Roll for Intervention - TBI Group Treatment

Study Overview
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Brief Summary
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Communication group intervention for individuals with Traumatic Brain Injury based on INSIGHT protocol (Keegan et al, 2020) with roll playing game focus

Detailed Description
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Individuals with TBI recruited to participate in a study about applying INSIGHT protocol to a virtual roll playing game environment. The game 'monsters of the week' will be used to administer the cognitive-communication ingredients outlined by INSIGHT (Keegan et al 2020) and progress towards social communication goals will be documented throughout the course of participating in the roll playing campaign (7-8 weeks - meeting 2 hours each week). The individuals without neurological disorders will follow the same protocol.

Official Title
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Roll for Intervention - a Critical Look at the Practicability of Table-top Roll Playing Games as Communication Intervention for Traumatic Brain Injury

Conditions
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Communication Disorder, Social

Intervention / Treatment
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* Behavioral: INSIGHT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: moderate to severe TBI more than 1 year ago Exclusion Criteria: other neurological diagnoses prior to TBI

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Individuals with TBI<br> | Behavioral: INSIGHT<br>* See Keegan et al., 2020<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goal Attainament Scaling - change over time | Assessing change over time on five point scaled goals - goal rated each week for 8 weeks. | Week 2, 3,4,5,6,7, 8 and 9 of the 10week study protocol | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Repeatable Battery for the Assessment of Neuropsychological Status Update | Randolf (2012) standardized norm referenced assessment measure of cognitive skills (memory and attention etc.) | During week 1 and week 10 of the 10 week protocol | 
| Functional Assessment of Verbal Reasoning and Executive Strategies | MacDonald (2005) standardized norm referenced assessment measure of problem solving and reasoning | During week 1 and week 10 of the 10 week protocol | 
| Sydney psychosocial reintegration scale version 2 (SPRS-2) | Tate (2012) standardized likert based questionnaire (12, 1-5 ratings, where higher scores = better performance) | During week 1 and week 10 of the 10 week protocol | 
| Satisfaction with life scale (SWLS) | Diener et al (1985), likert measurement scale questionnaire, 5 1-7 ratings, higher scores = better performance | During week 1 and week 10 of the 10 week protocol | 
| Latrobe Communication Questionnaire (LCQ) | Douglas et al (2000), likert measurement scale questionnaire, 30 1-4 ratings, higher scores = better performance | During week 1 and week 10 of the 10 week protocol |