Traumatic Brain Injury Clinical Trial
Official title:
Improving Traumatic Brain Injury Rehabilitation Care Transitions With Community Health Services: A Randomized Clinical Trial (CHW Intervention for TBI Care Transitions [CHWI for TBI]), a Research Project Within the TBI Model System
TBI rehabilitation care transitions refer to the processes of preparing patients, families, and community-based healthcare providers for the patient's passage from inpatient rehabilitation to the home and community or to another level of care. Persons with TBI have heterogenous neurological impairment (cognitive and behavioral foremost, along with motor, sensory, and balance), that limits their functional independence and participation, and increases their risk for secondary medical conditions, injuries, rehospitalizations and early mortality
Once people with TBI and their care partners enter the post-acute care landscape, they must navigate fragmented health care systems, interact with providers who may be unfamiliar with TBI, and discover their own services and supports. Inpatient rehabilitation provides high levels of structure and professional support that are impossible to replicate when constructing a home environment to independently manage day-to-day care. Once home, the person with TBI's physical, cognitive, behavioral, and medical needs can easily overwhelm even the most committed care partners. Community health workers (CHWs) through a combination of care coordination, advocacy, and direct service delivery, have the potential to address TBI care partners' needs, particularly those from low income and/or traditionally underserved minority groups. CHWs are well-suited to fill resource gaps that TBI care partners have difficulty finding, including: (1) finding diagnostic, treatment, and social services; (2) assisting with referrals; (3) providing health education and motivational interviewing to support behavioral health change; (4) collecting and managing clinical data; (5) facilitating productive relationships between health services and communities, and (6) offering psychosocial support. ;
Status | Clinical Trial | Phase | |
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Terminated |
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N/A | |
Recruiting |
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N/A | |
Completed |
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N/A | |
Completed |
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N/A | |
Terminated |
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Recruiting |
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N/A | |
Recruiting |
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N/A | |
Completed |
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N/A | |
Recruiting |
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Managing Severe Traumatic Brain Injury (TBI) Without Intracranial Pressure Monitoring (ICP) Monitoring Guidelines
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N/A | |
Recruiting |
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Differences in Mortality and Morbidity in Patients Suffering a Time-critical Condition Between GEMS and HEMS
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Recruiting |
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Traumatic Brain Injury Associated Radiological DVT Incidence and Significance Study
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Completed |
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Exoskeleton Rehabilitation on TBI
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Recruiting |
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Transitioning to a Valve-Gated Intrathecal Drug Delivery System (IDDS)
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N/A | |
Recruiting |
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Remote Ischemic Conditioning in Traumatic Brain Injury
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N/A | |
Suspended |
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Changes in Glutamatergic Neurotransmission of Severe TBI Patients
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Early Phase 1 | |
Completed |
NCT03307070 -
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N/A | |
Recruiting |
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The Relationship Between Lipid Peroxidation Products From Traumatic Brain Injury and Secondary Coagulation Disorders
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Withdrawn |
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N/A | |
Withdrawn |
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N/A | |
Withdrawn |
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Evaluation of the Efficacy of Sodium Oxybate (Xyrem®) in Treatment of Post-traumatic Narcolepsy and Post-traumatic Hypersomnia
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Early Phase 1 |