Problem-Solving Training for Concussion (PST-Concussion): A Brief, Skills-Focused Intervention to Improve Functional Outcomes in Veterans With mTBI and Co-occurring Mental Health Symptoms

Status: Recruiting
Location: See location...
Intervention Type: Behavioral, Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• English-speaking Veteran enrolled in VHA care;

• History of concussion (mild traumatic brain injury or mTBI);

• Current psychological distress;

• Subjective neurocognitive symptoms of \>= 3 months.

Locations
United States
New York
VA Western New York Healthcare System, Buffalo, NY
RECRUITING
Buffalo
Contact Information
Primary
Paul R King, PhD
paul.king2@va.gov
(716) 862-6038
Time Frame
Start Date: 2023-10-01
Estimated Completion Date: 2027-09-30
Participants
Target number of participants: 134
Treatments
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.
Sponsors
Leads: VA Office of Research and Development

This content was sourced from clinicaltrials.gov