دورية أكاديمية
Efficacy and Implementation Planning Across the Veterans Affairs Polytrauma System of Care: Protocol for the REACH Intervention for Caregivers of Veterans and Service Members With Traumatic Brain Injury.
| العنوان: | Efficacy and Implementation Planning Across the Veterans Affairs Polytrauma System of Care: Protocol for the REACH Intervention for Caregivers of Veterans and Service Members With Traumatic Brain Injury. |
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| المؤلفون: | Perrin PB; School of Data Science, University of Virginia, Charlottesville, VA, United States.; Central Virginia Veterans Affairs Health Care System, Richmond, VA, United States., Haun JN; Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, UT, United States.; James A. Haley Veterans' Hospital, Tampa, FL, United States., Klyce DW; Central Virginia Veterans Affairs Health Care System, Richmond, VA, United States.; Department of Physical Medicine & Rehabilitation, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States.; Sheltering Arms Institute, Richmond, VA, United States., Melillo C; Seattle-Denver Center of Innovation, Rocky Mountain Regional VA Medical Center, Aurora, VA, United States., Nakase-Richardson R; James A. Haley Veterans' Hospital, Tampa, FL, United States.; Division of Pulmonary and Sleep Medicine, Department of Internal Medicine, University of South Florida, Tampa, FL, United States., Seel RT; Department of Physical Medicine & Rehabilitation, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States., Martindale-Adams J; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.; Lt. Col. Luke Weathers, Jr. Veterans Affairs Medical Center, Memphis, TN, United States., Nichols LO; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.; Lt. Col. Luke Weathers, Jr. Veterans Affairs Medical Center, Memphis, TN, United States., Perera RA; Department of Biostatistics, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States., Xia B; School of Data Science, University of Virginia, Charlottesville, VA, United States.; Central Virginia Veterans Affairs Health Care System, Richmond, VA, United States., Hahm B; Edward Hines, Jr. VA Hospital, Hines, IL, United States., Zuber J; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.; Lt. Col. Luke Weathers, Jr. Veterans Affairs Medical Center, Memphis, TN, United States. |
| المصدر: | JMIR research protocols [JMIR Res Protoc] 2024 Aug 15; Vol. 13, pp. e57692. Date of Electronic Publication: 2024 Aug 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Internet ISSN: 1929-0748 (Electronic) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Toronto : JMIR Publications |
| مواضيع طبية MeSH: | Brain Injuries, Traumatic*/therapy , Brain Injuries, Traumatic*/nursing , Caregivers*/psychology , Veterans*/psychology , United States Department of Veterans Affairs*/organization & administration, Humans ; United States ; Multiple Trauma/therapy ; Multiple Trauma/nursing ; Military Personnel/psychology ; Male ; Female ; Telemedicine ; Adult |
| مستخلص: | Background: The responsibility of care for Veterans and Service Members (V/SMs) with traumatic brain injury (TBI) often defaults to informal family caregivers. Caregiving demands considerable knowledge, skill, and support to facilitate the health and well-being of V/SMs and themselves. Persistent and common TBI caregiver issues include strain, depression, and anxiety. While evidence-based, brief interventions have been developed and implemented for family caregivers in Veteran neurodegenerative populations, few interventions have been developed, adapted, or tested to support the unique needs of caregivers of V/SMs with TBI. Objective: This study will adapt and test an evidence-based, personalized, 6-session telehealth caregiver intervention, "Resources for Enhancing All Caregivers' Health" (REACH), to meet the unique needs of caregivers of V/SMs with TBI. If successful, a community-based participatory research team will develop an implementation plan to roll out REACH TBI across the national Veterans Affairs Polytrauma System of Care. Methods: This mixed methods, crossover waitlist control clinical trial will use a Type 1 Hybrid Effectiveness-Implementation approach to adapt and then test the effects of REACH TBI on key TBI caregiver outcomes. Results: This study was funded by the Department of Defense in September 2023. Participant enrollment and data collection will begin in 2024. Conclusions: If effective, REACH TBI will be the first evidence-based intervention for caregivers of V/SMs with TBI that can be scaled to implement across the Veterans Affairs Polytrauma System of Care and fill a notable gap in clinical services. International Registered Report Identifier (irrid): PRR1-10.2196/57692. (©Paul B Perrin, Jolie N Haun, Daniel W Klyce, Christine Melillo, Risa Nakase-Richardson, Ronald T Seel, Jennifer Martindale-Adams, Linda O Nichols, Robert A Perera, Bridget Xia, Bridget Hahm, Jeffrey Zuber. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 15.08.2024.) |
| فهرسة مساهمة: | Keywords: caregiver; methodology; service members; telehealth; traumatic brain injury; veterans |
| تواريخ الأحداث: | Date Created: 20240815 Date Completed: 20240815 Latest Revision: 20240815 |
| رمز التحديث: | 20240815 |
| DOI: | 10.2196/57692 |
| PMID: | 39145996 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1929-0748 |
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| DOI: | 10.2196/57692 |