DOI: 10.6084/m9.figshare.24270270
title: Moving forward on the road to recovery after concussion: participant experiences of interdisciplinary intervention for persisting post-concussion symptoms

description: Many factors contribute to persisting post-concussion symptoms (PPCSs), necessitating multi-modal treatment. Quantitative investigations have shown the potential of interdisciplinary intervention to reduce the burden of PPCSs and facilitate return to activities. There are often varied responses to intervention, warranting further investigation of potential factors underlying treatment response. This study aimed to explore participant experiences of i-RECOveR, an interdisciplinary intervention for PPCSs and its impact on symptoms, daily function, and concussion beliefs. Semi-structured interviews were conducted 1-month post-treatment <i>via</i> videoconferencing with 13 individuals (61% female) with mild traumatic brain injury (M<i><sub>age</sub></i>=39.77 years, SD = 16.27) who participated in i-RECOveR. Interview transcripts were analysed thematically. Three themes reflected participants’ treatment journeys from concussion to life after treatment: (1) <i>Dissatisfaction with Previous Consultations</i>, reflected personal experiences prior to commencing treatment; (2) <i>Perceived Active Ingredients of Intervention</i>, reflected participant experiences of i-RECOveR; and (3) <i>Impact of Interdisciplinary Intervention</i>, reflected a range of positive changes after completing i-RECOveR. Findings highlight current gaps in the acute management of concussion and provide end-user insights into the facilitators and barriers of treatment engagement and response. Responses also highlight the potential positive impact of interdisciplinary treatments. Clinician perspectives should be explored in future research. Access to additional training in concussion care and referral pathways may help medical practitioners manage patients after concussion.Clinicians working with individuals with persisting post-concussion symptoms should develop an understanding of the individual’s perceived control over their symptoms, and work with them toward increasing autonomy and control and recognition that symptoms are often multifactorial in nature.Persisting post-concussion symptom rehabilitation may be improved by taking an interdisciplinary approach that is integrated individualised, and is specialised for concussion.Telehealth and hybrid treatment models are well tolerated by individuals with persisting post-concussion symptoms and may facilitate treatment engagement, especially for individuals with mild traumatic brain injury who report disabling symptoms made worse by travelling to in-person treatments. Access to additional training in concussion care and referral pathways may help medical practitioners manage patients after concussion. Clinicians working with individuals with persisting post-concussion symptoms should develop an understanding of the individual’s perceived control over their symptoms, and work with them toward increasing autonomy and control and recognition that symptoms are often multifactorial in nature. Persisting post-concussion symptom rehabilitation may be improved by taking an interdisciplinary approach that is integrated individualised, and is specialised for concussion. Telehealth and hybrid treatment models are well tolerated by individuals with persisting post-concussion symptoms and may facilitate treatment engagement, especially for individuals with mild traumatic brain injury who report disabling symptoms made worse by travelling to in-person treatments.