This pilot study focused on ED patients with mTBI and associated post-concussive symptoms (PCS). 43 patients were enrolled and randomized to either a control or intervention group. The intervention group received three separate daily text message assessments of PCS symptoms related to headache, concentration, and irritability/anxiety. Adaptive feedback of education and behavioral support was also delivered based upon patients’ response of symptom severity. The control group received symptom assessment queries, but no symptom management education or support messages were provided. Our analysis of 36 patients who completed both baseline and assessment measures, revealed an overall mean reduction of PCS in the intervention group as compared to the control. Additionally, there was a high rate of response to SMS symptom assessments among both groups. This study has shown great promise in the ability of using SMS for assessments through communication with patients discharged from the ED and potentially aid in the reduction of injury related symptoms through symptom-specific education, reassurance, and guidance.

https://www.emergencymedicine.health.pitt.edu/sites/default/files/JHTR.pdf