About this trial
Mild traumatic brain injury (mTBI), also known as concussion, is a common injury sustained by Veterans. While most individuals who sustain mTBI experience a complete recovery within several weeks of injury, many Veterans with history of mTBI report frequent and long-lasting neurobehavioral complaints and functional impairment. Though research suggests that these outcomes are strongly influenced by co-occurring conditions such as post-traumatic stress disorder, depression, and chronic pain, evidence-based interventions capable of addressing this wide array of concerns are lacking. This study seeks to address this gap by evaluating the effectiveness of a brief and flexible behavioral health treatment (Problem-Solving Training for Concussion, or PST-Concussion), which was designed to be delivered by generalist providers working in VA primary care settings. If PST-Concussion is shown to be effective, this skills-focused intervention may help improve Veterans' recovery experience following mTBI.
Eligibility criteria
Qualifiers
English-speaking Veteran enrolled in VHA care;
History of concussion (mild traumatic brain injury or mTBI);
Current psychological distress;
Subjective neurocognitive symptoms of >= 3 months.
Disqualifiers
Moderate to severe TBI or other major neurocognitive disorder;
Psychotic disorder (e.g., schizophrenia spectrum disorder, delusional disorder, bipolar or depressive disorder with psychotic features);
Acute suicidal ideation;
Inpatient psychiatric hospitalization within the past 12 months;
Trial design
Treatments tested in this trial
- Problem Solving Training for Concussion
- Treatment as usual