Evidence map›Paper›PMID 39145996›Full record

ArticleJMIR research protocols2024

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.

Paul B Perrin, Jolie N Haun, Daniel W Klyce, Christine Melillo, Risa Nakase-Richardson, Ronald T Seel, Jennifer Martindale-Adams, Linda O Nichols, Robert A Perera, Bridget Xia and 2 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Paul B PerrinSchool of Data Science, University of Virginia, Charlottesville, VA, United States.ORCID 0000-0003-2070-215X
Jolie N HaunDepartment of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-4075-3763
Daniel W KlyceCentral Virginia Veterans Affairs Health Care System, Richmond, VA, United States.ORCID 0000-0002-2329-4924
Christine MelilloSeattle-Denver Center of Innovation, Rocky Mountain Regional VA Medical Center, Aurora, VA, United States.ORCID 0000-0003-4655-6605
Risa Nakase-RichardsonJames A. Haley Veterans' Hospital, Tampa, FL, United States.ORCID 0000-0003-0717-6706
Ronald T SeelDepartment of Physical Medicine & Rehabilitation, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States.ORCID 0009-0007-9899-876X
Jennifer Martindale-AdamsDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.ORCID 0000-0002-3226-7717
Linda O NicholsDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.ORCID 0000-0002-7085-4883
Robert A PereraDepartment of Biostatistics, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States.ORCID 0000-0002-0375-0427
Bridget XiaSchool of Data Science, University of Virginia, Charlottesville, VA, United States.ORCID 0000-0001-6349-5299
Bridget HahmEdward Hines, Jr. VA Hospital, Hines, IL, United States.ORCID 0000-0001-7454-4471
Jeffrey ZuberDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.ORCID 0009-0003-7638-037X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

objectiveThis 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.

methodsThis 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.

resultsThis study was funded by the Department of Defense in September 2023. Participant enrollment and data collection will begin in 2024.

conclusionsIf 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. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/57692.

Indexed as

Brain Injuries, TraumaticCaregiversUnited States Department of Veterans AffairsVeteransAdultFemaleHumansMaleMilitary PersonnelMultiple TraumaTelemedicineUnited Statescaregivermethodologyservice memberstelehealthtraumatic brain injuryveterans

Identifiers

PMID39145996
PMCPMC11362706

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.