Barriers and facilitators associated with virtual concussion physical assessments from the perspectives of clinicians and people living with workplace concussions (Preprint)

Abstract

Evaluating concussion clinical status using virtual platforms has become increasingly common. There is, however, limited information regarding the barriers and facilitators associated with the virtual concussion assessment.

The objectives of this study were to identify the barriers and facilitators associated with virtual concussion assessments and identify the physical measures that would work best in virtual practice.

Separate online focus groups were conducted with expert concussion clinicians and people living with workplace concussions. The discussions were analyzed using content analysis. Barriers and facilitators were categorized based on domain of the examination and more general barriers and facilitators. Clinician selected measures believed to work best in virtual practice were described using frequency counts.

Four patient-participant focus groups and three clinician-participant groups were completed. Barriers were identified such as triggering of symptoms and safety concerns. Facilitators were identified such as having access to support and implementing symptom management strategies. The measures recommended most commonly for virtual practice were finger to nose testing, balance testing, Vestibular Ocular Motor Screening, saccades, and cervical spine range of motion.

While barriers were identified, virtual assessments have benefits including improved access to care. The clinician-selected measures will be investigated in an upcoming evaluative study.

RR2-10.2196/40446