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

Abstract

A home-based, family-inclusive service for veterans with TBI shows promise for improving meaningful outcomes and warrants further research and clinical application.

Self‐Reported Driving Difficulty in Veterans With Traumatic Brain Injury: Its Central Role in Psychological Well‐Being

“…The study sample was limited to veterans who served in Iraq and Afghanistan and were diagnosed and offered services at a VA medical rehabilitation service. The larger sample for the clinical trial [30] included 22 older veterans with TBI injured in previous wars cohorts (eg, Vietnam War veterans) with decades‐long injuries only recently diagnosed. Data from these veterans were not included in the present analyses because comorbidities (eg, arthritis, visual problems) associated with their older ages or other health problem occurring in the years since injury could confound effects of TBI.…”

Patient- and Family-Identified Problems of Traumatic Brain Injury: Value and Utility of a Target Outcome Approach to Identifying the Worst Problems

“…21,22 Winter and colleagues used this approach in a study of veterans with TBI and their key family members as part of a larger randomized control trial that evaluated an innovative inhome, family-inclusive program for veterans with TBI, the Veterans' In-home Program (VIP). 23 Quantitative data from the target outcomes (i.e. the Likert-scaled ratings of difficulty managing each problem identified by participants) served as an outcome in that trial.…”

Impact of TBI on caregivers of veterans with TBI: Burden and interventions

“…Family members received education and support and were actively involved in the intervention. After programme completion, VIP family members reported less depression and lower perceived burden [29], and Veterans had better community re-integration and less difficulty managing everyday problems related to TBI [30] compared to the standard of care controls. Perlick and colleagues [31] developed a Veterans Multi-Family Group offered in three phases: (1) joining in which clinicians met with individual families for two or three sessions to evaluate on-going problems and define treatment goals, (2) two three-hour educational workshops about TBI for Veterans with TBI and their caregivers and (3) bimonthly problem-solving multifamily group meetings attended by Veterans and their families for 6 months.…”

“…Initial evaluation of the group indicated improved satisfaction and quality of relationship. Winter, Moriarty and others [29,30] at the Veterans Affairs Medical Center in Philadelphia developed the Veterans' In-home Program (VIP) and evaluated its impact on 81 dyads consisting of a Veteran with TBI and a family member compared to standard care in a RCT. VIP involved 6 in-home visits by an occupational therapist and 2 telephone contacts over a 3-4 month period.…”