Goal-oriented Telehealth Rehabilitation of Executive Functioning for Veterans With Chronic TBI
Goal-oriented Rehabilitation of Executive Functioning Using Video-telehealth to Improve Community Reintegration for Veterans With Chronic TBI and Cognitive Difficulties
VA Office of Research and Development
80 participants
Apr 1, 2026
INTERVENTIONAL
Conditions
Summary
Provision of interventions that address cognitive and emotional problems faced by Veterans with history of TBI pursuing community reintegration is an important concern for VA. Using telerehabilitation, the current project will help determine whether goal-directed training of attentional control functions via personally relevant activities will improve community integration for Veterans with history of TBI and cognitive difficulties. Findings may guide rehabilitation training towards providing services to maximize success in attaining complex functional goals in which Veterans can engage in skill strengthening 'where they are' (any location).
Eligibility
Inclusion Criteria5
- History of mild to moderate TBI \> 6 months ago
- Cognitive difficulties affecting daily functioning
- Age 18-65
- Veteran
- At least 12th grade education or equivalent \* Interested in improving community reintegration
Exclusion Criteria4
- Amnesic/Severe memory problems
- Active Substance Abuse/Dependence
- Medical condition that may affect mental status/disrupt study participation
- Active psychotropic medication changes
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Interventions
The Goal-Oriented Attentional Self-regulation training involves ten 2-hour sessions of group-based telehealth training, three individual 1-hour telehealth training sessions, and approximately 20 hours of home practice. It is conducted in a small group format.
The EDU TH training is an active control training matched with GOALS TH for therapist time, homework load, and participation in a group. It involves ten 2-hour telehealth sessions of group-based training, three individual 1-hour telehealth training sessions, and approximately 20 hours of home practice.
Locations(1)
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NCT07190365