RecruitingNot ApplicableNCT04614922

Acceptance and Commitment Therapy-based Rehabilitation of Post-concussion Symptoms

Acceptance and Commitment Therapy-based Rehabilitation of Post-concussion Symptoms: a Randomized Controlled Trial

Sponsor

St. Olavs Hospital

Enrollment

48 participants

Start Date

Oct 29, 2020

Study Type

INTERVENTIONAL

Conditions

Post-Concussion Syndrome Post-Traumatic Headache

Summary

The investigators aim to evaluate effects of an outpatient rehabilitation program based on Acceptance and Commitment Therapy compared to usual care on function in patients with post-concussion syndrome (PCS) and post-traumatic headache (PTH). This study builds on the investigators' previous observational studies and treatment studies in this patient group.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria5

Having sustained a minimal HI or MTBI
PCS/ PTH had evolved within 1 week after the head trauma.
At least one post-concussion symptoms of at least moderate degree, that affects daily life.
\> 6 months post-injury.
First line treatment has been tried, e.g. psychoeducation, increase of physical activity and pharmacological treatments for headache

Exclusion Criteria4

More than 5 years since last injury.
Symptoms are better explained by other conditions.
Severe communication problems, typically due to poor knowledge of Norwegian.
Severe psychiatric, neurological, somatic or substance abuse disorders that will make it problematic to function in a group and/or will complicate follow-up and outcome assessment.

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Interventions

BEHAVIORALAcceptance and Commitment Therapy

ACT-based rehabilitation is an interdisciplinary group rehabilitation which includes 7 sessions of group-based ACT therapy. Each session lasts 2½ hours and is offered twice a week. The ACT sessions will be based on a detailed intervention manual, developed specifically for group treatment. Each group will include a maximum of eight patients. The patients are asked to do homework between each ACT-group session.