Journal article
Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI: A randomized controlled trial
Brain injury, v 30(4), pp 373-387
20 Mar 2016
PMID: 26983578
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: 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.
Setting: Interviews and intervention sessions were conducted in homes or by telephone.
Participants: Eighty-one veterans with TBI at a VA polytrauma programme and a key family member.
Design: 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.
Main measures: VIP's efficacy was evaluated using measures of community re-integration, target outcomes reflecting veterans' self-identified problems and self-rated functional competence.
Results: 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.
Conclusion: A home-based, family-inclusive service for veterans with TBI shows promise for improving meaningful outcomes and warrants further research and clinical application.
Metrics
Details
- Title
- Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI: A randomized controlled trial
- Creators
- Laraine Winter - Philadelphia Research and Education Foundation Nursing Service, Department of Veterans Affairs Medical Center, Philadelphia, PA, USAHelene J. Moriarty - Villanova UniversityKeith Robinson - United States Department of Veterans AffairsCatherine V. Piersol - Thomas Jefferson UniversityTracey Vause-Earland - Thomas Jefferson UniversityBrian Newhart - d Medical Rehabilitation Service , Department of Veterans Affairs Medical Center , Philadelphia , PA , USA.Delores Blazer Iacovone - d Medical Rehabilitation Service , Department of Veterans Affairs Medical Center , Philadelphia , PA , USA.Nancy Hodgson - Johns Hopkins UniversityLaura N. Gitlin - Johns Hopkins University
- Publication Details
- Brain injury, v 30(4), pp 373-387
- Publisher
- Taylor & Francis
- Grant note
- R21 HD068857 / National Institutute of Child Health and Human Development, NIH
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000374646200002
- Scopus ID
- 2-s2.0-84961200304
- Other Identifier
- 991020112083804721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Neurosciences
- Rehabilitation