Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI: A randomized controlled trial
| Autor: | Tracey Vause-Earland, Helene Moriarty, Catherine Verrier Piersol, Delores Blazer Iacovone, Laraine Winter, Laura N. Gitlin, Nancy A. Hodgson, Keith M. Robinson, Brian Newhart |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Neuroscience (miscellaneous) Poison control Suicide prevention Occupational safety and health law.invention Cohort Studies 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Injury prevention Brain Injuries Traumatic Developmental and Educational Psychology medicine Humans Family Psychiatry health care economics and organizations Physical Therapy Modalities Veterans Internet Rehabilitation business.industry Recovery of Function Middle Aged medicine.disease Polytrauma humanities Physical therapy Patient Compliance Female Neurology (clinical) 0305 other medical science business Community Integration 030217 neurology & neurosurgery |
| Zdroj: | Brain injury. 30(4) |
| ISSN: | 1362-301X |
| Popis: | Traumatic brain injury (TBI) often undermines community re-integration, impairs functioning and produces other symptoms. This study tested an innovative programme for veterans with TBI, the Veterans' In-home Programme (VIP), delivered in veterans' homes, involving a family member and targeting the environment (social and physical) to promote community re-integration, mitigate difficulty with the most troubling TBI symptoms and facilitate daily functioning.Interviews and intervention sessions were conducted in homes or by telephone.Eighty-one veterans with TBI at a VA polytrauma programme and a key family member.This was a 2-group randomized controlled trial. Control-group participants received usual-care enhanced by two attention-control telephone calls. Follow-up interviews occurred up to 4 months after baseline interview.VIP's efficacy was evaluated using measures of community re-integration, target outcomes reflecting veterans' self-identified problems and self-rated functional competence.At follow-up, VIP participants had significantly higher community re-integration scores and less difficulty managing targeted outcomes, compared to controls. Self-rated functional competence did not differ between groups. In addition, VIP's acceptability was high.A home-based, family-inclusive service for veterans with TBI shows promise for improving meaningful outcomes and warrants further research and clinical application. |
| Databáze: | OpenAIRE |
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