RecruitingNot ApplicableNCT06956417

REhabilitation of MEMory Symptoms After BRain Concussion


Sponsor

University of British Columbia

Enrollment

184 participants

Start Date

Jul 2, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Persistent memory symptoms after concussion are common, and likely perpetuated by unhelpful illness beliefs and coping behaviors. Results from a pilot study suggested that traditional cognitive rehabilitation and a novel cognitive-behavioral therapy (CBT) protocol were both associated with improvements in subjective memory functioning. The present study will more definitively compare the effectiveness of these interventions for improving subjective memory functioning after concussion.


Eligibility

Min Age: 18 YearsMax Age: 59 Years

Inclusion Criteria6

  • Age 18-59
  • Concussion diagnosis confirmed with structured interview based on American Congress of Rehabilitation Medicine diagnostic criteria
  • Concussion occurred between 6 and 36 months before enrollment
  • Ongoing memory concerns
  • Fluent in English
  • Stable access to a computer, tablet, or smartphone with internet capability

Exclusion Criteria2

  • Fail performance validity testing
  • Comorbid psychiatric or neurological disorder or is taking a medication that could fully account for their memory symptoms

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Interventions

BEHAVIORALCognitive behavioral therapy

Cognitive behavioral therapy (CBT) is delivered by a psychologist over 10 individual (1:1) manualized videoconference sessions. The goal of this therapy is for participants to use their memory more normally (i.e., reduce avoidance and safety behaviors) and view memory lapses as less threatening.

BEHAVIORALCognitive rehabilitation

Cognitive compensatory strategy training (CCST), a traditional cognitive rehabilitation intervention, is delivered by a Occupational Therapist over 10 individual (1:1) manualized videoconference sessions. Participants optimize their use of current compensatory strategies and/or learn new ones suited to their needs and lifestyle. The goal is to minimize memory lapses in daily life.


Locations(9)

Calgary Brain Injury Program

Calgary, Alberta, Canada

Fraser Health Acquired Brain Injury and Concussion Services

Langley, British Columbia, Canada

G.F. Strong Adult Concussion Services

Vancouver, British Columbia, Canada

Integrated Adult Concussion Program at Hamilton Health Sciences

Hamilton, Ontario, Canada

360 Concussion Care Clinic

Ottawa, Ontario, Canada

Sunnybrook Traumatic Brain Injury Clinic

Toronto, Ontario, Canada

Head Injury Clinic at St. Michael's Hospital

Toronto, Ontario, Canada

Hull-Ellis Concussion and Research Clinic at University Health Network

Toronto, Ontario, Canada

Canadian Concussion Centre at Toronto Western Hospital

Toronto, Ontario, Canada

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NCT06956417


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