ClinicalTrials.gg
CompletedNCT03277859SAA-TBIUpdated Jul 23, 2019

Strength and Awareness in Action: an Intervention for Post-Acute TBI Headaches (SAA-TBI)

An interventional study of SAA-TBI in Traumatic Brain Injury and Post-concussive Headaches, sponsored by VA Eastern Colorado Health Care System. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2019-07-23.

Sponsored by VA Eastern Colorado Health Care System · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 10 studies in Brain Injuries, Traumatic by VA Eastern Colorado Health Care System — 1 open to participants now, 1 under way, none of them phase 3. Brain Injuries, Traumatic · VA Eastern Colorado Health Care System.

Started
2017
the only one that year
No phase
2 of 10
1 open now
Registered
9th of 10
by date

Among the 10 studies in Brain Injuries, Traumatic by VA Eastern Colorado Health Care System, this one is the only one that started in 2017, is one of 2 with no phase, and was the 9th registered.

Brain Injuries, Traumatic

1,722 studies on the registry are indexed under Brain Injuries, Traumatic; 448 are open to participants now.

Browse Brain Injuries, Traumatic studies →

Open to participants now

1 of the 10 studies in Brain Injuries, Traumatic by VA Eastern Colorado Health Care System is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 281 Brain Injuries, Traumatic studies recruiting now, 120 (43%) set no upper age limit and 119 (42%) stop at 75 or younger; 40 take children under 18; 52 take healthy volunteers.

This study: 18 Years to 55 Years · all sexes · no healthy volunteers.

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02

Study summary

The specific aims of the proposed study are to evaluate: 1) the feasibility of design elements of a Strength and Awareness in Action: an Intervention for Post-Acute TBI Headaches (SAA-TBI) intervention trial (e.g., an exercise run-in to facilitate participant retention); 2) yoga instructor fidelity; and 3) variability estimates for candidate proximal and distal outcomes. Performance of validated measures, including those associated with quality of life, as well as data collected via ecological momentary assessment and pedometry (physical activity) will be evaluated.

Read the detailed description

A signature injury being sustained by Veterans from recent conflicts is mild traumatic brain injury (mTBI). For some, this condition is associated with multiple disabling post-concussive symptoms, including post-concussive headaches (PCH). PCHs are notoriously resistant to medication alone, and are associated with increased muscle tension, avoidance of physical activities, and anxiety related to having chronic pain. In this study, the feasibility (ease of implementation) of the design elements of an interventional trial of Strength and Awareness in Action: an Intervention for Post-Acute TBI Headaches (SAA-TBI) will be explored. Yoga is operationalized as a practice involving physical postures, breath awareness, breathing exercises and mindfulness meditation. It is conceptualized as having three "active ingredients" (i.e., regulation of the autonomic nervous system via physical activity/breathing exercises, release of muscular tension associated with headaches, and mindfulness/acceptance). The specific aims of the proposed study are to evaluate: 1) the feasibility of design elements of an SAA-TBI intervention trial (e.g., an exercise run-in to facilitate participant retention); 2) yoga instructor fidelity; and 3) variability estimates for candidate proximal and distal outcomes. Performance of validated measures, including those associated with quality of life, as well as data collected via ecological momentary assessment and pedometry (physical activity) will be evaluated. Project aims will be evaluated using an experimental design where participants will be block randomized in a stratified manner to SAA-TBI or a waitlist using a 1:1 ratio. The waitlist group will initially receive 8 weeks of enhanced treatment as usual (ETU). The participants in the waitlist condition will be offered SAA-TBI, after the initial group has completed the intervention. Both groups of participants will complete multiple measures at baseline and after the conclusion of the intervention. Maintenance among the intervention group will also be explored. Participants will be asked to complete daily homework documenting their headaches and yoga practice outside of class, and be provided with multiple modalities (web-based, mobile app, text, or paper and pencil) by which this can be accomplished. In specific, the proposed study will evaluate the feasibility of the trial design for an accessible, non-pharmacological, yoga-based intervention for chronic PCH pain among Veterans with mTBI, with the long-term goal of informing future efficacy trials.

03

Conditions studied

  • Traumatic Brain Injury
  • Post-concussive Headaches

Keywords

  • Yoga
  • Veterans
  • Traumatic Brain Injury
  • Post-concussive Headaches
  • Post-concussive Symptoms
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Between the ages of 18 and 55
  • Able to provide
  • History of mTBI per the Ohio State University TBI-ID (OSU-TBI-ID)
  • History of PCH pain (TTH, migraine, or mixed), with onset of pain or increase in previous headache pain having occurred within one month of mTBI as determined by structured examination using criteria outlined in the International Classification of Headache Disorders-3 beta (ICHD-3 beta)
  • Duration of PCH pain being greater than one year as determined by structured medical examination
  • Score of >49 on the Headache Impact Test-6 (HIT-6)
  • Medical clearance by study provider to participate in yoga protocol

Exclusion criteria

Exclusion Criteria:

  • Younger than 18, or older than 55 years of age
  • Active substance dependence, excluding Cannabis dependence (based on local issues regarding the legality of cannabis), as determined by structured clinical interview
  • Moderate to severe TBI as determined per the OSU-TBI-ID
  • Identification of active psychosis as determined by structured clinical interview
  • Failing to receive medical clearance by study provider;
  • Inability to participate in the manualized intervention without postures being significantly modified
  • Already participating in an ongoing consistent yoga practice (two or more times weekly)
  • Involvement in another research interventional trial aimed at addressing pain-related symptoms.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    YOGA-NOW

    Participant will start the SAA-TBI (yoga) about 2 weeks (+/- 2 weeks) after Study Visit 3.

    Behavioral: SAA-TBI

  • Active comparator
    YOGA-WAIT

    Participant will start SAA-TBI (yoga) about 10 weeks (+/- 2 weeks) after Study Visit 3.

    Behavioral: SAA-TBI

Interventions

  • BehavioralSAA-TBI

    Yoga twice a week for 75 minutes for 8 weeks

06

What researchers measure

Primary outcomes

  1. Headaches per week

    Headache Tracking Form (HTF) will query about daily headache frequency, duration, severity, and treatment per event.

    Time frame: Change from baseline to approximately 20 weeks

07

Study locations

1 site
  • Rocky Mountain Regional VA Medical Center
    Aurora, Colorado 80045, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2017 to primary completion in Jun 2019, 22 months.

Of 443 non-industry interventional studies with no phase under Brain Injuries, Traumatic, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 64. This study's 22 months is below that.

Counting every sponsor, half of 465 studies reached it within 40 months; a quarter within 22 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 7, 2017
First posted
Sep 11, 2017
StartActual
Aug 16, 2017
Primary completionActual
Jun 30, 2019
CompletionActual
Jun 30, 2019
Last update
Jul 23, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03277859
Lead sponsor
VA Eastern Colorado Health Care System
Responsible party
Lisa Brenner (Director of Rocky Mountain Mental Illness, Research, Education and Clinical Center, VA Eastern Colorado Health Care System) — Principal investigator
First posted
Sep 11, 2017
Start date
Aug 16, 2017
Primary completion
Jun 30, 2019
Completion
Jun 30, 2019
Last update
Jul 23, 2019

Study contacts

Lisa A Brenner, PhD
principal investigator · VA Eastern Colorado Health Care System

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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