Wellness and Quality of Life Perceptions of People With Traumatic Brain Injury

Study Overview
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Brief Summary
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Telerehabilitation is a service delivery method that has grown substantially in recent years. It has both advantages and disadvantages in comparison to clinic-based services. For example, telerehabilitation is advantageous for people residing in locations in which specialized rehabilitation services are scarce; however, it has the disadvantage of being dependent on reliable internet connections that are not available in all locations. Also, some people prefer the privacy afforded by receiving treatment in their home, but other people prefer the interaction with other clients with similar challenges afforded by attending sessions in clinic-based settings. Other questions about advantages and disadvantages of telerehabilitation remain unexplored. One such question is the focus of this research and concerns the effect of receiving post-acute telerehabilitation services versus clinic-based services on the general well-being and quality of life experienced by people with traumatic brain injury. The study purpose is to compare changes in wellness and quality of life occurring over a four-month period during which people with traumatic brain injury receive post-acute services either via telerehabilitation or at an outpatient facility.

Official Title
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Wellness and Quality of Life Perceptions of People With Traumatic Brain Injury Receiving Post-acute Telerehabilitation Versus Clinic-based Services

Conditions
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Brain Injuries, Traumatic

Intervention / Treatment
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* Behavioral: outpatient rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sustained traumatic brain injury Receiving inpatient services at Quality Living, Inc., Omaha, NE Fluent in English Scheduled to receive either telerehabilitation or clinic-based rehabilitation services after discharge from Quality Living, Inc. Exclusion Criteria: Receiving services on a scholarship basis from Quality Living, Inc., Omaha, NE Scheduled to receive a combination of telerehabilitation and clinic-based services after discharge from Quality Living, Inc.

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Telerehabilitation services<br>Physical therapy, occupational therapy, speech-language therapy, and/or counseling provided at home via telecommunication technologies. | Behavioral: outpatient rehabilitation<br>* Treatment provided after completion of inpatient, acute rehabilitation.<br>|
| Clinic-based rehabilitation services<br>Physical therapy, occupational therapy, speech-language therapy, and/or counseling provided at a local facility. | Behavioral: outpatient rehabilitation<br>* Treatment provided after completion of inpatient, acute rehabilitation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life after Brain Injury | 37-item questionnaire designed to measure six health-related quality of life dimensions for people with TBI | Change from baseline at 4 months | 
| Changes in Outlook - Short | 10-item self-report instrument assessing both positive and negative reactions to adversity and traumatic experiences. | Change from baseline at 4 months | 
| Generalized Anxiety Disorder Screener - 7 | 7-item self-report instrument designed to screen for symptoms and severity of generalized anxiety in adults. | Change from baseline at 4 months | 
| Beck Depression Inventory - II | 21-item self-report instrument on which people rate their experience with depression symptoms within the past two weeks. | Change from baseline at 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Telerehabilitation or Clinic-based Post-acute Treatment Survey | Researcher-designed survey to capture perceptions about treatments received. It includes 2 questions about the length and intensity of physical therapy, occupational therapy, speech-language therapy, and counseling/psychology services and 15 items about the convenience, focus, and outcome of treatment as well as the quality of the therapist-client relationship. | 4 months after study enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Therapy, Health-related Quality of Life