PDF(Pubmed)
Abstract：
BACKGROUND: The responsibility of care for Veterans and Service Members (V/SMs) with traumatic brain injury (TBI) often defaults to informal family caregivers. Caregiving demands considerable knowledge, skill, and support to facilitate the health and well-being of V/SMs and themselves. Persistent and common TBI caregiver issues include strain, depression, and anxiety. While evidence-based, brief interventions have been developed and implemented for family caregivers in Veteran neurodegenerative populations, few interventions have been developed, adapted, or tested to support the unique needs of caregivers of V/SMs with TBI.
OBJECTIVE: This study will adapt and test an evidence-based, personalized, 6-session telehealth caregiver intervention, \"Resources for Enhancing All Caregivers\' Health\" (REACH), to meet the unique needs of caregivers of V/SMs with TBI. If successful, a community-based participatory research team will develop an implementation plan to roll out REACH TBI across the national Veterans Affairs Polytrauma System of Care.
METHODS: This mixed methods, crossover waitlist control clinical trial will use a Type 1 Hybrid Effectiveness-Implementation approach to adapt and then test the effects of REACH TBI on key TBI caregiver outcomes.
RESULTS: This study was funded by the Department of Defense in September 2023. Participant enrollment and data collection will begin in 2024.
CONCLUSIONS: If effective, REACH TBI will be the first evidence-based intervention for caregivers of V/SMs with TBI that can be scaled to implement across the Veterans Affairs Polytrauma System of Care and fill a notable gap in clinical services.
UNASSIGNED: PRR1-10.2196/57692.
OBJECTIVE: This study will adapt and test an evidence-based, personalized, 6-session telehealth caregiver intervention, \"Resources for Enhancing All Caregivers\' Health\" (REACH), to meet the unique needs of caregivers of V/SMs with TBI. If successful, a community-based participatory research team will develop an implementation plan to roll out REACH TBI across the national Veterans Affairs Polytrauma System of Care.
METHODS: This mixed methods, crossover waitlist control clinical trial will use a Type 1 Hybrid Effectiveness-Implementation approach to adapt and then test the effects of REACH TBI on key TBI caregiver outcomes.
RESULTS: This study was funded by the Department of Defense in September 2023. Participant enrollment and data collection will begin in 2024.
CONCLUSIONS: If effective, REACH TBI will be the first evidence-based intervention for caregivers of V/SMs with TBI that can be scaled to implement across the Veterans Affairs Polytrauma System of Care and fill a notable gap in clinical services.
UNASSIGNED: PRR1-10.2196/57692.
摘要：
背景：患有创伤性脑损伤（TBI）的退伍军人和服务成员（V/SM）的护理责任通常由非正式的家庭护理人员承担。细心需要相当多的知识，技能，和支持，以促进V/SM及其自身的健康和福祉。持续和常见的TBI护理人员问题包括压力，抑郁症,和焦虑。虽然以证据为基础，已经为退伍军人神经退行性人群的家庭护理人员开发和实施了简短的干预措施，很少有干预措施被开发出来，适应,或经过测试，以支持具有TBI的V/SM护理人员的独特需求。
目的：这项研究将适应和检验基于证据的，个性化，6次远程保健护理人员干预，“增强所有护理人员健康的资源”(REACH)，以满足带TBI的V/SM护理人员的独特需求。如果成功,一个以社区为基础的参与性研究小组将制定一项实施计划，在全国退伍军人事务多发性创伤护理系统中推广REACHTBI。
方法：这种混合方法，交叉等待列表对照临床试验将使用1型混合有效性-实施方法来适应,然后测试REACHTBI对关键TBI护理结局的影响。
结果：这项研究由国防部于2023年9月资助。参与者注册和数据收集将于2024年开始。
结论：如果有效，REACHTBI将是针对具有TBI的V/SM护理人员的第一个基于证据的干预措施，可以扩展到整个退伍军人事务多发性创伤护理系统中实施，并填补了临床服务中的显着空白。
■PRR1-10.2196/57692。
目的：这项研究将适应和检验基于证据的，个性化，6次远程保健护理人员干预，“增强所有护理人员健康的资源”(REACH)，以满足带TBI的V/SM护理人员的独特需求。如果成功,一个以社区为基础的参与性研究小组将制定一项实施计划，在全国退伍军人事务多发性创伤护理系统中推广REACHTBI。
方法：这种混合方法，交叉等待列表对照临床试验将使用1型混合有效性-实施方法来适应,然后测试REACHTBI对关键TBI护理结局的影响。
结果：这项研究由国防部于2023年9月资助。参与者注册和数据收集将于2024年开始。
结论：如果有效，REACHTBI将是针对具有TBI的V/SM护理人员的第一个基于证据的干预措施，可以扩展到整个退伍军人事务多发性创伤护理系统中实施，并填补了临床服务中的显着空白。
■PRR1-10.2196/57692。
