Efficacy of the resilience and adjustment intervention after traumatic brain injury: a randomized controlled trial

Autor: Jennifer H. Marwitz, Adam Sima, Ana Mills, Herman R. Lukow, Nancy H. Hsu, Jeffrey S. Kreutzer
Rok vydání: 2018
Předmět:
Adult
Male
030506 rehabilitation
medicine.medical_specialty
Traumatic brain injury
media_common.quotation_subject
Neuroscience (miscellaneous)
law.invention
03 medical and health sciences
0302 clinical medicine
Primary outcome
Randomized controlled trial
law
Surveys and Questionnaires
Intervention (counseling)
Adaptation
Psychological
Brain Injuries
Traumatic
Outcome Assessment
Health Care
Developmental and Educational Psychology
Psychological support
Humans
Medicine
Glasgow Coma Scale
Retrospective Studies
media_common
business.industry
Retrospective cohort study
Middle Aged
Resilience
Psychological
medicine.disease
Psychotherapy
Treatment Outcome
Physical therapy
Female
Neurology (clinical)
Psychological resilience
0305 other medical science
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Brain Injury. 32:963-971
ISSN: 1362-301X
0269-9052
DOI: 10.1080/02699052.2018.1468577
Popis: Examine a psychoeducational and skill-building intervention's effectiveness for individuals after traumatic brain injury (TBI), using a two-arm, parallel, randomized, controlled trial with wait-listed control.The Resilience and Adjustment Intervention (RAI) targets adjustment challenges and emphasizes education, skill-building and psychological support. Overall, 160 outpatients were randomly assigned to a treatment or wait-list control (WLC) group. The manualized treatment was delivered in seven 1-h sessions. The Connor-Davidson Resilience Scale (CD-RISC) was the primary outcome measure. Secondary measures included the Mayo Portland Adaptability Inventory-4 (MPAI-4), Brief Symptom Inventory-18 (BSI-18) and 13-Item Stress Test.After adjusting for injury severity, education and time postinjury, the RAI group (N = 75) demonstrated a significantly greater increase in resilience (effect size = 1.03) compared to the WLC group (N = 73). Participants in the RAI group demonstrated more favourable scores on the MPAI-4 Adjustment and Ability Indices, BSI-18 and the 13-item Stress Test. However, only the CD-RISC and BSI-18 demonstrated a clinically significant difference. In addition, RAI participants demonstrated maintenance of gains from pre-treatment to 3-month follow-up; however, only the BSI-18 maintained a clinically significant difference.Investigation provided evidence that a resilience-focused intervention can improve psychological health and adjustment after TBI. Additional research is needed to ascertain the longer term benefits of intervention and the efficacy of alternative delivery methods (e.g., via telephone, Internet).
Databáze: OpenAIRE
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