%0 Journal Article
%T Efficacy and Implementation Planning Across the Veterans Affairs Polytrauma System of Care: Protocol for the REACH Intervention for Caregivers of Veterans and Service Members With Traumatic Brain Injury.
%A Perrin PB
%A Haun JN
%A Klyce DW
%A Melillo C
%A Nakase-Richardson R
%A Seel RT
%A Martindale-Adams J
%A Nichols LO
%A Perera RA
%A Xia B
%A Hahm B
%A Zuber J
%J JMIR Res Protoc
%V 13
%N 0
%D 2024 Aug 15
%M 39145996
暂无%R 10.2196/57692
%X <B>BACKGROUND: </B>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.<BR><B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>This study was funded by the Department of Defense in September 2023. Participant enrollment and data collection will begin in 2024.<BR><B>CONCLUSIONS: </B>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.<BR><B>UNASSIGNED: </B>PRR1-10.2196/57692.