TY  - JOUR
PY  - 2016//
TI  - Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI: a randomized controlled trial
JO  - Brain injury
A1  - Winter, Laraine
A1  - Moriarty, Helene J.
A1  - Robinson, Keith
A1  - Piersol, Catherine V.
A1  - Vause-Earland, Tracey
A1  - Newhart, Brian
A1  - Iacovone, Delores Blazer
A1  - Hodgson, Nancy
A1  - Gitlin, Laura N.
SP  - 373
EP  - 387
VL  - 30
IS  - 4
N2  - 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. <br><br>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. <br><br>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. <br><br>CONCLUSION: A home-based, family-inclusive service for veterans with TBI shows promise for improving meaningful outcomes and warrants further research and clinical application.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.3109/02699052.2016.1144080
ID  - ref1
ER  -