Evidence map›Paper›PMID 41100570›Full record

ArticleMedical care2025

Rehabilitation Outcomes of Service Members and Veterans With Mild-to-Moderate Traumatic Brain Injury.

Jolie N Haun, Justin T McDaniel, Risa Nakase-Richardson, Tali Schneider, Julie McMahon-Grenz, Rachel C Benzinger, Sharon Barton, Roberto Sandoval, Karen M Skop, Clara Dismuke-Greer and 9 more

Abstract read
In one paragraph

Article in Medical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Jolie N HaunResearch and Development Service, James A. Haley Veterans' Hospital, Tampa, FL.
Justin T McDanielSchool of Human Sciences, Southern Illinois University, Carbondale, IL.
Risa Nakase-RichardsonDepartment of Internal Medicine, Pulmonary/Sleep Medicine Division, University of South Florida, Tampa, FL.
Tali SchneiderResearch and Development Service, James A. Haley Veterans' Hospital, Tampa, FL.
Julie McMahon-GrenzResearch and Development Service, James A. Haley Veterans' Hospital, Tampa, FL.
Rachel C BenzingerResearch and Development Service, James A. Haley Veterans' Hospital, Tampa, FL.
Sharon BartonService Member Transitional Advanced Rehabilitation (STAR) Program, Central Virginia VA Health Care System, Richmond, VA.
Roberto SandovalPost-Deployment Acceleration Comprehensive Evaluation and Rehabilitation Program Polytrauma System of Care, South Texas Veterans Health Care System, Audie L. Murphy VAMC, San Antonio, TX.
Karen M SkopPost-Deployment Rehabilitation and Evaluation Program, Physical Medicine and Rehabilitation Services, James A Haley Veterans' Hospital, Tampa, FL.
Clara Dismuke-GreerVA Palo Alto Healthcare System, Menlo Park, CA.
Jerome SabanganVA Palo Alto Healthcare System, Menlo Park, CA.
Kimberly SamsonVA Palo Alto Healthcare System, Menlo Park, CA.
Daniel W KlyceMental Health Service, Central Virginia VA Health Care System, Richmond, VA.
Yvonne FriedmanPost-Deployment Rehabilitation and Evaluation Program, Physical Medicine and Rehabilitation Services, James A Haley Veterans' Hospital, Tampa, FL.
Leah R GauseRehabilitation Evaluation and Neurologic Enhancement for Warriors (RENEW) Program, Physical Medicine and Rehabilitation, Minneapolis VA Health Care System, Minneapolis, MN.
Shannon R MilesMental Health and Behavioral Sciences Service, James A Haley Veterans' Hospital, Tampa, FL.
Linda M PiconDepartment of Veterans Affairs, Office of Rehabilitation and Prosthetic Services, Washington, DC.
Rachel M LackowVA Salt Lake City Health Care System, Informatics, Decision-Enhancement and Analytic Sciences Center, Salt Lake City, UT.
Mary Jo PughVA Salt Lake City Health Care System, Informatics, Decision-Enhancement and Analytic Sciences Center, Salt Lake City, UT.

Funding

HSRD VA I50 HX003441HSRD VA IK6 HX003762
6 · The paper itself

Abstract

objectiveWe sought to examine changes in mild-to-moderate TBI-related symptoms among service members and veterans (SM/Vs) following participation in a 5-site inpatient rehabilitation program with the US Department of Veterans Affairs between 7/1/2022 and 5/30/2024.

methodsNeurobehavioral outcomes, posttraumatic stress disorder (PTSD) symptoms, pain interference, and lifestyle behaviors related to brain injury were assessed at baseline, discharge, and a 6-month follow-up. Mixed effects linear regression models, adjusting for key patient characteristics, were estimated to determine changes in TBI-related outcomes across the 3 time points.

resultsMean participant age, for those with complete data (n = 127), was 41.64 years (SD = 5.57), with a mean of 7.45 deployments (SD = 3.12) and 16.32 concussive events (SD = 7.21). Participants were predominantly White (73.23%) Special Operations personnel (82.68%). TBI-related outcomes, including neurobehavioral symptoms, pain interference, PTSD, and brain injury adaptability, decreased significantly from baseline to discharge (b = -14.36, SE = 1.03; b = -3.79, SE = 0.49; b = -11.14, SE = 1.27; b = -2.41, SE = 0.41), with Cohen's d effect sizes of 1.14, 0.71, 0.69, and 0.56, respectively. Six-month follow-up, TBI-related outcomes remained statistically and practically below baseline levels in all measures except adaptability. CONCLUSIONS AND RELEVANCE: Findings illustrate an interdisciplinary, inpatient rehabilitation program for mild-to-moderate TBI yields significant improvements in TBI-related symptoms that are common among SM/Vs and are sustained at 6 months postdischarge.

Indexed as

Brain Injuries, TraumaticMilitary PersonnelVeteransAdultFemaleHumansMaleMiddle AgedStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans Affairsimplementation scienceinpatientrehabilitationservice membersTraumatic brain injuryveteransveterans affairs

Identifiers

PMID41100570
PMCPMC12604533

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.