Healthcare Professional's Survey

Thank you for your time completing this survey. Your participation is voluntary and answers are anonymously submitted. Your feedback is invaluable.

Survey is requested to be completed by a Healthcare Professional.

Purpose: To help the Tennessee Department of Health better understand healthcare providers’ knowledge and use of the Center for Disease Control’s (CDC) Pediatric Mild Traumatic Brain Injury (mTBI) Guideline.

1. What best fits your work specialty? (Select one please)

Pediatrician Family Physician Primary Care Physician Surgeon Medical Resident Physician Assistant Nurse Pre-Hospital Provider (EMT, AEMT, Paramedic) Other

2. Are you familiar with the CDC Pediatric mTBI Guideline for healthcare providers? It consists of 19 sets of clinical recommendations that cover diagnosis, prognosis, management and treatment.

Yes No

3. Which of these CDC Pediatric mTBI Guideline Supplemental Materials have you utilized? (Check all that apply)

Checklist for Healthcare Providers Treating Children 18 Years of Age and Younger Acute Concussion Evaluation (ACE) Tool - Emergency Department Version Acute Concussion Evaluation (ACE) Tool - Physician/Clinician Office Version Diagnostic Recommendations Prognostic Recommendations Management and Treatment Recommendations HEADS UP School Letter - Returning to School After a Concussion

4. Have you experienced any barriers in accessing or using the CDC Pediatric mTBI Guideline and clinical recommendations?

Yes No

4a. If so, which barriers have you experienced? (Check all that apply)

Materials are not readily available Limited supply of printed handouts for patients and families Lack of culturally diverse materials (electronic or printed) Challenges to uploading materials into patient portal, electronic health record and/or in an office management software system Other

5. Have you accessed or used Brain Links' TBI Toolkit for Healthcare Providers?

Yes No

6. Have you experienced any barriers in accessing or using the Brain Links' TBI Toolkits?

Yes No

6a. If so, what barriers did you have in accessing the toolkit? (Check all that apply)

Lack of access to materials Limited capacity to print materials Lack of culturally diverse materials (electronic or printed) Challenges uploading materials to professional software Other

7. Did you know that Brain Links’ free TBI Toolkits include the CDC Pediatric mTBI Guideline?

Yes No

8. What is the easiest way for you to access resources?

Email communications with link Social Media reminders with links Professional publications with links Printed materials Virtual or in-person meetings and conferences Other

We are asking you for your zip code to assure that this is being completed by Tennessee healthcare providers. Please provide the zip code that you work in.

Zip code:

If you have questions, please contact Brain Links at tbi@tndisability.org