“What If?”: Caregivers’ Experiences Following Early Childhood Concussion

Author:

Dupont Dominique12,Larivière-Bastien Danaë12ORCID,Caron Jeffrey G34,Beaudoin Cindy1,Gravel Jocelyn2ORCID,Gagnon Isabelle56,Burstein Brett57,Beaudin Myriam8,Rose Sean C9,Yeates Keith O1011,Beauchamp Miriam H12

Affiliation:

1. Department of Psychology, University of Montreal , Canada

2. CHU Sainte-Justine Research Center , Canada

3. School of Kinesiology and Physical Activity Sciences, University of Montreal , Canada

4. Center for Interdisciplinary Research in Rehabilitation of Greater Montreal , Canada

5. Montreal Children’s Hospital, McGill University Health Centre , Canada

6. School of Physical and Occupational Therapy, McGill University , Canada

7. Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Canada

8. Department of Psychology, University of Quebec in Montreal , Canada

9. Department of Neurology, Nationwide Children’s Hospital, USA

10. Department of Psychology, Alberta Children’s Hospital Research Institute , Canada

11. Hotchkiss Brain Institute, University of Calgary, Canada

Abstract

Abstract Objective Little is known about the symptoms, signs, and management guidelines for children under the age of 6 years after they sustain a concussion. Caregivers of such young children may have unique concerns and encounter different challenges from those of school-age children given the distinctive developmental characteristics of the early childhood period. This study aimed to explore the experience of caregivers through semistructured interviews to inform clinical practice. Methods Fifty caregivers of children aged 6 months to 5.99 years were interviewed 3 months postinjury for this qualitative study to document their experience in relation to their child’s accident, recovery, and healthcare provisions. Results Four main themes were identified: (1) visible changes associated with caregiver concerns, (2) a roller-coaster of emotions after the injury, (3) healthcare providers’ role in addressing the need for reassurance, and (4) the need for better information after the injury. Conclusion The findings provide critical insight into the unique experiences and information needs of caregivers of young children who sustain concussion. The challenges identified can inform healthcare professionals regarding the needs of caregivers after early concussion and contribute to building a knowledge base for the development of age-appropriate anticipatory guidance for caregiver mental health and child recovery.

Funder

Canadian Institutes of Health Research Foundation

Publisher

Oxford University Press (OUP)

Subject

Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

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