Citation

Winter L, Moriarty HJ, Robinson K, Piersol CV, Vause-Earland T, Newhart B, Iacovone DB, Hodgson N, Gitlin LN. Brain Inj. 2016; 30(4): 373-387.

Affiliation

The Center for Innovative Care in Aging, School of Nursing, Johns Hopkins University , Baltimore , MD , USA.

Copyright

(Copyright © 2016, Informa - Taylor and Francis Group)

DOI

10.3109/02699052.2016.1144080

PMID

26983578

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.

Language: en