Problem-Solving Training for Concussion

Part of paid clinical trials in Buffalo, New York.

Sponsor
VA Office of Research and Development
Study ID
NCT05837676
Status
Recruiting
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Conditions

  • Brain Concussion

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Problem Solving Training for Concussion — BEHAVIORAL
    PST-Concussion is a combined treatment consisting of brief problem-solving training, standard concussion education, motivational interviewing, goal-setting, and compensatory cognitive strategies.
  • Treatment as usual — OTHER
    Patients assigned to TAU will receive the care that they and their providers determine is necessary to best manage their presenting concerns.

Study Details

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.

Key Dates

Start date
Oct 1, 2023
Status verified
Sep 2025
Primary completion
Mar 31, 2027
Completion
Sep 30, 2027

Study Design

Enrollment
134 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: PST-Concussion
    Treatment arm. Six, approximately 30-minute telehealth treatment sessions comprised of brief problem-solving training, standard concussion education, motivational interviewing, goal-setting, and compensatory cognitive strategies.
  • Other: Treatment as usual (TAU)
    Control arm. Primary care treatment as usual. Patients assigned to TAU will receive the care that they and their providers determine is necessary to best manage their presenting concerns.

Primary Outcome Measure

Brief Symptom Inventory-18 (BSI-18) Global Severity Index T-Score [ Time Frame: Up to 24 weeks ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
VA Western New York Healthcare System, Buffalo, NYBuffaloNew York14215-1129
Paul R King, PhD
[email protected]
716-862-6038
Paul R. King, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
VA Western New York Healthcare System, Buffalo, NY· Buffalo, NY

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