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CompletedNCT01334398Updated Nov 25, 2014

A Health & Wellness Intervention for Individuals With Traumatic Brain Injury (TBI)

An observational study in Traumatic Brain Injury, sponsored by VA Eastern Colorado Health Care System. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-11-25.

Sponsored by VA Eastern Colorado Health Care System · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
74
Ages
18 Years and older
Sex
All
01

Study summary

The primary goal of the proposed study is to evaluate the efficacy of a replicable community-based group intervention, designed to address both general wellness and specific TBI health-related issues. Emphasis is placed on goal setting to develop healthy habits, utilizing problem solving strategies, learning means of maintaining progress and setting new goals. Facilitators will utilize approaches aimed at maximizing participant self-efficacy, reducing barriers to health promotion, and developing personal resources. A randomized wait-list control group design will be used to evaluate the efficacy of the intervention. It is hypothesized that individuals with TBI who participate in the intervention group will report increased health promoting behaviors, health related self-efficacy, health-related quality of life, level of participation, and greater perceived wellness and satisfaction with life as compared to the control group.

Read the detailed description

Health promotion in the general population and in disability groups, such as individuals with TBI, has been identified in recent decades as a specific need by the Surgeon General, the U.S. Department of Health and Human Services Healthy People 2010, the NIDRR Rehabilitation Research and Training Center (RRTC) on Health and Wellness and the Centers for Disease Control and Prevention (CDC). Additionally, decreased quality of life and increased health-related secondary conditions in TBI supports the need for health and wellness promotion. A number of health and wellness programs have been developed for specific disabled populations, with a few providing evidence for efficacy; however, no evidence based program designed to meet the unique needs of individuals with TBI has been identified. This proposal responds to the NIDRR Long Range Plan and the Healthy People 2010 call for further research in health promotion to improve quality of life, decrease disability, and eliminate disparities in health within disability populations, specifically those individuals with TBI.

The primary goal of the proposed study is to evaluate the efficacy of a replicable community-based group intervention, designed to address both general wellness and specific TBI health-related issues. Emphasis is placed on goal setting to develop healthy living habits, utilize problem solving strategies, learn means of maintaining progress and set new goals. Facilitators will utilize approaches aimed at maximizing participant self-efficacy, reducing barriers to health promotion, and developing personal resources. A randomized wait-list control group design will be used to evaluate the efficacy of the intervention.

It is hypothesized that individuals with TBI who participate in the intervention group will report increased health promoting behaviors, health related self-efficacy, health-related quality of life, level of participation, and greater perceived wellness and satisfaction with life, than the control group. Intervention group members are expected to attain individualized health and wellness goals, and maintain gains on follow-up at six months. Findings from this study will advance knowledge regarding health and wellness intervention for individuals with TBI, and may clarify areas of future research.

02

Conditions studied

  • Traumatic Brain Injury

Keywords

  • Traumatic Brain Injury
03

In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's enrollment of 74 is below the median of 100 across 690 observational studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

VA Eastern Colorado Health Care System is the lead sponsor of 49 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Veterans and community members

Inclusion criteria

  • individuals will be included in the study if they meet the following criteria:

    1. history of TBI as defined as damage to brain tissue caused by an external mechanical force as evidenced by loss of consciousness or post traumatic amnesia (PTA) due to brain trauma or by objective neurological findings that can be reasonably attributed to TBI on physical examination or mental status examination.
    2. received inpatient or outpatient rehabilitation, or an evaluation related to their TBI;
    3. are classified as moderate to severe TBI based on a TBI medical/professional evaluation;
    4. are at least one year post-injury;
    5. are 18 years of age or older at the time of the study;
    6. function at Rancho Los Amigo Level of Cognitive Functioning Level of 6 or above, based on current interview with participant and family member/identified resource person
    7. have adequate receptive and expressive communication skills functional for group participation (score >5 on the Comprehension and Expression items of the Functional Independence Measure (FIM) based on current interview);
    8. have sufficient recall of day-to-day events for learning in the group setting, based on screening interview with family member or identified resource person;
    9. have the ability to participate in ongoing group sessions with no documented or reported medical or neurological conditions (e.g. upcoming hospitalizations, uncontrolled seizures), behavioral concerns (e.g. frustration tolerance, behavioral/anger control,) or other issues that preclude group participation;
    10. be English speaking in order to complete study measures (if the intervention is proven efficacious, future studies would be needed with non-English speaking participants);
    11. provide informed consent to participate.

Exclusion criteria

Exclusion Criteria:

  • Failure to meet inclusion criteria
  • Failure to provide informed consent as evidenced by inability to respond to the above stated questions
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
74 participants (actual)

Groups and cohorts

  • Initial Treatment Group

    Behavioral: Health & Wellness

  • Deferred Treatment Group

    Behavioral: Health & Wellness

Interventions

  • BehavioralHealth & Wellness

    The specific content of the intervention was adapted from four existing evidence-based interventions: (1) "Healthy Lifestyles for People with Disabilities," (2) Promoting Wellness for Women with MS," (3) "Living Well with Disability," and (4) "Social Skills and TBI: A Workbook for Group Treatment."

06

What researchers measure

Primary outcomes

  1. Health Promoting Lifestyle Profile-II

    Time frame: Baseline and Follow-up

07

Study locations

1 site
  • VA ECHCS
    Denver, Colorado 80220, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 25, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01334398
Lead sponsor
VA Eastern Colorado Health Care System
Collaborators
Craig Hospital
Responsible party
Lisa Brenner (Director, MIRECC, VA Eastern Colorado Health Care System) — Principal investigator
First posted
Apr 13, 2011
Start date
Oct 2008
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Nov 25, 2014

Study contacts

Lisa Brenner, Ph.D.
principal investigator · VA VISN 19, ECHCS
Cynthia Braden (nee Dahlberg), MA
principal investigator · Craig Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2014. You cannot join it, but the record below documents what was studied.

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