Traumatic brain injury; needs and treatment options in the chronic phase

Project leader

PI; Cecilie Røe, head of Dept of phys. Med. And rehab., Oslo University Hospital

Co-PI: Marianne Løvstad, Head of psychology, SRH, Porf. Dept of Psychology, UiO

Abstract

Traumatic brain injury (TBI) is a condition affecting the persons' central nervous system with a need for extensive and highly specialized initial health care provision followed by comprehensive rehabilitation efforts. Frequent and life-long medical, cognitive, emotional and behavioral changes are expected. The community-based services are largely responsible for dealing with the chronic challenges affecting people with TBI.120 patients >16 years at the time of injury and between 18 and 72 years at inclusion, with clinical TBI diagnosis on acute admission and verified injury-related intracranial abnormalities reporting cognitive, emotional and physical problems more than 2 years after the injury have been included and randomized to a patient-centered in-home program intervention or treatment as usual. The intervention consists of an individualized and goal-oriented intervention will be provided in the persons' home environment, in close collaboration with family members and local health care providers when available. Assessments will be conducted at baseline, at the end of the intervention 4 months after inclusion and one year after inclusion.

Primary outcome is participation (Part-O) and TBI specific health related quality of life (Qolibri). Secondary outcomes include goal attainment within individualized targeted outcome areas, depression and anxiety, symptom burden, unmet health care needs and acceptability of intervention as assessed by patient, family member and health professional. The project will contribute to increased understanding of knowledge transfer processes, and dissemination of evidence based practice for TBI. Thus, the project has the potential to improve the current health care for patients with TBI and its delivery.

PI; Cecilie Røe, head of Dept of phys. Med. And rehab., Oslo University Hospital

Co-PI: Marianne Løvstad, Head of psychology, SRH, Porf. Dept of Psychology, UiO

Ida Borgen, PhD, previOUHly PhD candidate in study

Solveig Hauger, senior researcher SRH; Post doc

Ingerid Kleffelgård, physiotherapist, OUH, post doc

Marit Forslund, MD, OS, post doc

Jennie Ponsford, Professor Monash University, Melbourne, Australia, guest professor

Laraine Winter, PhD, Philadelphia Research and Education Foundation.

Ethical approvals

REK number 2017/1081 and Data Protection Office at OUH (2017/10390).

Funding

Norwegian research Council 12,3 NOK mill

Time period

January 2017 – December 2023