Traumatic Brain Injury Clinical Trial
Official title:
A Health & Wellness Intervention for Individuals With Traumatic Brain Injury
The primary goal of the proposed study is to evaluate the efficacy of a replicable community-based group intervention, designed to address both general wellness and specific TBI health-related issues. Emphasis is placed on goal setting to develop healthy habits, utilizing problem solving strategies, learning means of maintaining progress and setting new goals. Facilitators will utilize approaches aimed at maximizing participant self-efficacy, reducing barriers to health promotion, and developing personal resources. A randomized wait-list control group design will be used to evaluate the efficacy of the intervention. It is hypothesized that individuals with TBI who participate in the intervention group will report increased health promoting behaviors, health related self-efficacy, health-related quality of life, level of participation, and greater perceived wellness and satisfaction with life as compared to the control group.
Health promotion in the general population and in disability groups, such as individuals
with TBI, has been identified in recent decades as a specific need by the Surgeon General,
the U.S. Department of Health and Human Services Healthy People 2010, the NIDRR
Rehabilitation Research and Training Center (RRTC) on Health and Wellness and the Centers
for Disease Control and Prevention (CDC). Additionally, decreased quality of life and
increased health-related secondary conditions in TBI supports the need for health and
wellness promotion. A number of health and wellness programs have been developed for
specific disabled populations, with a few providing evidence for efficacy; however, no
evidence based program designed to meet the unique needs of individuals with TBI has been
identified. This proposal responds to the NIDRR Long Range Plan and the Healthy People 2010
call for further research in health promotion to improve quality of life, decrease
disability, and eliminate disparities in health within disability populations, specifically
those individuals with TBI.
The primary goal of the proposed study is to evaluate the efficacy of a replicable
community-based group intervention, designed to address both general wellness and specific
TBI health-related issues. Emphasis is placed on goal setting to develop healthy living
habits, utilize problem solving strategies, learn means of maintaining progress and set new
goals. Facilitators will utilize approaches aimed at maximizing participant self-efficacy,
reducing barriers to health promotion, and developing personal resources. A randomized
wait-list control group design will be used to evaluate the efficacy of the intervention.
It is hypothesized that individuals with TBI who participate in the intervention group will
report increased health promoting behaviors, health related self-efficacy, health-related
quality of life, level of participation, and greater perceived wellness and satisfaction
with life, than the control group. Intervention group members are expected to attain
individualized health and wellness goals, and maintain gains on follow-up at six months.
Findings from this study will advance knowledge regarding health and wellness intervention
for individuals with TBI, and may clarify areas of future research.
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Observational Model: Case Control, Time Perspective: Prospective
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