About this trial
This trial will evaluate the impact of a multicomponent program (TBI Rehabilitation and Activation in Veterans; TRAIN-Vets) on improving cognitive function over an 8-month trial period in older Veterans with traumatic brain injury (TBI). Older Veterans with a history of TBI and subjective cognitive complaints will be enrolled and randomly assign to either the TRAIN-Vets intervention (consisting of aquatic-based exercise training, cognitive training, and lifestyle coaching) or the Health Education Control, where they will receive educational materials about brain health and healthy lifestyles.
Eligibility criteria
Qualifiers
Veteran, age 50-89 years
History (more than 6 months post injury) of mild or moderate TBI defined by the Ohio State University TBI Identification Method and DOD/VA Clinical Practice Guidelines for Definition of TBI
Sufficient vision and hearing to allow cognitive testing
Willingness to participate in water-based exercise program + cognitive training program for eight months
Disqualifiers
Current severe and unstable psychiatric disorder
Diagnosis of dementia, Montreal Cognitive Assessment score less than 18, or delirium
TBI within the past 6 months
Acute illness or unstable chronic illness
Trial design
Treatments tested in this trial
- TRAIN-Vets
- Health Education Control
Treatment groups
Sponsors and collaborators
Northern California Institute of Research and Education
Lead sponsor
San Francisco Veterans Affairs Medical Center
Collaborator
VA Palo Alto Health Care System
Collaborator