Exploring challenges and opportunities related to the identification of mild traumatic brain injury and concussion in rehabilitation trauma inpatients: a qualitative study.
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| Title: | Exploring challenges and opportunities related to the identification of mild traumatic brain injury and concussion in rehabilitation trauma inpatients: a qualitative study. |
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| Authors: | Li, Zoe (AUTHOR), Ahmed, Yomna E. (AUTHOR), Gotlib Conn, Lesley (AUTHOR), Burke, Matthew (AUTHOR), Wasilewski, Marina B. (AUTHOR), Haas, Barbara (AUTHOR), Broadhurst, Peter (AUTHOR), Steinberg, Rosalie J. (AUTHOR), Robinson, Lawrence R. (AUTHOR), Hitzig, Sander L. (AUTHOR) |
| Source: | Disability & Rehabilitation. 12/10/2025, Vol. 47 Issue 25, p6606-6615. 10p. |
| Abstract: | Purpose: To examine the perspectives of healthcare providers regarding missed mild traumatic brain injury and concussion (mTBI/C) diagnosis in trauma populations in rehabilitative and other post-acute settings. Materials and methods: An inductive qualitative study design was undertaken to obtain insights from healthcare providers across care settings (e.g. acute care, rehabilitation) about mTBI/C. A total of 20 healthcare providers took part in semi-structured interviews. Data were analyzed using codebook thematic analysis. Results: Four main themes were identified from the data: (1) the prevalence of missed mTBI/C; (2) the challenges of identifying and managing mTBI/C; (3) current approaches to identifying and managing mTBI/C, and; (4) recommendations for improving mTBI/C identification and management. Conclusion: Our qualitative research sheds light on the complexities encountered by healthcare providers with regard to identifying and managing mTBI/C at a patient, practice and system-level. The findings from this work highlighted the variability in diagnostic methods and approaches across care settings and disciplines, emphasizing the need for standardized approaches and enhanced interdisciplinary communication to optimize mTBI/C care. IMPLICATIONS FOR REHABILITATION: There is a need to raise awareness about missed mild traumatic brain injury and concussion (mTBI/C) in rehabilitation settings, which may lead to more patients receiving appropriate care. There is a need to standardize diagnostic criteria and screening tools to facilitate early identification of mTBI/C in rehabilitation settings as some of the more commonly used tools used in rehabilitation, such as the Montreal Cognitive Assessment (MoCA) and the Rivermead Post-concussion Symptoms Questionnaire (RPQ), were not specifically designed to capture the subtle cognitive and physical signs of mTBI/C. A multidisciplinary approach is required to identify missed mTBI/C in rehabilitation settings, with occupational therapists being ideal as the potential first line of screening for this issue. [ABSTRACT FROM AUTHOR] |
| Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 190909378 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Exploring challenges and opportunities related to the identification of mild traumatic brain injury and concussion in rehabilitation trauma inpatients: a qualitative study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Li%2C+Zoe%22">Li, Zoe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ahmed%2C+Yomna+E%2E%22">Ahmed, Yomna E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gotlib+Conn%2C+Lesley%22">Gotlib Conn, Lesley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burke%2C+Matthew%22">Burke, Matthew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wasilewski%2C+Marina+B%2E%22">Wasilewski, Marina B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haas%2C+Barbara%22">Haas, Barbara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Broadhurst%2C+Peter%22">Broadhurst, Peter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Steinberg%2C+Rosalie+J%2E%22">Steinberg, Rosalie J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Robinson%2C+Lawrence+R%2E%22">Robinson, Lawrence R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hitzig%2C+Sander+L%2E%22">Hitzig, Sander L.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. 12/10/2025, Vol. 47 Issue 25, p6606-6615. 10p. – Name: Abstract Label: Abstract Group: Ab Data: Purpose: To examine the perspectives of healthcare providers regarding missed mild traumatic brain injury and concussion (mTBI/C) diagnosis in trauma populations in rehabilitative and other post-acute settings. Materials and methods: An inductive qualitative study design was undertaken to obtain insights from healthcare providers across care settings (e.g. acute care, rehabilitation) about mTBI/C. A total of 20 healthcare providers took part in semi-structured interviews. Data were analyzed using codebook thematic analysis. Results: Four main themes were identified from the data: (1) the prevalence of missed mTBI/C; (2) the challenges of identifying and managing mTBI/C; (3) current approaches to identifying and managing mTBI/C, and; (4) recommendations for improving mTBI/C identification and management. Conclusion: Our qualitative research sheds light on the complexities encountered by healthcare providers with regard to identifying and managing mTBI/C at a patient, practice and system-level. The findings from this work highlighted the variability in diagnostic methods and approaches across care settings and disciplines, emphasizing the need for standardized approaches and enhanced interdisciplinary communication to optimize mTBI/C care. IMPLICATIONS FOR REHABILITATION: There is a need to raise awareness about missed mild traumatic brain injury and concussion (mTBI/C) in rehabilitation settings, which may lead to more patients receiving appropriate care. There is a need to standardize diagnostic criteria and screening tools to facilitate early identification of mTBI/C in rehabilitation settings as some of the more commonly used tools used in rehabilitation, such as the Montreal Cognitive Assessment (MoCA) and the Rivermead Post-concussion Symptoms Questionnaire (RPQ), were not specifically designed to capture the subtle cognitive and physical signs of mTBI/C. A multidisciplinary approach is required to identify missed mTBI/C in rehabilitation settings, with occupational therapists being ideal as the potential first line of screening for this issue. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09638288.2025.2519493 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 6606 Titles: – TitleFull: Exploring challenges and opportunities related to the identification of mild traumatic brain injury and concussion in rehabilitation trauma inpatients: a qualitative study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Li, Zoe – PersonEntity: Name: NameFull: Ahmed, Yomna E. – PersonEntity: Name: NameFull: Gotlib Conn, Lesley – PersonEntity: Name: NameFull: Burke, Matthew – PersonEntity: Name: NameFull: Wasilewski, Marina B. – PersonEntity: Name: NameFull: Haas, Barbara – PersonEntity: Name: NameFull: Broadhurst, Peter – PersonEntity: Name: NameFull: Steinberg, Rosalie J. – PersonEntity: Name: NameFull: Robinson, Lawrence R. – PersonEntity: Name: NameFull: Hitzig, Sander L. IsPartOfRelationships: – BibEntity: Dates: – D: 10 M: 12 Text: 12/10/2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09638288 Numbering: – Type: volume Value: 47 – Type: issue Value: 25 Titles: – TitleFull: Disability & Rehabilitation Type: main |
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