{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:17:34Z","timestamp":1781651854079,"version":"3.54.5"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>Mild traumatic brain injury (mTBI), or concussion, is a common health problem that has seen a recent increase in US adolescents. This study uses SMS text messaging (a mobile health [mHealth] tool) to report patient symptoms. We aim to better characterize mTBI recovery and hypothesize that this mHealth tool will have high retention rates and correlate with a conventional means of assessing symptoms, the Post-Concussion Symptom Inventory (PCSI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A prospective observational cohort pilot study. Thirty-one pediatric patients with acute mTBI were recruited to characterize their injury and report their symptoms via text messaging. Patients reported symptoms once every 3 days for the first 21 days, then once a week for 6 weeks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>There was a strong and positive correlation between the PCSI and the mHealth tool (<jats:italic toggle=\"yes\">r<\/jats:italic>s = 0.875, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.000, n = 22). Retention was 74% until symptom resolution and 42% until study completion. Patients with balance deficits had a significantly higher somatization score than those with normal balance (6.53 \u00b1 3.25 vs 2.56 \u00b1 2.30, <jats:italic toggle=\"yes\">t<\/jats:italic>(22) = 3.211, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.01).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This pilot study demonstrates that this tool is a valid and easy-to-use method of reporting pediatric mTBI symptoms\u2014it replicates and identifies novel findings. Our results suggest that there may be a relationship between balance and the manifestation of somatic symptoms. Retention rates were lower than predicted, indicating that text messaging may not be the ideal format in this population. Text messaging may still have other applications for short-term communication\/symptom measurement.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002596","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T15:11:11Z","timestamp":1641309071000},"page":"e37-e42","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Longitudinal Assessment of Acute Concussion Outcomes Through SMS Text (ConText Study)"],"prefix":"10.1097","volume":"38","author":[{"given":"Robert","family":"Schoenfeld","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Drendel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheikh Iqbal","family":"Ahamed","sequence":"additional","affiliation":[{"name":"Department of Mathematics Statistics and Computer Science, Marquette University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1067\/mpd.2003.190","article-title":"Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes","volume":"142","year":"2003","journal-title":"J Pediatr"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/00042752-200107000-00006","article-title":"Evidence-based review of sport-related concussion: basic science","volume":"11","year":"2001","journal-title":"Clin J Sport Med"},{"key":"bib4-20250504","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jshs.2016.01.007","article-title":"Postural control deficits identify lingering post-concussion neurological deficits","volume":"5","year":"2016","journal-title":"J Sport Health Sci"},{"key":"bib5-20250504","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3109\/02699052.2014.965206","article-title":"Vestibular and balance issues following sport-related concussion","volume":"29","year":"2015","journal-title":"Brain Inj"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1227\/01.NEU.0000280001.03578.FF","article-title":"Differential rate of recovery in athletes after first and second concussion episodes","volume":"61","year":"2007","journal-title":"Neurosurgery"},{"key":"bib7-20250504","first-page":"e426","article-title":"Initial somatic symptoms are associated with prolonged symptom duration following concussion in adolescents","volume":"105","year":"2016","journal-title":"Acta Paediatr"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin, October 2016","volume":"51","year":"2017","journal-title":"Br J Sports Med"},{"key":"bib10-20250504","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.2196\/jmir.6.4.e42","article-title":"Feasibility of collecting diary data from asthma patients through mobile phones and SMS (short message service): response rate analysis and focus group evaluation from a pilot study","volume":"6","year":"2004","journal-title":"J Med Internet Res"},{"key":"bib11-20250504","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.jsams.2017.08.025","article-title":"Factors associated with post-concussion syndrome in high school student-athletes","volume":"21","year":"2018","journal-title":"J Sci Med Sport"},{"key":"bib12-20250504","first-page":"259","article-title":"SCAT3","volume":"47","year":"2013","journal-title":"Br J Sports Med"},{"key":"bib15-20250504","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1136\/bjsports-2013-092313","article-title":"Consensus statement on concussion in sport: The 4th International Conference on Concussion in Sport held in Zurich, November 2012","volume":"47","year":"2013","journal-title":"Br J Sports Med"},{"key":"bib16-20250504","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1093\/arclin\/acu014","article-title":"Psychometric characteristics of the postconcussion symptom inventory in children and adolescents","volume":"29","year":"2014","journal-title":"Arch Clin Neuropsychol"},{"key":"bib17-20250504","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/1040-3590.7.4.524","article-title":"The pain catastrophizing scale: development and validation","volume":"7","year":"1995","journal-title":"Psychol Assess"},{"key":"bib18-20250504","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1123\/jsr.8.2.71","article-title":"Relationship between clinical and forceplate measures of postural stability","volume":"8","year":"1999","journal-title":"J Sport Rehabil"},{"key":"bib19-20250504","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1080\/02699050500309817","article-title":"Recovery from sports concussion in high school and collegiate athletes","volume":"20","year":"2006","journal-title":"Brain Inj"},{"key":"bib20-20250504","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1177\/0883073816667194","article-title":"Repeat concussion and recovery time in a primary care pediatric office","volume":"31","year":"2016","journal-title":"J Child Neurol"},{"key":"bib21-20250504","doi-asserted-by":"crossref","first-page":"e183820","DOI":"10.1001\/jamapediatrics.2018.3820","article-title":"Natural progression of symptom change and recovery from concussion in a pediatric population","volume":"173","year":"2019","journal-title":"JAMA Pediatr"},{"key":"bib22-20250504","doi-asserted-by":"crossref","first-page":"2556","DOI":"10.1001\/jama.290.19.2556","article-title":"Acute effects and recovery time following concussion in collegiate football players: the NCAA concussion study","volume":"290","year":"2003","journal-title":"JAMA"},{"key":"bib23-20250504","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1542\/peds.2014-0966","article-title":"Benefits of strict rest after acute concussion: a randomized controlled trial","volume":"135","year":"2015","journal-title":"Pediatrics"},{"key":"bib24-20250504","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1016\/j.jpain.2013.06.004","article-title":"Factorial validity of the English-language version of the pain catastrophizing scale\u2014child version","volume":"14","year":"2013","journal-title":"J Pain"},{"key":"bib25-20250504","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1001\/jamapediatrics.2017.0592","article-title":"Establishing baseline normative values for the child sport concussion assessment tool","volume":"171","year":"2017","journal-title":"JAMA Pediatr"},{"key":"bib26-20250504","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1249\/MSS.0000000000000263","article-title":"Development and validation of an objective balance error scoring system","volume":"46","year":"2014","journal-title":"Med Sci Sports Exerc"},{"key":"bib27-20250504","doi-asserted-by":"crossref","first-page":"e20162003","DOI":"10.1542\/peds.2016-2003","article-title":"Validation of a score to determine time to postconcussive recovery","volume":"139","year":"2017","journal-title":"Pediatrics"},{"key":"bib29-20250504","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1093\/arclin\/acp087","article-title":"Measuring post-concussion symptoms in adolescents: feasibility of ecological momentary assessment","volume":"24","year":"2009","journal-title":"Arch Clin Neuropsychol"},{"key":"bib30-20250504","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1001\/jamapediatrics.2016.1979","article-title":"Ecologic momentary assessment to accomplish real-time capture of symptom progression and the physical and cognitive activities of patients daily following concussion","volume":"170","year":"2016","journal-title":"JAMA Pediatr"},{"key":"bib31-20250504","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1080\/02699050902788543","article-title":"Early clinical characteristics of patients with persistent post-concussion symptoms: a prospective study","volume":"23","year":"2009","journal-title":"Brain Inj"},{"key":"bib32-20250504","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1001\/jama.2016.1203","article-title":"Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED","volume":"315","year":"2016","journal-title":"JAMA"},{"key":"bib33-20250504","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s10484-013-9231-8","article-title":"Autonomic dysregulation in headache patients","volume":"38","year":"2013","journal-title":"Appl Psychophysiol Biofeedback"},{"key":"bib34-20250504","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.biopsycho.2008.06.003","article-title":"Pathological baroreceptor sensitivity in patients suffering from somatization disorders: do they correlate with symptoms?","volume":"79","year":"2008","journal-title":"Biol Psychol"},{"key":"bib35-20250504","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1159\/000296136","article-title":"Age-specific associations between cardiac vagal activity and functional somatic symptoms: a population-based study","volume":"79","year":"2010","journal-title":"Psychother Psychosom"},{"key":"bib36-20250504","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1249\/01.MSS.0000135787.73757.4D","article-title":"Heart rate variability of recently concussed athletes at rest and exercise","volume":"36","year":"2004","journal-title":"Med Sci Sports Exerc"},{"key":"bib37-20250504","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1136\/bjsm.2003.009530","article-title":"Exercise following a sport induced concussion","volume":"38","year":"2004","journal-title":"Br J Sports Med"},{"key":"bib38-20250504","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1089\/neu.2010.1497","article-title":"Frequency analysis unveils cardiac autonomic dysfunction after mild traumatic brain injury","volume":"28","year":"2011","journal-title":"J Neurotrauma"},{"key":"bib39-20250504","first-page":"2825856","article-title":"Pain catastrophizing correlates with early mild traumatic brain injury outcome","volume":"2016","year":"2016","journal-title":"Pain Res Manag"},{"key":"bib40-20250504","first-page":"21","article-title":"Pain catastrophizing as a risk factor for chronic pain after total knee arthroplasty: a systematic review","volume":"8","year":"2015","journal-title":"J Pain Res"},{"key":"bib41-20250504","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1037\/0033-2909.133.4.581","article-title":"The biopsychosocial approach to chronic pain: scientific advances and future directions","volume":"133","year":"2007","journal-title":"Psychol Bull"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T18:12:31Z","timestamp":1746382351000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000002596","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}