questionnaire
8 item survey regarding satisfaction with study, 0-3 likert, higher scores indicate greater satisfaction
Time frame: 6 weeks