Concussion mHealth ED to Specialist

The goal of this implementation-based clinical trial is to assess the feasibility of a mobile health (mHealth) tool to facilitate specialist access and care handoffs for 12-17 year old pediatric concussion patients presenting to the emergency department with moderate-to-high risk of developing persistent post-concussion symptoms (PPCS). Participants will report their symptoms twice daily through a digital health platform that is linked to their electronic health record and prompts referral to specialty care when indicated.

Inclusion Criteria for concussed subjects:Present to the Children's Hospital of Philadelphia (CHOP) Emergency Department within 72 hours of head injuryMeet criteria for concussion as defined by the 5th International Consensus Statement on ConcussionOwn a smartphoneMeet criteria for moderate-to-high risk for Persistent Post-Concussion Symptoms according to 5P rule (score >3/12)Exclusion Criteria for concussed subjects:Glasgow Coma Scale score <13Lower extremity traumaA prior concussion within 1 monthNon-English speaking (digital monitoring platform English-language only)Inclusion Criteria for parents:Child meets the study eligibility criteriaExclusion Criteria for parents:Non-English speakingInclusion Criteria for providers:ED or specialty provider caring for at least one patient via the mHealth-facilitated care handoff strategyExclusion Criteria for providers:Non-English speaking