Acceptance and Commitment Therapy Integrated Vestibular Rehabilitation (ACTIVE) RCT

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-49
SponsorUniversity of Pittsburgh

About this trial

The primary objective of this multi-site randomized clinical trial (RCT) is to compare Acceptance and Commitment Therapy Integrated Rehabilitation (ACT) with usual care rehabilitation (CONTROL) in 250 individuals with mTBI-related symptoms attributable to mild traumatic brain injury (mTBI) treated at one of two sites (1) the University of Pittsburgh Medical Center, or (2) the Intrepid Spirit Center, Carl R. Darnall Army Medical Center, Fort Hood, Texas. Both interventions will be delivered weekly over 4 weeks. Assessments will be administered prior to the start of treatment (Baseline) and at 4-weeks, 3- and 6-months following the completion of treatment.

Eligibility criteria

Qualifiers

18-49 years of age

Normal/corrected vision

Diagnosed with mTBI per military clinical practice guidelines (CPGs) that occurred over 8 days prior to consent as determined by a multi-domain assessment performed by a licensed healthcare professional.

mTBI-related symptoms and/or impairments in at least one or more areas, including vestibular (dizziness, imbalance), psychological health (anxiety, depression, stress), cognitive (memory problems), headache/migraine, ocular, or sleep. as determined by self-report.

Disqualifiers

History of vestibular disorder (e.g., benign paroxysmal positional vertigo, unilateral or bilateral vestibular hypofunction) as determined by patient self-report.

History of neurological disorder (e.g., epilepsy, multiple sclerosis) as determined by self-report.

Cervical spine injury or dysfunction (i.e., limited range of motion; ROM) as determined by self-report.

Previous moderate to severe TBI as determined by self-report.

Trial design

Treatments tested in this trial

  • Acceptance and Commitment Therapy Integrated Rehabilitation (ACT)
  • Usual Care Rehabilitation

Treatment groups

250 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Pittsburgh

Lead sponsor

United States Department of Defense

Collaborator