This engaging article highlights the serious problem of concussions in children and how to treat them. The issue is presented from a mother’s point of view, with input from the treating physician and other experts. The symptoms, treatment, and outcome are all provided, making for a nice story. We offer just a few suggestions for what might have made the story even better.
Concussions are a very common injury in children, and are most likely underreported. Though sports-related concussions get most of the attention (and they occur in all sports), any activity that can shake the brain can cause concussion. There are clear guidelines on treatment of concussions, with benchmarks for allowing a child to return to various activities such as school work and sports. It’s important to recognize that a concussion can affect a student’s ability to learn, as well as his or her physical and mental health. This story reports on the theory that it is crucial for a student with symptoms of a concussion to “rest” the brain – that is, to not engage in activities that require concentration and attention (take a exam, play video games, text, drive a car), and instead use the energy for the brain to functionally recover.
As one of the experts in the story points out, “the treatment needs to be individualized.” All therapies have costs. Some stab at estimating a range of time/costs could have been made. With the story discussing hospitals adopting protocols, it certainly seems a cost could be identified for a protocol.
The story does not present quantitative evidence, but rather presents qualitative viewpoints of experts.
The story illustrates how hard it can be for a parent to enforce cognitive rest.
Mixed bag. At one point, the story labels cognitive rest as an “extreme response” – which may strike some as extreme editorializing. But then the story goes on to explain that cognitive rest has been “gaining traction in the last two to four years” with the Council on Sports Medicine and Fitness calling it “the mainstay of management” and a 2008 consensus statement on concussion in sport supporting the idea. It’s also endorsed by the CDC’s “Heads Up to Schools: Know Your Concussion ABCs” materials. Because the story arguably devotes more space to a discussion of the evidence than most stories, we’ll give it the benefit of the doubt.
No disease mongering in the story.
If anything, the story missed a chance to explain that according to the CDC, almost half a million emergency department visits for concussions and other traumatic brain injuries are made annually by children aged 0 to 14 years.
The story cites several sources and provides their affiliations.
The treatment is put in context with other treatments.
The story refers to the growing use of cognitive rest.
Mixed bag. Although the headline calls it “a new course” and the story at one point calls it a “new approach,” the story also explains that cognitive rest has been “gaining traction in the last two to four years” – making clear that it’s not a brand new concept. We’ll give it the benefit of the doubt on this criterion.
The story clearly does not rely on a press release.
Systematic, Criteria-Driven
Monday at #ADA2021, an infectious disease epidemiologist, a journalist, and a researcher shared perspectives on communication of risk in the era of COVID-19: http://ow.ly/ROfR30rMeE7 @AstleyCM @garyschwitzer @berthahidalgo @ADA_DiabetesPro
Shoutouts to @susan_bewley @drkevinknopf @MichaelBaum11 in this call for more than fawning coverage from press releases for these kinds of stories.
Also, linked history inside goes back 5 years just on Grail apparently trying to become Holy Grail. https://twitter.com/garyschwitzer/status/1408849696416841731
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