Chronic Disease Self-Management Among Individuals With TBI
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 85
- Primary Endpoint
- PROMIS Self-Efficacy to Manage Chronic Disease Scale
Study Overview
Brief Summary
Traumatic brain injury (TBI) can have long-term and chronic effects on an individual's physical, social, and emotional health, impacting quality of life and the ability to engage in meaningful life roles. Despite the potential for long-term effects, much of the care for individuals with TBI is front-loaded in the weeks to months post-injury. Self-management and self-management training are key components of long-term care for many chronic health conditions, but they are not standard parts of care for individuals with TBI.
In this study the investigators will address two objectives: 1) identify self-management priorities from the perspectives of individuals with chronic TBI, families, and health care providers and 2) pilot test an existing virtual community-based self-management training program (the Chronic Disease Self-Management Program (CDMSP)), to a) evaluate changes in quality of life, self-management self-efficacy, and other patient-reported outcomes before and after participating in the training, and b) identify barriers and facilitators to participating in community-based self-management training.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged ≥18 years at time of first TBI
- •At least one year since the most recent TBI
- •Received care at BMC's Concussion/TBI program for a TBI or concussion
- •At least partially involved in Self-care
- •Able to provide consent
- •Able to speak and understand English
- •Available for study duration.
Exclusion Criteria
- •• Aged <18 at the time of their first TBI
- •Severe mental, cognitive, social, or emotional difficulties due to another neurologic, developmental, psychological condition, or active substance use disorder
- •Participating in another interventional clinical trial
- •Planned major surgery in the next 4 months.
- •Pregnancy (self-report).
- •Suspected or known drugs or alcohol abuse
- •Endorses suicidal ideation
- •All individuals with reduced decision-making capacity, an assigned LAR, or conservator.
Outcomes
Primary Outcomes
PROMIS Self-Efficacy to Manage Chronic Disease Scale
Time Frame: baseline, after the intervention on average 6 weeks
A patient reported outcome measure that assesses self-efficacy to managing chronic disease across 5 domains: Managing: Symptoms, Social Interactions, Medications, Emotions, and Daily Activities
Secondary Outcomes
- Quality of Life After Brain Injury(baseline, after the intervention on average 6 weeks)