Medical and Resource Facilitation Intervention After Traumatic Brain Injury

Overview

Información sobre este estudio

Mayo Clinic's Traumatic Brain Injury (TBI) Model System Center (TBIMSC) will capitalize on longstanding collaborations with the non-profit Minnesota Brain Injury Alliance (MN BIA) and Minnesota Department of Health (MDH) to test a new way of delivering medical and social services. This trial will address chronic unmet needs expressed by individuals with TBI and their families in the U.S. pertaining to the ineffective connection to specialized medical and community resources in the transition from hospital to community-based care, limited access to TBI experts, and lack of primary care provider (PCP) knowledge about the complex needs of individuals with TBI. Target populations for this study are: 1) individuals with TBI eligible for MN BIA provided Resource Facilitation (RF), 2) their families, and 3) their PCPs. This clinical trial will use a theory-driven complex behavioral intervention that integrates the medical-rehabilitation, therapy, and TBI expertise of Mayo's Brain Rehabilitation Clinic (BRC) with MN BIA's highly developed RF program (a free two-year telephone support service offering assistance in navigating life after brain injury). Mayo Clinic's medical-rehabilitation expertise will be integrated with RF services to deliver direct clinical care remotely using telemedicine and other information and communication technology to test whether outcomes over time are better in a group receiving this model of care compared to a group that receives usual care in their communities. Costs between usual care and intervention groups will be compared in collaboration with the MDH. The overarching goal is development of a replicable, sustainable, and cost effective model of telemedicine care that integrates TBIMS Centers and BIAs nationwide and builds TBI expertise and capacity among PCPs.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria: - Patient

  • Age ≥ 18 years.
  • Diagnosis of TBI.
  • Less than or equal to 18 months post-injury.
  • Minnesota resident.
  • Access to a telephone, active email account, and device (smart phone, tablet, computer) for internet access.
  • Enrolled in MN BIA Resource Facilitation program during study recruitment window.

Exclusion Criteria:

  • Non-English speaking individuals (funding limits preclude a multilingual intervention).
  • Individuals under a civil commitment order.
  • Active patient in Mayo’s Brain Rehabilitation Clinic in Rochester, MN.
  • Acquired (vs. traumatic) brain injury.

Inclusion Criteria - Family:

  • Age > 18 years.
  • Access to at least a telephone.

Exclusion Criteria - Family:

  • Non-English speaking individuals (funding limits preclude a multilingual intervention).

Inclusion Criteria - Primary Care Provider:

  • Doctor or a midlevel provider (NP, PA) in primary care practice.

Exclusion Criteria - Primary Care Provider:

  • Non-English speaking individuals (funding limits preclude a multilingual intervention).

 

 

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus Contacto

Rochester, Minn.

Investigador principal de Mayo Clinic

Dmitry Esterov, D.O., M.S.

Cerrado para la inscripción

Contact information:

Anne Moessner R.N.

(507)255-5109

Moessner.Anne@mayo.edu

More information

Publicaciones

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CLS-20398315

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