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Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes.

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  • Additional Information
    • Keyword(s):
      activity; concussion; ecological momentary assessment; neurocognitive testing; ocular motor; recovery; symptoms; vestibular
    • Abstract:
      Objective: Evaluate mobile ecological momentary assessment (mEMA) as an approach to measure sport-related concussion (SRC) symptoms, explore the relationships between clinical outcomes and mEMA, and determine whether mEMA was advantageous for predicting recovery outcomes compared to traditional symptom report. Setting: Out-patient concussion clinic. Participants: 20 athletes aged 12 to 19 years with SRC. Methods: Prospective study of mEMA surveys assessing activity and symptoms delivered via mobile application (3 time blocks daily) and clinical assessment at visit 1 (<72 hours postinjury) and visit 2 (6-18 days postinjury). Linear mixed models examined changes in mEMA symptoms over time and relationships among simultaneous report of activity type (cognitive, physical, sedentary, vestibular) and symptoms. Linear regressions evaluated the association among symptoms for activity types and clinical outcomes. Main Measures: mEMA symptom scores, Post-Concussion Symptom Scale, neurocognitive testing, vestibular/oculomotor screening (VOMS). Results: mEMA response rate was 52.4% (N=1155) for prompts and 50.4% per participant. Symptoms were lower in the morning (P < .001) compared with afternoon and evening. Higher mEMA symptoms were reported during vestibular compared with physical (P = .035) and sedentary (P = .001) activities. mEMA symptoms were positively associated with Post-Concussion Symptom Scale (PCSS) (P = .007), VOMS (P = 0.001-0.002), and recovery time (P < .001), but not neurocognitive scores. mEMA symptom score (P = .021) was a better predictor of recovery time than PCSS at either clinic visit. Conclusion: mEMA overcomes barriers of traditional symptom scales by eliminating retrospective bias and capturing fluctuations in symptoms by time of day and activity type, ultimately helping clinicians refine symptom management strategies. ABSTRACT FROM AUTHOR
    • Author Affiliations:
      1 UPMC Sports Medicine Concussion Program, Pittsburgh, Pennsylvania; 2 Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania; 3 Department of Health, Human Performance, and Recreation/Office for Sport Concussion Research, University of Arkansas, Fayetteville
    • ISSN:
      08859701
    • Publication Type:
      Publication Type: Article Update Code: 20191210
    • Accession Number:
      140237219
  • Citations
    • ABNT:
      SUFRINKO, A. M. et al. Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes. Journal of Head Trauma Rehabilitation, [s. l.], v. 34, n. 6, p. E40–E48, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219. Acesso em: 20 set. 2020.
    • AMA:
      Sufrinko AM, Howie EK, Charek DB, Elbin RJ, Collins MW, Kontos AP. Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes. Journal of Head Trauma Rehabilitation. 2019;34(6):E40-E48. Accessed September 20, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219
    • APA:
      Sufrinko, A. M., Howie, E. K., Charek, D. B., Elbin, R. J., Collins, M. W., & Kontos, A. P. (2019). Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes. Journal of Head Trauma Rehabilitation, 34(6), E40–E48.
    • Chicago/Turabian: Author-Date:
      Sufrinko, Alicia M., Erin K. Howie, Daniel B. Charek, R. J. Elbin, Michael W. Collins, and Anthony P. Kontos. 2019. “Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes.” Journal of Head Trauma Rehabilitation 34 (6): E40–48. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219.
    • Harvard:
      Sufrinko, A. M. et al. (2019) ‘Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes’, Journal of Head Trauma Rehabilitation, 34(6), pp. E40–E48. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219 (Accessed: 20 September 2020).
    • Harvard: Australian:
      Sufrinko, AM, Howie, EK, Charek, DB, Elbin, RJ, Collins, MW & Kontos, AP 2019, ‘Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes’, Journal of Head Trauma Rehabilitation, vol. 34, no. 6, pp. E40–E48, viewed 20 September 2020, .
    • MLA:
      Sufrinko, Alicia M., et al. “Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes.” Journal of Head Trauma Rehabilitation, vol. 34, no. 6, Nov. 2019, pp. E40–E48. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219.
    • Chicago/Turabian: Humanities:
      Sufrinko, Alicia M., Erin K. Howie, Daniel B. Charek, R. J. Elbin, Michael W. Collins, and Anthony P. Kontos. “Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes.” Journal of Head Trauma Rehabilitation 34, no. 6 (November 2019): E40–48. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219.
    • Vancouver/ICMJE:
      Sufrinko AM, Howie EK, Charek DB, Elbin RJ, Collins MW, Kontos AP. Mobile Ecological Momentary Assessment of Postconcussion Symptoms and Recovery Outcomes. Journal of Head Trauma Rehabilitation [Internet]. 2019 Nov [cited 2020 Sep 20];34(6):E40–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=s3h&AN=140237219