Volume 4, Issue 6, December 2019, Page: 56-64
Pediatric Life After Concussion Evaluation Scale (PLACES): Utility of a Survey of Quality of Life During Recovery from Concussion
Ruta Clair, Department of Psychology, Cabrini University, Radnor, United States
Arlene Goodman, Saint Peter’s University Hospital Sports Medicine Institute, Somerset, United States
George McCloskey, Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, United States
Sarah Levin Allen, Brain Behavior Bridge, Haddon Heights, United States
Received: Nov. 12, 2019;       Accepted: Dec. 2, 2019;       Published: Dec. 9, 2019
DOI: 10.11648/j.ijpbs.20190406.11      View  525      Downloads  146
Current research indicates that pediatric patients experience quality-of-life (QOL) issues during recovery from concussion. However, measures of health related QOL issues in youth have generally focused on chronic illness and do not address the unique experience of brain injury. The Pediatric Life After Concussion Evaluation Scale (PLACES) was developed to gain a better understanding of youth perspectives on QOL during recovery from concussion. The PLACES is a self-rating instrument examining patient perspectives on cognition, emotion, social life, and school support. Study participants were 277 patients, receiving treatment for concussion at a single regional concussion clinic. Examination of reliability using Cronbach’s alpha indicated strong performance with internal consistency (r =.92). The Post-Concussion Symptom Scale (PCSS) was used for comparison as this measure is commonly used to examine patient symptoms in clinical settings. Convergent and divergent validity of the PLACES was examined. Convergent validity was evident across the two measures (r=.732, p=.001). Exploratory factor analysis identified 5 factors and indicated divergent factors related to emotion, social concerns, and school. Analyses demonstrated that the PLACES domains measure different aspects of quality of life issues during recovery from concussion than traditional symptom scales, thereby offering support for the proposed domain structure of the PLACES. This measure appears to provide additional information that is clinically relevant and not available on symptom scales. Initial psychometrics indicate that the PLACES has the potential to function as a QOL measure specific to concussion and will assist in greater specificity of treatment during recovery.
Concussion, Mild Traumatic Brain Injury, Health-Related Quality of Life, Recovery, School
To cite this article
Ruta Clair, Arlene Goodman, George McCloskey, Sarah Levin Allen, Pediatric Life After Concussion Evaluation Scale (PLACES): Utility of a Survey of Quality of Life During Recovery from Concussion, International Journal of Psychological and Brain Sciences. Vol. 4, No. 6, 2019, pp. 56-64. doi: 10.11648/j.ijpbs.20190406.11
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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