{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T18:53:13Z","timestamp":1769971993287,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:00:00Z","timestamp":1603756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>In 2018, the Centers for Disease Control and Prevention (CDC) released an evidence\u2010based guideline on pediatric mild traumatic brain injury (mTBI) to educate health care providers on best practices of mTBI diagnosis, prognosis, and management\/treatment. As residents living in rural areas have higher rates of mTBI, and may have limited access to care, it is particularly important to disseminate the CDC guideline to rural health care providers. The purpose of this paper is to describe rural health care providers\u2019 experience with pediatric mTBI patients and their perceptions on incorporating the guideline recommendations into their practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Interviews with 9 pediatric rural health care providers from all US regions were conducted. Interview transcripts were coded and analyzed for themes for each of the main topic areas covered in the interview guide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Common causes of mTBI reported by health care providers included sports and all\u2010terrain vehicles. While health care providers found the guideline recommendations to be helpful and feasible, they reported barriers to implementation, such as lack of access to specialists. To help with uptake of the CDC guideline, they suggested the development of concise implementation tools that can be referenced quickly, integrated into electronic health record\u2010based systems, and that are customized by visit type and health care setting (eg, initial vs follow\u2010up visits and emergency department vs primary care visits).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Length, accessibility, and usability are important considerations when designing clinical tools for busy rural health care providers caring for pediatric patients with mTBI. Customized information, in both print and digital formats, may help with uptake of best practices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12530","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T02:38:25Z","timestamp":1603852705000},"page":"487-494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Rural Primary Care Providers\u2019 Experience and Usage of Clinical Recommendations in the CDC Pediatric Mild Traumatic Brain Injury Guideline: A Qualitative Study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9277-0712","authenticated-orcid":false,"given":"Jill","family":"Daugherty","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, National Center for Injury Prevention and Control Division of Injury Prevention  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Waltzman","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, National Center for Injury Prevention and Control Division of Injury Prevention  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shena","family":"Popat","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago  Bethesda Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy Horn","family":"Groenendaal","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago  Bethesda Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Cherney","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago  Bethesda Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alana","family":"Knudson","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago  Bethesda Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"CDC Childhood Injury Report: Patterns of Unintentional Injuries among 0\u201319 Year Olds in the United States, 2000\u20132006","author":"Borse NN","year":"2008"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci10030135"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-015-0063-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2002.tb00882.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2003-18303"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699050701426857"},{"issue":"3","key":"e_1_2_7_8_1","first-page":"231","article-title":"Care of the patient with traumatic brain injury: urban versus rural challenges","volume":"26","author":"Murphy J","year":"2004","journal-title":"Adv Emerg Nurs J"},{"issue":"4","key":"e_1_2_7_9_1","first-page":"10","article-title":"Barriers to traumatic brain injury services and supports in rural setting","volume":"80","author":"Solovieva TI","year":"2014","journal-title":"J Rehabil"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.21.2626"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13096"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/16501960410023859"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2853"},{"key":"e_1_2_7_14_1","unstructured":"Centers for Disease Control and Prevention. 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