Concussion treatment after combat trauma: Development of a telephone based, problem solving intervention for service members

Kathleen R. Bell, Jo Ann Brockway, Jesse R. Fann, Wesley R. Cole, Jef St De Lore, Nigel Bush, Ariel J. Lang, Tessa Hart, Michael Warren, Sureyya Dikmen, Nancy Temkin, Sonia Jain, Rema Raman, Murray B. Stein

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Military service members (SMs) and veterans who sustain mild traumatic brain injuries (mTBI) during combat deployments often have co-morbid conditions but are reluctant to seek out therapy in medical or mental health settings. Efficacious methods of intervention that are patient-centered and adaptable to a mobile and often difficult-to-reach population would be useful in improving quality of life. This article describes a new protocol developed as part of a randomized clinical trial of a telephone-mediated program for SMs with mTBI. The 12-session program combines problem solving training (PST) with embedded modules targeting depression, anxiety, insomnia, and headache. The rationale and development of this behavioral intervention for implementation with persons with multiple co-morbidities is described along with the proposed analysis of results. In particular, we provide details regarding the creation of a treatment that is manualized yet flexible enough to address a wide variety of problems and symptoms within a standard framework. The methods involved in enrolling and retaining an often hard-to-study population are also highlighted.

Original languageEnglish (US)
Pages (from-to)54-62
Number of pages9
JournalContemporary Clinical Trials
Volume40
DOIs
StatePublished - Jan 1 2015

Keywords

  • Brain Injury
  • Concussion
  • Military
  • Problem solving training
  • Telehealth
  • Telephone intervention

ASJC Scopus subject areas

  • Pharmacology (medical)

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    Bell, K. R., Brockway, J. A., Fann, J. R., Cole, W. R., De Lore, J. S., Bush, N., Lang, A. J., Hart, T., Warren, M., Dikmen, S., Temkin, N., Jain, S., Raman, R., & Stein, M. B. (2015). Concussion treatment after combat trauma: Development of a telephone based, problem solving intervention for service members. Contemporary Clinical Trials, 40, 54-62. https://doi.org/10.1016/j.cct.2014.11.001