Barriers and facilitators to the management of mental health complications after mild traumatic brain injury

Background: Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-per...

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Main Authors: Noah D Silverberg, Thalia Otamendi, Amanda Dulai, Ripenjot Rai, Jason Chhina, Anna MacLellan, Pierre-Paul Lizotte
Format: Article
Language:English
Published: Aldus Press 2021-09-01
Series:Concussion
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Online Access:https://www.futuremedicine.com/doi/10.2217/cnc-2020-0022
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author Noah D Silverberg
Thalia Otamendi
Amanda Dulai
Ripenjot Rai
Jason Chhina
Anna MacLellan
Pierre-Paul Lizotte
author_facet Noah D Silverberg
Thalia Otamendi
Amanda Dulai
Ripenjot Rai
Jason Chhina
Anna MacLellan
Pierre-Paul Lizotte
author_sort Noah D Silverberg
collection DOAJ
description Background: Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI. Methods & results: Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains. Conclusion: Family physicians could benefit from accessible and easily implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists.
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spelling doaj-art-169dc734799646aa93ea83585ef3f0f02025-08-20T03:17:18ZengAldus PressConcussion2056-32992021-09-016310.2217/cnc-2020-0022Barriers and facilitators to the management of mental health complications after mild traumatic brain injuryNoah D Silverberg0Thalia Otamendi1Amanda Dulai2Ripenjot Rai3Jason Chhina4Anna MacLellan5Pierre-Paul Lizotte61Department of Psychology, University of British Columbia, Vancouver, BC, V6T 1Z4, Canada2Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, V5Z 2G9, Canada3Department of Family Practice, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada3Department of Family Practice, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada3Department of Family Practice, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada2Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, BC, V5Z 2G9, Canada3Department of Family Practice, University of British Columbia, Vancouver, BC, V6T 1Z3, CanadaBackground: Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI. Methods & results: Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains. Conclusion: Family physicians could benefit from accessible and easily implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists.https://www.futuremedicine.com/doi/10.2217/cnc-2020-0022clinical practice guidelinesfamily medicineknowledge translationmental healthmild traumatic brain injuryprimary care
spellingShingle Noah D Silverberg
Thalia Otamendi
Amanda Dulai
Ripenjot Rai
Jason Chhina
Anna MacLellan
Pierre-Paul Lizotte
Barriers and facilitators to the management of mental health complications after mild traumatic brain injury
Concussion
clinical practice guidelines
family medicine
knowledge translation
mental health
mild traumatic brain injury
primary care
title Barriers and facilitators to the management of mental health complications after mild traumatic brain injury
title_full Barriers and facilitators to the management of mental health complications after mild traumatic brain injury
title_fullStr Barriers and facilitators to the management of mental health complications after mild traumatic brain injury
title_full_unstemmed Barriers and facilitators to the management of mental health complications after mild traumatic brain injury
title_short Barriers and facilitators to the management of mental health complications after mild traumatic brain injury
title_sort barriers and facilitators to the management of mental health complications after mild traumatic brain injury
topic clinical practice guidelines
family medicine
knowledge translation
mental health
mild traumatic brain injury
primary care
url https://www.futuremedicine.com/doi/10.2217/cnc-2020-0022
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