{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:36:04Z","timestamp":1783776964409,"version":"3.55.0"},"reference-count":24,"publisher":"National Athletic Trainers' Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:sec><jats:title>Context<\/jats:title><jats:p>Understanding how parents and their children perceive concussion symptoms may provide insights into optimal concussion-management strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine patient-parent correlations and agreement on concussion-symptom ratings, to identify differences in patient-parent symptom reporting between children (8\u201312 years of age) and adolescents (13\u201318 years of age), and to evaluate the correlation between patient and parent initial symptom-severity ratings with symptom duration and return-to-play time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross-sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Primary care sports medicine clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients or Other Participants<\/jats:title><jats:p>A total of 267 patients aged 8 to 18 years seen for care within 21 days of sustaining a concussion. Patients were classified as children (n = 65; age = 11.3 \u00b1 1.4 years; age range, 8\u201312 years) or adolescents (n = 202; age = 15.5 \u00b1 1.4 years; age range, 13\u201318 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Each patient and his or her parent (or legal guardian) completed a concussion-symptom\u2013frequency inventory, the Health and Behavior Inventory (HBI), at the initial postinjury examination. Patients were followed until they no longer reported concussion symptoms (symptom-resolution time) and were allowed to return to unrestricted sport participation (return-to-play time).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the initial examination (8.9 \u00b1 5.2 days postinjury), the symptom-frequency correlation between children and their parents was high (rs = 0.88; 95% confidence interval [CI] = 0.80, 0.95). Adolescents' symptom-frequency reports were also highly correlated with those of their parents (rs = 0.78; 95% CI = 0.71, 0.85). However, the child-parent correlation was higher than the adolescent-parent agreement (z = 2.21, P = .03). Greater patient (consolidated child and adolescent) HBI ratings were associated with longer symptom-resolution times (coefficient = 0.019; 95% CI = 0.007, 0.031; P = .002) and longer return-to-play times (coefficient = 0.012; 95% CI = 0.002, 0.022; P = .02), whereas parent HBI ratings were not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings may help to set expectations regarding concussion-symptom durations and return-to-play timing for pediatric patients and their families. Given the patient-parent correlations in our sample, substantial reporting discrepancies between patients and their parents may be a relevant factor for clinicians to investigate further during concussion evaluations.<\/jats:p><\/jats:sec>","DOI":"10.4085\/1062-6050-200-19","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T19:10:56Z","timestamp":1581102656000},"page":"1020-1026","source":"Crossref","is-referenced-by-count":25,"title":["Concussion-Symptom Rating Correlation Between Pediatric Patients and Their Parents"],"prefix":"10.4085","volume":"55","author":[{"given":"Tatiana","family":"Patsimas","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Colorado School of Medicine, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Howell","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine, Aurora"},{"name":"Sports Medicine Center, Children's Hospital Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan N.","family":"Potter","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children's Hospital Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J.","family":"Provance","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine, Aurora"},{"name":"Sports Medicine Center, Children's Hospital Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Kirkwood","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora"},{"name":"Rehabilitation Medicine, Children's Hospital Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Colorado School of Medicine, Aurora"},{"name":"Department of Orthopedics, University of Colorado School of Medicine, Aurora"},{"name":"Sports Medicine Center, Children's Hospital Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"2020102716230456500_i1062-6050-55-10-1020-b01","doi-asserted-by":"crossref","unstructured":"McCrory P, Meeuwisse W, Dvorak J, et al. 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