MMEPT for Traumatic Brain Injury

Study Overview
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Brief Summary
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The primary purpose of this research is to increase adherence to outpatient rehabilitation of chronically underserved individuals with traumatic brain injury (TBI). The intervention will be a TBI rehabilitation-focused education tool suitable for use with a wide variety of patients, including those with poor literacy skills and those with Limited English Proficiency (LEP), hereafter referred to as the Multimedia Multicultural Educational Program for TBI (MMEPT).

Official Title
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Multimedia Multicultural Educational Program for Traumatic Brain Injury

Conditions
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Traumatic Brain Injury

Intervention / Treatment
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* Behavioral: RRTBIMS
* Behavioral: Multimedia Multicultural Educational Program for TBI (MMEPT)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A medically documented (e.g., EMS report, hospital record, physician record) TBI as a result of a blow to the head requiring admission to an acute inpatient rehabilitation unit, meeting at least one of the following criteria for moderate to severe TBI: PTA > 24 hours Trauma related intracranial neuroimaging abnormalities Loss of consciousness exceeding 30 minutes GCS in emergency department of less than 13 (unless due to intubation, sedation or intoxication) Proficient in Chinese (Mandarin or Cantonese), Spanish or English, Willing to engage in the MMEPT and complete questionnaires, Agreeing to participate (i.e., completion of informed consent and HIPAA documents). Exclusion Criteria: Preferred language (language with greatest proficiency) other than English, Chinese or Spanish, In minimally conscious or vegetative state, Significant symptoms of receptive aphasia, and Any acute medical condition that, in the investigator's opinion, makes the person unsuitable or unable to participate. Participants enrolled in the study who are ultimately not discharged to the community at the completion of acute inpatient rehabilitation will be removed from the study.

Ages Eligible for Study
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Minimum Age: 18 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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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MMPET Group<br>This group of subjects will be comprised of a subset of culturally diverse patients admitted to the Bellevue the Traumatic Brain Injury Unit at Bellevue. Treatment will focus on improving awareness and comprehension of TBI and its long-term consequences, fostering increased trust in the TBI rehabilitation team, and conveying the importance of continued TBI follow up to maximize recovery. | Behavioral: Multimedia Multicultural Educational Program for TBI (MMEPT)<br> <br> |
| Active Comparator: Control Group<br>The Control Group will be comprised of equally diverse subset of patients who will receive Standard of Care Treatment. | Behavioral: RRTBIMS<br>* TBI patients discharged from Bellevue inpatient rehabilitation and enrolled in the Rusk Rehabilitation Traumatic Brain Injury Model System (RRTBIMS)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in Rate of Retention |  | Up to One Week |