Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI: A randomized controlled trial

Laraine Winter, Helene J. Moriarty, Keith Robinson, Catherine V. Piersol, Tracey Vause-Earland, Brian Newhart, Delores Blazer Iacovone, Nancy Hodgson, Laura N Gitlin

Research output: Contribution to journalArticle

Abstract

Objective: 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: VIP’s 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, VIP’s 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.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalBrain Injury
DOIs
Publication statusAccepted/In press - Mar 17 2016

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Keywords

  • Community reintegration
  • family
  • in-home service
  • rehabilitation
  • traumatic brain injury
  • veterans

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

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