Problem-Solving Training for Concussion
Mild traumatic brain injury (mTBI), also known as concussion, is a common injury sustained by Veterans. While most individuals who sustain mTBI experience a complete recovery within several weeks of injury, many Veterans with history of mTBI report frequent and long-lasting neurobehavioral complaints and functional impairment. Though research suggests that these outcomes are strongly influenced by co-occurring conditions such as post-traumatic stress disorder, depression, and chronic pain, evidence-based interventions capable of addressing this wide array of concerns are lacking. This study seeks to address this gap by evaluating the effectiveness of a brief and flexible behavioral health treatment (Problem-Solving Training for Concussion, or PST-Concussion), which was designed to be delivered by generalist providers working in VA primary care settings. If PST-Concussion is shown to be effective, this skills-focused intervention may help improve Veterans' recovery experience following mTBI.
Conditions:
🦠 Brain Concussion
🗓️ Study Start (Actual) 1 November 2023
🗓️ Primary Completion (Estimated) 31 March 2027
✅ Study Completion (Estimated) 30 September 2027
👥 Enrollment (Estimated) 134
🔬 Study Type INTERVENTIONAL
📊 Phase NA
Locations:
📍 Buffalo, New York, United States

📋 Eligibility Criteria

Description

    Inclusion Criteria:

    • * English-speaking Veteran enrolled in VHA care;
    • * History of concussion (mild traumatic brain injury or mTBI);
    • * Current psychological distress;
    • * Subjective neurocognitive symptoms of \>= 3 months.

    Exclusion Criteria:

    • * Moderate to severe TBI or other major neurocognitive disorder;
    • * Psychotic disorder (e.g., schizophrenia spectrum disorder, delusional disorder, bipolar or depressive disorder with psychotic features);
    • * Acute suicidal ideation;
    • * Inpatient psychiatric hospitalization within the past 12 months;
    • * Other illness/ condition that would preclude or predictably influence ability to engage in study visits, as determined by the study team.
Ages Eligible for Study: 18 Years to N/A (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: No

🗓️ Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

  • First Submitted 19 April 2023
  • First Submitted that Met QC Criteria 19 April 2023
  • First Posted 1 May 2023

Study Record Updates

  • Last Update Submitted that Met QC Criteria 3 November 2023
  • Last Update Posted 7 November 2023
  • Last Verified November 2023