Enhanced education for adult patients with persistent post-concussion headaches: a randomized controlled trial

Emily Collett; Tianru Wang; Candice Todd; Anil Dosaj; Andrew Baker; Cindy Hunt

doi:10.2217/cnc-2022-0008

Enhanced education for adult patients with persistent post-concussion headaches: a randomized controlled trial

Concussion. 2023 Jan 4;7(3):CNC102. doi: 10.2217/cnc-2022-0008. eCollection 2022 Dec.

Authors

Emily Collett¹, Tianru Wang¹, Candice Todd^{2

3}, Anil Dosaj^{3

4}, Andrew Baker^{3

4

5}, Cindy Hunt^{1

3

4}

Affiliations

¹ Dalla Lana School of Public Health, University of Toronto, Toronto, M5T 3M7, Ontario, Canada.
² Division of Neurology, University of Toronto, Toronto, M5S 3H2, Ontario, Canada.
³ Head Injury Clinic, St. Michael's Hospital, Unity Health, Toronto, M5B 1W8, Ontario, Canada.
⁴ Concussion Ontario Network, Ontario Brain Institute, Toronto, M5H 3W4, Ontario, Canada.
⁵ Department of Anesthesia & Surgery, University of Toronto, Toronto, M5G 1E2, Ontario, Canada.

Abstract

Aim & patients: We conducted a randomized clinical trial to determine if an e-learning intervention can enhance recovery in adult patients with persistent post-concussion headaches (PPCH).

Materials & methods: The intervention consisted of three e-learning modules administered at baseline, 6 and 12 weeks. Data were collected on symptoms, community integration, quality of life and healthcare utilization at baseline and 12-week follow-up. ANCOVA was conducted to compare changes.

Results: No statistically significant difference was observed on symptoms although we observed a trend toward reduced healthcare utilization and improved quality of life in the intervention group.

Conclusion: E-learning modules for patients experiencing PPCH warrant further investigation with data on participant compliance and measures focusing on simpler short-term outcomes.Clinical Trial Registration: NCT03391583 (ClinicalTrials.gov).

Keywords: brain concussion; chronic post-concussive syndrome; patient education; randomized controlled trial; rehabilitation.

Associated data

ClinicalTrials.gov/NCT03391583