Wellness and Quality of Life Perceptions of People With Traumatic Brain Injury
Study Details
Study Description
Brief Summary
Telerehabilitation is a service delivery method that has grown substantially in recent years. It has both advantages and disadvantages in comparison to clinic-based services. For example, telerehabilitation is advantageous for people residing in locations in which specialized rehabilitation services are scarce; however, it has the disadvantage of being dependent on reliable internet connections that are not available in all locations. Also, some people prefer the privacy afforded by receiving treatment in their home, but other people prefer the interaction with other clients with similar challenges afforded by attending sessions in clinic-based settings. Other questions about advantages and disadvantages of telerehabilitation remain unexplored. One such question is the focus of this research and concerns the effect of receiving post-acute telerehabilitation services versus clinic-based services on the general well-being and quality of life experienced by people with traumatic brain injury. The study purpose is to compare changes in wellness and quality of life occurring over a four-month period during which people with traumatic brain injury receive post-acute services either via telerehabilitation or at an outpatient facility.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Telerehabilitation services Physical therapy, occupational therapy, speech-language therapy, and/or counseling provided at home via telecommunication technologies. |
Behavioral: outpatient rehabilitation
Treatment provided after completion of inpatient, acute rehabilitation.
|
| Clinic-based rehabilitation services Physical therapy, occupational therapy, speech-language therapy, and/or counseling provided at a local facility. |
Behavioral: outpatient rehabilitation
Treatment provided after completion of inpatient, acute rehabilitation.
|
Outcome Measures
Primary Outcome Measures
- Quality of Life after Brain Injury [Change from baseline at 4 months]
37-item questionnaire designed to measure six health-related quality of life dimensions for people with TBI
- Changes in Outlook - Short [Change from baseline at 4 months]
10-item self-report instrument assessing both positive and negative reactions to adversity and traumatic experiences.
- Generalized Anxiety Disorder Screener - 7 [Change from baseline at 4 months]
7-item self-report instrument designed to screen for symptoms and severity of generalized anxiety in adults.
- Beck Depression Inventory - II [Change from baseline at 4 months]
21-item self-report instrument on which people rate their experience with depression symptoms within the past two weeks.
Secondary Outcome Measures
- Telerehabilitation or Clinic-based Post-acute Treatment Survey [4 months after study enrollment]
Researcher-designed survey to capture perceptions about treatments received. It includes 2 questions about the length and intensity of physical therapy, occupational therapy, speech-language therapy, and counseling/psychology services and 15 items about the convenience, focus, and outcome of treatment as well as the quality of the therapist-client relationship.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Sustained traumatic brain injury
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Receiving inpatient services at Quality Living, Inc., Omaha, NE
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Fluent in English
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Scheduled to receive either telerehabilitation or clinic-based rehabilitation services after discharge from Quality Living, Inc.
Exclusion Criteria:
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Receiving services on a scholarship basis from Quality Living, Inc., Omaha, NE
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Scheduled to receive a combination of telerehabilitation and clinic-based services after discharge from Quality Living, Inc.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Quality Living, Inc. | Omaha | Nebraska | United States | 68104 |
Sponsors and Collaborators
- Quality Living, Inc.
Investigators
- Principal Investigator: Karen Hux, Ph.D., Quality Living, Inc.
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Tele Wellness