Study: NCT04723745

Intervention type: BEHAVIORAL
Intervention: V-TRACTS Assessment/Feedback
Description: The proposed V-TRACTS assessment strategically targets emotional, cognitive and behavioral functions that we have determined are highly predictive of long-term outcome in Veterans. The assessment targets domains of head injury, psychological trauma, depression, suicidality, anxiety, chronic pain and sleep, substance use and activity level. This assessment will, in most cases, be completed online using the Qualtrics platform and online using telehealth or other approved platform for the clinical interview. Once the assessment is complete, the clinical team will convene a consensus meeting to review the case and determine a course of recommended additional assessment and/or rehabilitation action. After a consensus is reached, a V-TRACTS psychologist/supervised fellow will provide comprehensive feedback encompassing the entire assessment battery and offer rehabilitation options that would be targeted to the individual veteran's needs via VA telehealth or other approved online service.

Intervention type: BEHAVIORAL
Intervention: OPTIONAL Brief Assessment of Thinking
Description: A neuropsychological/cognitive assessment will be conducted to gather information about functioning in the areas of memory, attention, and thinking. This assessment is designed to be done online in a single session, and it will take approximately 45-90 minutes to complete. The test battery is designed to focus on the specific cognitive abilities thought to be impacted by blast, mTBI, PTSD, etc. This battery is not intended to be an exhaustive assessment of all neuropsychological functions.

Intervention type: BEHAVIORAL
Intervention: OPTIONAL STEP-Home-Brief
Description: STEP-Home-Brief is a condensed version of the 12-week experimental program STEP-Home that will target four core skills (problem solving, emotional regulation, attention training, and health and wellness). It will be individualized to Veterans' problems: vocation/career, community reintegration, psychoeducation to destigmatize barriers to mental health, substance misuse, anger management, and family and intimate partner relationships. STEP-Home-Brief will include 1-3 sessions using the same treatment modules as the 12-week program in a condensed, targeted format.

Intervention type: BEHAVIORAL
Intervention: OPTIONAL At-home Exercise Program
Description: This is a 5-week, full-body exercise program that can be done in the convenience of the Veteran's home, using only bodyweight as resistance and with household items as equipment. Given the online delivery of this program, they will receive access to instructional videos and materials that demonstrate how to perform each exercise safely and correctly. Participants will be contacted by study staff weekly over the phone to maintain interest and monitor adherence during the study.

Intervention type: BEHAVIORAL
Intervention: OPTIONAL Referral to 12-week STEP-Home
Description: Referral to the experimental 12-week STEP-Home workshop research study (VABHS IRB #3210).

Intervention type: BEHAVIORAL
Intervention: OPTIONAL Clinical Referral
Description: Clinical referrals to VABHS clinical services based on assessment and patient-directed primary problem/complaint.