{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T11:49:36Z","timestamp":1751456976330,"version":"3.40.5"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009003","name":"Hotchkiss Brain Institute, University of Calgary","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009003","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In response to the COVID\u201019 pandemic, public health measures were implemented that closed essential businesses, mandated social distancing, and imposed substantial changes to the routine care experienced by patients with mild traumatic brain injury (mTBI) and persistent postconcussive symptoms (PPCS). Patients with PPCS often rely on a comprehensive care team, requiring in\u2010person treatments and consistent care. Little information exists regarding how access to these services have been affected by public health measures and what outcome the measures have had on the recovery of patients with PPCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the impact of the restriction of in\u2010person treatments, shifts to virtual care, and global public health measures on the recovery and psychological well\u2010being of patients with PPCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative interviews were recorded, transcribed, and analyzed using a reflexive thematic analysis approach to identify the main impacts of the public health measures on participants with PPCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Participant interviews were completed remotely via telephone or video\u2010calling software during province\u2010wide shutdowns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>20 individuals with PPCS who attended the institution's Brain Injury Program consented to participate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The impacts of the public health measures emerged most prominently in three main categories: (1) day\u2010to\u2010day lived experiences, (2) personal health status, and (3) health service experiences and barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This in\u2010depth investigation of the lived experiences of patients with PPCS outlines how the COVID\u201019 public health measures negatively affected their care and well\u2010being. The analysis identified that through increasing social support systems, providing better access to standard or remote treatment, and developing more effective telehealth strategies, this population could be better supported in the event of future public health measures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12851","type":"journal-article","created":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T03:14:40Z","timestamp":1653102880000},"page":"1068-1079","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The impact of the <scp>COVID<\/scp>\u201019 pandemic on the well\u2010being of individuals with persistent postconcussive symptoms: A qualitative study"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2318-1903","authenticated-orcid":false,"given":"Matthew","family":"Machan","sequence":"first","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary  Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cari","family":"Jahraus","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary  Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantel T.","family":"Debert","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary  Calgary Alberta Canada"},{"name":"Hotchkiss Brain Institute, University of Calgary  Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Roach","sequence":"additional","affiliation":[{"name":"Hotchkiss Brain Institute, University of Calgary  Calgary Alberta Canada"},{"name":"Department of Family Medicine University of Calgary  Calgary Alberta Canada"},{"name":"O'Brien Institute of Public Health, University of Calgary  Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2217\/cnc-2017-0015"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100007745"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2016.4677"},{"key":"e_1_2_9_5_1","unstructured":"Organization WH.The ICD\u201010 classification of mental and behavioural disorders: diagnostic criteria for research:World Health Organization 1993."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097878"},{"key":"e_1_2_9_7_1","unstructured":"FoundationON.Guideline for concussion\/mild traumatic brain injury and prolonged symptoms 3rd edition for adults over 18\u2009years of age. Secondary Guideline for Concussion\/Mild Traumatic Brain Injury and Prolonged Symptoms 3rd Edition For Adults Over 18\u2009Years of Age.2017.https:\/\/braininjuryguidelines.org\/concussion."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2003.tb05199.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2017.5379"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2020.00350"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/chemse\/bjaa037"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2018.1540797"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20150557"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540260310001606692"},{"volume-title":"Social Isolation in Covid\u201019: the Impact of Loneliness","year":"2020","author":"Banerjee D","key":"e_1_2_9_15_1"},{"key":"e_1_2_9_16_1","first-page":"1","article-title":"Satisfaction of basic psychological needs following a mild traumatic brain injury and relationships with post\u2010concussion symptoms, anxiety, and depression","volume":"43","author":"Auclair\u2010Pilote J","year":"2019","journal-title":"Disabil Rehabil"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050701553189"},{"key":"e_1_2_9_18_1","first-page":"113","article-title":"Methodological issues and research recommendations for mild traumatic brain injury: the WHO Collaborating Centre Task Force on mild traumatic brain injury","volume":"43","author":"MTBI C","year":"2004","journal-title":"J Rehabil Med"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301207075625"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_21_1","first-page":"191","article-title":"Using thematic analysis in sport and exercise research","volume":"1","author":"Braun V","year":"2016","journal-title":"Routledge handbook of qualitative research in sport and exercise"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2008.170092"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2014.915989"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/528265"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167479518790039"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1753243"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2010.07.007"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2958.2009.01353.x"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12011"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3182068588"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031210-101151"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2004.01.030"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2014.974674"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3181c6c22c"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.17.3.350"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1590\/1516-4446-2020-0008"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17051729"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1038\/519013a"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12988"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102015"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-020-00270-8"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2015.1064301"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2015.12.003"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.12.002"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0404.2003.00155.x"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2018.12.004"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X20916567"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12851","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12851","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T13:04:12Z","timestamp":1700139852000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,22]]},"references-count":47,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1002\/pmrj.12851"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12851","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"type":"print","value":"1934-1482"},{"type":"electronic","value":"1934-1563"}],"subject":[],"published":{"date-parts":[[2022,7,22]]},"assertion":[{"value":"2021-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}