Scheduled telephone intervention for traumatic brain injury: A multicenter randomized controlled trial

Kathleen R. Bell, Jo Ann Brockway, Tessa Hart, John Whyte, Mark Sherer, Robert T. Fraser, Nancy R. Temkin, Sureyya S. Dikmen

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Bell KR, Brockway JA, Hart T, Whyte J, Sherer M, Fraser RT, Temkin NR, Dikmen SS. Scheduled telephone intervention for traumatic brain injury: a multicenter randomized controlled trial. Objective: To evaluate the effect of a Scheduled Telephone Intervention (STI) compared with usual care (UC) on function, health/emotional status, community/work activities, and well-being at 1 and 2 years after traumatic brain injury (TBI). Design: Two group, randomized controlled trial. Setting: Telephone contacts with subjects recruited in inpatient rehabilitation. Participants: Eligible subjects (N=433) with TBI (age>16y) were randomly assigned to STI plus UC (n=210) or UC (n=223) at discharge. STI subjects (n=169) completed the outcome at year 1 (118 at year 2) and 174 UC subjects at year 1 (123 at year 2). Interventions: STI subjects received calls at 2 and 4 weeks and 2, 3, 5, 7, 9, 12, 15, 18, and 21 months consisting of brief training in problem solving, education, or referral. Main Outcome Measures: A composite outcome at 1 year was the primary endpoint. Analysis on intent-to-treat basis used linear regression adjusted for site, Glasgow Coma Scale, race/ethnicity, age, FIM, sex, and Disability Rating Scale (DRS). Secondary analyses were conducted on individual and composite measures (FIM, DRS, community participation indicators, Glasgow Outcome Scale [Extended], Short Form-12 Health Survey, Brief Symptom Inventory-18, EuroQOL, and modified Perceived Quality of Life). Results: No significant differences were noted between the groups at years 1 or 2 for primary (P=.987 regression for year 1, P=.983 for year 2) or secondary analyses. Conclusions: This study failed to replicate the findings of a previous single center study of telephone-based counseling. While telephone mediated treatment has shown promise in other studies, this model of flexible counseling in problem solving and education for varied problems was not effective over and above usual care.

Original languageEnglish (US)
Pages (from-to)1552-1560
Number of pages9
JournalArchives of Physical Medicine and Rehabilitation
Volume92
Issue number10
DOIs
StatePublished - Oct 2011

Fingerprint

Telephone
Randomized Controlled Trials
Counseling
Glasgow Outcome Scale
Education
Glasgow Coma Scale
Traumatic Brain Injury
Health Surveys
Health Status
Inpatients
Linear Models
Referral and Consultation
Rehabilitation
Quality of Life
Outcome Assessment (Health Care)
Equipment and Supplies

Keywords

  • Brain injuries
  • Rehabilitation
  • Telephone
  • Treatment outcome

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Scheduled telephone intervention for traumatic brain injury : A multicenter randomized controlled trial. / Bell, Kathleen R.; Brockway, Jo Ann; Hart, Tessa; Whyte, John; Sherer, Mark; Fraser, Robert T.; Temkin, Nancy R.; Dikmen, Sureyya S.

In: Archives of Physical Medicine and Rehabilitation, Vol. 92, No. 10, 10.2011, p. 1552-1560.

Research output: Contribution to journalArticle

Bell, Kathleen R. ; Brockway, Jo Ann ; Hart, Tessa ; Whyte, John ; Sherer, Mark ; Fraser, Robert T. ; Temkin, Nancy R. ; Dikmen, Sureyya S. / Scheduled telephone intervention for traumatic brain injury : A multicenter randomized controlled trial. In: Archives of Physical Medicine and Rehabilitation. 2011 ; Vol. 92, No. 10. pp. 1552-1560.
@article{84fdfeb79f7b46fea26eb37606ab6142,
title = "Scheduled telephone intervention for traumatic brain injury: A multicenter randomized controlled trial",
abstract = "Bell KR, Brockway JA, Hart T, Whyte J, Sherer M, Fraser RT, Temkin NR, Dikmen SS. Scheduled telephone intervention for traumatic brain injury: a multicenter randomized controlled trial. Objective: To evaluate the effect of a Scheduled Telephone Intervention (STI) compared with usual care (UC) on function, health/emotional status, community/work activities, and well-being at 1 and 2 years after traumatic brain injury (TBI). Design: Two group, randomized controlled trial. Setting: Telephone contacts with subjects recruited in inpatient rehabilitation. Participants: Eligible subjects (N=433) with TBI (age>16y) were randomly assigned to STI plus UC (n=210) or UC (n=223) at discharge. STI subjects (n=169) completed the outcome at year 1 (118 at year 2) and 174 UC subjects at year 1 (123 at year 2). Interventions: STI subjects received calls at 2 and 4 weeks and 2, 3, 5, 7, 9, 12, 15, 18, and 21 months consisting of brief training in problem solving, education, or referral. Main Outcome Measures: A composite outcome at 1 year was the primary endpoint. Analysis on intent-to-treat basis used linear regression adjusted for site, Glasgow Coma Scale, race/ethnicity, age, FIM, sex, and Disability Rating Scale (DRS). Secondary analyses were conducted on individual and composite measures (FIM, DRS, community participation indicators, Glasgow Outcome Scale [Extended], Short Form-12 Health Survey, Brief Symptom Inventory-18, EuroQOL, and modified Perceived Quality of Life). Results: No significant differences were noted between the groups at years 1 or 2 for primary (P=.987 regression for year 1, P=.983 for year 2) or secondary analyses. Conclusions: This study failed to replicate the findings of a previous single center study of telephone-based counseling. While telephone mediated treatment has shown promise in other studies, this model of flexible counseling in problem solving and education for varied problems was not effective over and above usual care.",
keywords = "Brain injuries, Rehabilitation, Telephone, Treatment outcome",
author = "Bell, {Kathleen R.} and Brockway, {Jo Ann} and Tessa Hart and John Whyte and Mark Sherer and Fraser, {Robert T.} and Temkin, {Nancy R.} and Dikmen, {Sureyya S.}",
year = "2011",
month = "10",
doi = "10.1016/j.apmr.2011.05.018",
language = "English (US)",
volume = "92",
pages = "1552--1560",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "10",

}

TY - JOUR

T1 - Scheduled telephone intervention for traumatic brain injury

T2 - A multicenter randomized controlled trial

AU - Bell, Kathleen R.

AU - Brockway, Jo Ann

AU - Hart, Tessa

AU - Whyte, John

AU - Sherer, Mark

AU - Fraser, Robert T.

AU - Temkin, Nancy R.

AU - Dikmen, Sureyya S.

PY - 2011/10

Y1 - 2011/10

N2 - Bell KR, Brockway JA, Hart T, Whyte J, Sherer M, Fraser RT, Temkin NR, Dikmen SS. Scheduled telephone intervention for traumatic brain injury: a multicenter randomized controlled trial. Objective: To evaluate the effect of a Scheduled Telephone Intervention (STI) compared with usual care (UC) on function, health/emotional status, community/work activities, and well-being at 1 and 2 years after traumatic brain injury (TBI). Design: Two group, randomized controlled trial. Setting: Telephone contacts with subjects recruited in inpatient rehabilitation. Participants: Eligible subjects (N=433) with TBI (age>16y) were randomly assigned to STI plus UC (n=210) or UC (n=223) at discharge. STI subjects (n=169) completed the outcome at year 1 (118 at year 2) and 174 UC subjects at year 1 (123 at year 2). Interventions: STI subjects received calls at 2 and 4 weeks and 2, 3, 5, 7, 9, 12, 15, 18, and 21 months consisting of brief training in problem solving, education, or referral. Main Outcome Measures: A composite outcome at 1 year was the primary endpoint. Analysis on intent-to-treat basis used linear regression adjusted for site, Glasgow Coma Scale, race/ethnicity, age, FIM, sex, and Disability Rating Scale (DRS). Secondary analyses were conducted on individual and composite measures (FIM, DRS, community participation indicators, Glasgow Outcome Scale [Extended], Short Form-12 Health Survey, Brief Symptom Inventory-18, EuroQOL, and modified Perceived Quality of Life). Results: No significant differences were noted between the groups at years 1 or 2 for primary (P=.987 regression for year 1, P=.983 for year 2) or secondary analyses. Conclusions: This study failed to replicate the findings of a previous single center study of telephone-based counseling. While telephone mediated treatment has shown promise in other studies, this model of flexible counseling in problem solving and education for varied problems was not effective over and above usual care.

AB - Bell KR, Brockway JA, Hart T, Whyte J, Sherer M, Fraser RT, Temkin NR, Dikmen SS. Scheduled telephone intervention for traumatic brain injury: a multicenter randomized controlled trial. Objective: To evaluate the effect of a Scheduled Telephone Intervention (STI) compared with usual care (UC) on function, health/emotional status, community/work activities, and well-being at 1 and 2 years after traumatic brain injury (TBI). Design: Two group, randomized controlled trial. Setting: Telephone contacts with subjects recruited in inpatient rehabilitation. Participants: Eligible subjects (N=433) with TBI (age>16y) were randomly assigned to STI plus UC (n=210) or UC (n=223) at discharge. STI subjects (n=169) completed the outcome at year 1 (118 at year 2) and 174 UC subjects at year 1 (123 at year 2). Interventions: STI subjects received calls at 2 and 4 weeks and 2, 3, 5, 7, 9, 12, 15, 18, and 21 months consisting of brief training in problem solving, education, or referral. Main Outcome Measures: A composite outcome at 1 year was the primary endpoint. Analysis on intent-to-treat basis used linear regression adjusted for site, Glasgow Coma Scale, race/ethnicity, age, FIM, sex, and Disability Rating Scale (DRS). Secondary analyses were conducted on individual and composite measures (FIM, DRS, community participation indicators, Glasgow Outcome Scale [Extended], Short Form-12 Health Survey, Brief Symptom Inventory-18, EuroQOL, and modified Perceived Quality of Life). Results: No significant differences were noted between the groups at years 1 or 2 for primary (P=.987 regression for year 1, P=.983 for year 2) or secondary analyses. Conclusions: This study failed to replicate the findings of a previous single center study of telephone-based counseling. While telephone mediated treatment has shown promise in other studies, this model of flexible counseling in problem solving and education for varied problems was not effective over and above usual care.

KW - Brain injuries

KW - Rehabilitation

KW - Telephone

KW - Treatment outcome

UR - http://www.scopus.com/inward/record.url?scp=80053535899&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053535899&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2011.05.018

DO - 10.1016/j.apmr.2011.05.018

M3 - Article

C2 - 21963122

AN - SCOPUS:80053535899

VL - 92

SP - 1552

EP - 1560

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 10

ER -