TY - JOUR
T1 - Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI
T2 - A randomized controlled trial
AU - Winter, Laraine
AU - Moriarty, Helene J.
AU - Robinson, Keith
AU - Piersol, Catherine V.
AU - Vause-Earland, Tracey
AU - Newhart, Brian
AU - Iacovone, Delores Blazer
AU - Hodgson, Nancy
AU - Gitlin, Laura N.
N1 - Funding Information:
The content is solely the responsibility of the authors and does not necessarily represent the official views of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National institutes of Health, the position or policy of the Department of Veterans Affairs, or the United States government.
Publisher Copyright:
© 2016 Taylor and Francis Group, LLC.
PY - 2016/3/20
Y1 - 2016/3/20
N2 - Traumatic brain injury (TBI) often undermines community re-integration, impairs functioning and produces other symptoms. This study tested an innovative programme for veterans with TBI, the Veterans In-home Programme (VIP), delivered in veterans homes, involving a family member and targeting the environment (social and physical) to promote community re-integration, mitigate difficulty with the most troubling TBI symptoms and facilitate daily functioning.Setting: Interviews and intervention sessions were conducted in homes or by telephone.Participants: Eighty-one veterans with TBI at a VA polytrauma programme and a key family member.Design: This was a 2-group randomized controlled trial. Control-group participants received usual-care enhanced by two attention-control telephone calls. Follow-up interviews occurred up to 4 months after baseline interview.Main measures: VIPs efficacy was evaluated using measures of community re-integration, target outcomes reflecting veterans self-identified problems and self-rated functional competence.Results: At follow-up, VIP participants had significantly higher community re-integration scores and less difficulty managing targeted outcomes, compared to controls. Self-rated functional competence did not differ between groups. In addition, VIPs acceptability was high.Conclusion: A home-based, family-inclusive service for veterans with TBI shows promise for improving meaningful outcomes and warrants further research and clinical application.
AB - Traumatic brain injury (TBI) often undermines community re-integration, impairs functioning and produces other symptoms. This study tested an innovative programme for veterans with TBI, the Veterans In-home Programme (VIP), delivered in veterans homes, involving a family member and targeting the environment (social and physical) to promote community re-integration, mitigate difficulty with the most troubling TBI symptoms and facilitate daily functioning.Setting: Interviews and intervention sessions were conducted in homes or by telephone.Participants: Eighty-one veterans with TBI at a VA polytrauma programme and a key family member.Design: This was a 2-group randomized controlled trial. Control-group participants received usual-care enhanced by two attention-control telephone calls. Follow-up interviews occurred up to 4 months after baseline interview.Main measures: VIPs efficacy was evaluated using measures of community re-integration, target outcomes reflecting veterans self-identified problems and self-rated functional competence.Results: At follow-up, VIP participants had significantly higher community re-integration scores and less difficulty managing targeted outcomes, compared to controls. Self-rated functional competence did not differ between groups. In addition, VIPs acceptability was high.Conclusion: A home-based, family-inclusive service for veterans with TBI shows promise for improving meaningful outcomes and warrants further research and clinical application.
KW - Community reintegration
KW - family
KW - in-home service
KW - rehabilitation
KW - traumatic brain injury
KW - veterans
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U2 - 10.3109/02699052.2016.1144080
DO - 10.3109/02699052.2016.1144080
M3 - Article
C2 - 26983578
AN - SCOPUS:84961200304
SN - 0269-9052
VL - 30
SP - 373
EP - 387
JO - Brain Injury
JF - Brain Injury
IS - 4
ER -