About this trial
The purpose of this study is to learn about the potential benefits of two different training programs in helping improve emotional health and well-being in people who have had a traumatic brain injury.
Participants will be assigned to one of two programs based on the time since their injury. One of the programs will teach participants how to recognize and label emotions; the other will teach healthy ways of living. Participants may improve their emotional well-being and contribute to the knowledge needed to achieve better emotional health outcomes for people with TBI.
For eligible participants, the study includes 4 assessments. Assessments may take 30-60 minutes and will be done using secure videoconferencing, phone calls, and/or electronic surveys. The first assessment will ask questions about demographics, the participant's brain injury, and some medical history. All assessments will include questions about emotions, emotional awareness, resilience, loneliness, and how participants manage emotions, in addition to broader wellness questions and questions about how participants interact with others.
Regardless of the program, the training includes 8 one-on-one sessions with a trained staff member over the course of about 1 month. Each session will last approximately 60-90 minutes. These sessions will start shortly after completing the first assessment. Preferably, participants will complete 1-2 training sessions a week, depending on availability and preference. These sessions will include education, discussion, and practice exercises.
After the program is finished, participants will be asked to complete the same surveys completed at baseline for three follow-up time points (immediately following the program, 3 months after the program, and 6 months after). Total participation in the study will last approximately 8 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Moderate or Severe TBI
≥18 years old
≥6 months post-TBI
Speaks and understands English
Disqualifiers
Premorbid neurological disorder other than TBI
Degenerative neurologic condition
Active or uncontrolled major psychiatric disorder
Conditions that pose safety concern to self or others, such as suicide risk
Trial design
Parallel
Treatments tested in this trial
TREAT-A
BehavioralThe TREAT-A program will teach participants how to recognize, label, and differentiate their emotions. The program will cover ways to reduce feeling "confused" or numb, and decrease the feelings of anger, stress and being overwhelmed.
TREAT-B
BehavioralThe TREAT-B program will teach participants strategies to improve their overall brain health and functioning. It will also teach participants how to develop and work towards individualized short-term and long-term goals aimed at improving their quality of life.
Treatment groups
Trial outcomes
Primary outcomes
Ineligibility and Attrition Rates
Data will be tracked on the number of individuals who were ineligible (and reasons for ineligibility) as well as withdrawals (reasons for withdrawal) and /or number of participants who become "lost" (no longer able to contact).
Satisfaction Survey and Interview
Range: Min/ Max = 1 to 5 Lower scores are worse; higher scores are more satisfied
Interventionist Evaluation of Session Participation
Range: Min/Max = 6 to 24 Internal assessment completed by the interventionist at the end of each training session.
Patient Global Impression of Change (PGIC) emotional functioning and quality of life
Range: Min/ Max = 1 to 7 Lower scores are worse; higher scores are better.
Secondary outcomes
Toronto Alexithymia Scale-20
Range: Min/ Max = 20 to 100 Lower scores indicate less alexithymia (good); higher scores indicate greater alexithymia (bad)
Difficulty with Emotion Regulation Scale (DERS; Co-Primary outcome)
Range: Min/ Max = 36 to 180 Lower scores indicate less dysregulation (good); higher scores indicate more dysregulation (bad)
Brief Resilience Scale
Range: Min/ Max = 6 to 30 Lower scores indicate worse resilience; higher scores indicate better resilience
Sponsors and contacts
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