Medical and Resource Facilitation Intervention After Traumatic Brain Injury

Overview

About this study

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.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

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).

 

 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Allen Brown, M.D.

Open for enrollment

Contact information:

Anne Moessner APRN, M.S., R.N.

(507)255-5109

Moessner.Anne@mayo.edu

More information

Publications

Publications are currently not available

Study Results Summary

Not yet available

Supplemental Study Information

Not yet available