@article{ref1,
title=""I wish I had that!": a qualitative analysis of psychosocial treatment preferences among young adults with recent concussion and anxiety",
journal="Archives of physical medicine and rehabilitation",
year="2024",
author="Manglani, Heena R. and Lovette, Brenda C. and Grunberg, Victoria A. and Frieder, Jesse and Vranceanu, Ana-Maria and Greenberg, Jonathan",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To assess psychosocial treatment preferences and factors that may impact treatment participation among young adults with a recent concussion and co-occurring anxiety. <br><br>DESIGN: In-depth semi-structured individual qualitative interviews, followed by thematic analysis using a hybrid deductive-inductive approach. SETTING: Academic medical center in the US Northeast. PARTICIPANTS: Seventeen young adults (18-24) who sustained a concussion within the past 3-10 weeks and reported at least mild anxiety (≥5 on the General Anxiety Disorder-7 questionnaire). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Primary outcomes include preferences for program content (e.g., topics and skills), delivery modality, format, and barriers and facilitators to participation. <br><br>RESULTS: We identified four domains characterizing participants' perceptions of and preferences for treatment. (1) Program content: Participants preferred a program early after injury that includes psychoeducation and coping skills (e.g., activity pacing, deep breathing, mindfulness). (2) Therapeutic processes: Participants preferred a person-centered approach in which clinicians normalize anxiety post-concussion and reassure them of recovery. (3) Program logistics: Participants endorsed that a brief, virtual program would be acceptable. They preferred access to program components through multiple modalities (i.e., audio, video) and accommodations to manage concussion symptoms. (4) Barriers and facilitators to participation: Barriers included acute concussion symptoms (e.g., screen sensitivity), time constraints, and forgetting sessions. Facilitators included a program that is flexible (format, scheduling), personalized (self-chosen mode for reminders, measure of accountability), and accessible (i.e., advertising through healthcare professionals or social media). <br><br>CONCLUSIONS: Participants need psychosocial support that normalizes their experiences and provides education and coping tools. Treatments should be accessible, flexible, and person-centered. Psychosocial treatments meeting these preferences may help optimize the recovery of young adults with recent concussion and anxiety.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2024.01.024",
url="http://dx.doi.org/10.1016/j.apmr.2024.01.024"
}