About this trial
This study will first evaluate the feasibility of delivering the ENGAGE-TBI intervention in a community setting with adults with TBI.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
at least 18 years old
experienced a TBI > 6 months prior to enrollment, confirmed by a physician as documented in their medical record
live in the St. Louis area
report problems with social participation (retention of < 80% of pre-TBI social activities as measured by Activity Card Sort)
Disqualifiers
insufficient English language fluency to participate in the group intervention
have active substance use disorder (PRIME-MD MINI)
have an untreated psychotic disorder (PRIME-MD MINI)
have severe memory impairment that would limit their ability to recall strategies with support (Montreal Cognitive Assessment, < 21)
Trial design
Single group
Treatments tested in this trial
Social intervention study for TBI survivors
BehavioralENGAGE-TBI is a community-based group intervention that is co-facilitated by an occupational therapist and a person with a brain injury. ENGAGE-TBI incorporates social learning, guided problem-solving, and skilled practice of strategies to achieve social participation goals. It is delivered in 12 90-minute group sessions that are held twice per week for 6 weeks. Aside from community outings, sessions will take place at the Brain Injury Association of Missouri on a separate day and time from education group sessions.
Treatment groups
Trial outcomes
Primary outcomes
Client Satisfaction Questionnaire-8
8-item measure of intervention satisfaction with a 4-point Likert scale (8-32); higher scores indicate greater satisfaction
Pittsburgh Rehabilitation Participation Scale
Interventionist-administered measure of engagement in each intervention session; reported on a 1-6 scale, with higher scores indicating greater participation.
PROMIS (Patient-Reported Outcome Measures Information System) Ability to Participate in Social Roles and Activities
Computer adaptive test examining social participation abilities; scores reported as T-scores (0-100 scale, with higher scores indicating greater participation)
Secondary outcomes
PROMIS (Patient-Reported Outcome Measures Information System) Social Isolation
Computer Adaptive Test examining social isolation; scores reported as T-scores (0-100 scale, higher scores indicate higher isolation)
PROMIS-29 (Patient-Reported Outcome Measures Information System)
29-item measure of multiple health domains using a 5-point Likert scale and reported as T-scores (0-100 scale, lower scores indicate greater health)
Sponsors and contacts
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Washington University School of Medicine
Lead sponsor
American Occupational Therapy Foundation
Collaborator