Abstract
<h3>Research Objectives</h3> Fatigue is one of the most persistent symptoms after acquired brain injury, but few studies have investigated the impact of daily activities (e.g., academic, social) on fatigue in children with traumatic brain injury (TBI). The primary aim of this study was to compare subjective parent- and self-reports of fatigue across daily activities between children with TBI and typically developing (TD) children. <h3>Design</h3> Cross sectional survey completed at two time points (i.e., after a school day; after a weekend day) within 30 days <h3>Setting</h3> self-administered, electronic survey in home/preferred setting. <h3>Participants</h3> 30 participants (15 children with TBI and 15 TD children) ages 8-14 years old. Participants in the TBI group experienced moderate-severe TBIs at 4.69 years (SD = 1.53) and were 5.37 years (SD = 1.53) post-injury at the time of survey participation. <h3>Interventions</h3> Not applicable. <h3>Main Outcome Measures</h3> demographics and injury questionnaire; Pediatric Quality of Life Multi-Dimensional Fatigue Scale (PedsQL MFS). <h3>Results</h3> Participants in the TBI group were parent- and self-reported to have significantly greater levels of fatigue in all domains (i.e., sleep/rest, physical, cognitive, total) compared to TD participants (p < .001), after both a school day and a weekend day. Yet, all participants (i.e., TD and TBI groups) were parent- and self-reported to have similar levels of fatigue in all domains (p > .05) after a school day compared to after a weekend day. <h3>Conclusions</h3> The findings of this study support the chronic nature of fatigue after childhood TBI. Comparing fatigue between children with TBI and TD children and across daily activities highlights opportunities for rehabilitation professionals to refine their supports and services o improve the academic and social participation of children with TBI. <h3>Author(s) Disclosures</h3> Jessica Salley Riccardi has no financial or non-financial relationships to disclose.
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