Multisite randomized feasibility study of Problem-Solving Training for care partners of adults with traumatic brain injury during inpatient rehabilitation.

BACKGROUND: Problem-Solving Training (PST) during inpatient rehabilitation could provide care partners the skills needed to manage their life roles after discharge. OBJECTIVE: Determine the feasibility of PST+ Education versus Education for care partners of adults with traumatic brain injury (TBI) d...

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Publicado en:NeuroRehabilitation Vol. 52; no. 1; pp. 109 - 123
Autores principales: Juengst, Shannon B., Wright, Brittany, Driver, Simon, Calhoun, Stephanie, Muir, Aimee, Dart, Georgianna, Goldin, Yelena, Lengenfelder, Jean, Bell, Kathleen
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
      vid: 52
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-220129
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        atl: Multisite randomized feasibility study of Problem-Solving Training for care partners of adults with traumatic brain injury during inpatient rehabilitation.
      aug:
        au:
          Juengst, Shannon B.
          Wright, Brittany
          Driver, Simon
          Calhoun, Stephanie
          Muir, Aimee
          Dart, Georgianna
          Goldin, Yelena
          Lengenfelder, Jean
          Bell, Kathleen
        affil: TIRR Memorial Hermann, Houston, TX, USA
      sug:
        subj:
          Problem Solving Education
          Brain Injuries Rehabilitation
          Caregivers Education
          Human
          Randomized Controlled Trials
          Random Assignment
          Pilot Studies
          Multicenter Studies
          Inpatients
          Patient Satisfaction
          Depression
          Caregiver Burden
          Adult
          Research Subject Recruitment
          Research Subject Retention
          Adult: 19-44 years
      ab: BACKGROUND: Problem-Solving Training (PST) during inpatient rehabilitation could provide care partners the skills needed to manage their life roles after discharge. OBJECTIVE: Determine the feasibility of PST+ Education versus Education for care partners of adults with traumatic brain injury (TBI) during inpatient rehabilitation. METHODS: We conducted a multisite randomized feasibility trial across three sites. We present recruitment rates, reasons for refusal to participate, and reasons for non-completion of interventions. We measured client satisfaction, participant engagement, and fidelity for both interventions. We compared change in depressive symptoms and caregiver burden between PST and Education groups. RESULTS: Though the interventions were generally feasible, recruitment and retention rates were lower than anticipated largely due to the COVID-19 pandemic. Participants who completed >3 sessions were less likely to be employed full-time and more often spouses and co-residing. Length of inpatient rehabilitation stay was correlated with number of sessions completed. We observed potential benefits of PST over Education, specifically for reducing depression symptoms and caregiver burden. CONCLUSION: High satisfaction, engagement, and fidelity, overall recruitment and retention, and positive change in outcomes suggest that PST is generally feasible and beneficial for care partners of persons with TBI. Adaptations, such as developing a 3-session version of PST, could improve feasibility.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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