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 - 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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UR - http://www.scopus.com/inward/citedby.url?scp=84961200304&partnerID=8YFLogxK
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 -