@article{ref1,
title="Multidimensional psychoeducative and counseling intervention (SAAM) for symptomatic patients with mild traumatic brain injury: a pilot randomized controlled trial",
journal="Journal of head trauma rehabilitation",
year="2021",
author="Audrit, Hélène and Beauchamp, Miriam H. and Tinawi, Simon and Laguë-Beauvais, Maude and Saluja, Rajeet and De Guise, Elaine",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To estimate feasibility and explore the treatment effect of a psychoeducative and counseling intervention program targeting 4 postconcussion symptoms (SAAM: Sleep/fatigue, Attention, Anxiety/mood, Memory). SETTING: Level 1 trauma center. PARTICIPANTS: Twenty-five patients with postconcussion symptoms enrolled 1 to 3 months post-accident. <br><br>DESIGN: Parallel-group (experimental and wait-list control), randomized controlled trial, with masked outcome assessment the week following the last intervention session. The Experimental group received the SAAM intervention (1 session/week during 4 weeks); care as usual was maintained for both groups. MAIN MEASURE: Rivermead Post-concussion Symptoms Questionnaire (RPQ). SECONDARY MEASURES: Hospital Anxiety and Depression Scale (HADS-A/-D); Pittsburgh Sleep Quality Index (PSQI); Multidimensional Fatigue Inventory (MFI); attention and memory neuropsychological battery; Community Integration Questionnaire (CIQ). TOLERABILITY MEASURE: A 10-item satisfaction questionnaire for the experimental group. <br><br>RESULTS: 15.67% of the participants evaluated for eligibility were randomized and completed the evaluation at T0. High rates of satisfaction regarding the SAAM intervention were found in the experimental group (n = 10). One participant (experimental group) withdrew after T0. Exploratory results showed that the group × time interaction was not significant, but had a large effect size for the RPQ (P =.051, η2 =.16) and HADS-D (P =.052, η2 = 0.17), and a significant interaction was found with a large effect size for the PSQI (P =.017, η2 =.24) and MFI (P =.041, η2 =.18). Post-hoc analyses revealed a significant reduction of these variables post-intervention. No significant group × time interaction was observed for cognitive measures and CIQ. <br><br>CONCLUSION: The pilot study demonstrates the feasibility and tolerability of the SAAM intervention. Preliminary data suggest that SAAM intervention delivered post-acutely might reduce postconcussion symptoms, depression symptoms, fatigue, and sleep difficulties. A larger scale randomized control trial is warranted to confirm these promising results.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000653",
url="http://dx.doi.org/10.1097/HTR.0000000000000653"
}