Problem-Solving Training for Concussion
Problem-Solving Training for Concussion (PST-Concussion): A Brief, Skills-Focused Intervention to Improve Functional Outcomes in Veterans With mTBI and Co-occurring Mental Health Symptoms
VA Office of Research and Development
134 participants
Oct 1, 2023
INTERVENTIONAL
Conditions
Summary
Mild traumatic brain injury (mTBI), also known as concussion, is a common injury sustained by Veterans. While most individuals who sustain mTBI experience a complete recovery within several weeks of injury, many Veterans with history of mTBI report frequent and long-lasting neurobehavioral complaints and functional impairment. Though research suggests that these outcomes are strongly influenced by co-occurring conditions such as post-traumatic stress disorder, depression, and chronic pain, evidence-based interventions capable of addressing this wide array of concerns are lacking. This study seeks to address this gap by evaluating the effectiveness of a brief and flexible behavioral health treatment (Problem-Solving Training for Concussion, or PST-Concussion), which was designed to be delivered by generalist providers working in VA primary care settings. If PST-Concussion is shown to be effective, this skills-focused intervention may help improve Veterans' recovery experience following mTBI.
Eligibility
Inclusion Criteria4
- English-speaking Veteran enrolled in VHA care;
- History of concussion (mild traumatic brain injury or mTBI);
- Current psychological distress;
- Subjective neurocognitive symptoms of \>= 3 months.
Exclusion Criteria5
- Moderate to severe TBI or other major neurocognitive disorder;
- Psychotic disorder (e.g., schizophrenia spectrum disorder, delusional disorder, bipolar or depressive disorder with psychotic features);
- Acute suicidal ideation;
- Inpatient psychiatric hospitalization within the past 12 months;
- Other illness/ condition that would preclude or predictably influence ability to engage in study visits, as determined by the study team.
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Interventions
PST-Concussion is a combined treatment consisting of brief problem-solving training, standard concussion education, motivational interviewing, goal-setting, and compensatory cognitive strategies.
Patients assigned to TAU will receive the care that they and their providers determine is necessary to best manage their presenting concerns.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05837676