Abstract
Background:Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI.Methods & results:Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains.Conclusion:Family physicians could benefit from accessible and easily implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists.
Highlights
Clinical practice guidelines for mild traumatic brain injury management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently
This study suggests that family physicians (FPs) are motivated and open to incorporating evidence-based knowledge into their management of post-mild traumatic brain injury (mTBI) mental health care but experience barriers to accessing such information
The results suggest that addressing FP knowledge of evidence-based post-mTBI mental health management guidelines, introducing tailored implementation tools that highlight specific actions the FP could consider, and building accessible referral pathways to mental health specialists may be most impactful
Summary
Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI. Methods & results: Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains. Conclusion: Family physicians could benefit from accessible and implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists
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