PPubMed29 Apr 2015Cited 61×

A Systematic Review of Hospital-to-School Reintegration Interventions for Children and Youth with Acquired Brain Injury Review of Hospital to School Interventions

Sally Lindsay, Laura R. Hartman, Nick Reed, Caron Gan, Nicole Thomson, Beverely Solomon, Jie Tian

Abstract

To our knowledge, this is the first systematic review to undertake a comprehensive synthesis of pediatric hospital-to-school interventions focused on children and/or youth with ABI. We examined interventions that aimed to support pediatric participants’ return to school environments following a brain injury. Given the incidence of ABI among school-age populations, many educators are likely to encounter a child with a brain injury. The high prevalence of ABI in the school population is demonstrated by a recent survey of 9000 students in Ontario, Canada, which found that as many as 20 percent of

A figure from A Systematic Review of Hospital-to-School Reintegration Interventions for Children and Youth with Acquired Brain Injury Review of Hospital to School Interventions — fig. from the paper

§ The Valyu brief

The paper, in five minutes

Read from the full text via Valyu Contents

Hospital-to-school reintegration interventions for youth with acquired brain injury show potential benefits but evidence remains limited and heterogeneous.

What’s new

i.Conducted the first systematic review of hospital-to-school reintegration interventions for children and youth with acquired brain injury (ABI).
ii.Identified cognitive, behavioral, and problem‑solving components as potentially effective for school reintegration.
iii.Assessed methodological quality of included studies using AAN classification, PEDro, and STROBE tools.
iv.Synthesized effect‑size outcomes across 17 studies, highlighting improvements in knowledge (d=0.76, d=0.28) and cognitive functioning (d=0.3 to d=1.0).
v.Outlined gaps in the literature and recommended more comprehensive, collaborative interventions.

How they did it

The authors searched multiple databases up to June 2014 for peer‑reviewed studies involving structured hospital‑to‑school interventions for ABI patients ≤20 years old, applying strict inclusion criteria. Two reviewers screened titles/abstracts, extracted data from 17 articles, and performed a narrative synthesis following Petticrew and Roberts guidelines.

What they found

Seventeen articles met inclusion criteria (12 from the database search, 5 from reference lists).
Sample sizes ranged from 2 to 72 participants; studies were conducted in the US (11), Sweden (2), Canada, Brazil, Australia, and China (1 each).
Effect sizes for knowledge of ABI were reported in two studies (d = 0.76 and d = 0.28).
Seven studies showed significant improvements in cognitive functioning with effect sizes from small (d = 0.3) to large (d = 1.0).
Methodological quality: six studies classified as level I, four as level II, one as level III, and the remainder as level IV.

Caveats

✕Search limited to selected databases and terms, possibly missing relevant publications.
✕Only peer‑reviewed, published articles were included, excluding grey literature.
✕Many studies had small, heterogeneous samples, reducing generalizability.
✕A wide variety of outcome measures limited comparability across studies.

§ The Valyu brief

Reading the full paper and taking notes. This takes a few seconds…

§ Ask this paper

Ask a question about this paper

Valyu reads the full text and answers from what the paper actually says.

§ Related work in other archives

A Systematic Review of Hospital-to-School Reintegration Interventions for Children and Youth with Acquired Brain Injury Review of Hospital to School Interventions

The paper, in five minutes

Ask a question about this paper

Similar papers in all four archives

The paper, in five minutes

Similar papers in all four archives