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Acute Neurobehavioral Program for Improving Functional Status After TBI

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01166386
Recruitment Status : Unknown
Verified March 2012 by Virginia Commonwealth University.
Recruitment status was:  Recruiting
First Posted : July 21, 2010
Last Update Posted : March 13, 2012
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by (Responsible Party):
Virginia Commonwealth University

Brief Summary:
More than 1.4 million people a year in the United States begin confronting life with the medical, cognitive, and psychosocial challenges resulting from traumatic brain injury (TBI). A range of cognitive impairments commonly observed following injury increase caregiver burden as well as per-person lifetime costs for care and support of survivors of TBI, estimated at $600,000 to $1,875,000. Our long-term goal is to lessen these burdens through improving the functional status of patients with TBI by providing an evidence-based, comprehensive, brief, acute-care intervention, First Steps Acute Neurobehavioral and Cognitive Intervention (FANCI). The 10-sesson, manualized FANCI Program will be tested in a controlled, randomized study. Therapeutic components of the FANCI include didactics, cognitive remediation, demonstration, guided self-reflection, rehearsal, and supported practice of skills and strategies. Specific hypotheses are that 1) FANCI will result in more improvement in functional status compared to standard interdisciplinary rehabilitation treatment and 2) FANCI will result in more improvement on measures of neurobehavioral functioning compared to standard rehabilitation care for patients with moderate to severe TBI. We base these hypotheses on the observations that 1) providing information about symptoms, treatment, and coping results in reduced symptom intensity and duration for patients with TBI, and 2) inpatient participants in recent FANCI pilot studies learned >80% of the FANCI Program curriculum, and 3) the most recent pilot study participants had significantly better functional outcomes at discharge than matched controls. The specific aims of the proposed study are to 1) evaluate the efficacy of FANCI for improving functional status following treatment using the FIM, 2) examine the impact of FANCI on broader outcome measures of general emotional and behavioral functioning and productive activity in the community as measured post-treatment and at 6-month follow-up, 3) examine contributions of participant injury severity and cognitive status at time of treatment to treatment outcome and treatment response, 4) examine contributions of treatment variables of session topic and mastery, caregiver presence, and concurrent therapies on treatment outcome and treatment response for inpatients with TBI. Primary outcome measure is the (FIM). We will secondarily compare scores on the Disability Rating Scale (DRS), Glasgow Outcome Scale-Extended (GOSE), Rehabilitation Intensity of Therapy Scale (RITS), and Frontal Systems Behavior Scale (FRsBe). Our design is a parallel groups, single-blind, randomized, controlled trial. We will enroll 150 (75 treatment, 75 control) participants. Inclusion Criteria: Mod to Sev TBI based on time to commands, English speaker, Length of stay ≥ 5 days in acute BI rehabilitation Unit, 18 years of age or older, ≥ 79 on GOAT.

Condition or disease Intervention/treatment Phase
Traumatic Brain Injury Behavioral: FANCI Phase 3

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 150 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: An Acute Neurobehavioral Program for Improving Functional Status After TBI
Study Start Date : March 2008
Estimated Primary Completion Date : December 2012
Estimated Study Completion Date : September 2013

Arm Intervention/treatment
Experimental: 1
Treatment intervention using a 10-session behavioral program
Behavioral: FANCI
compresensive neubehavioral sessions with therapist administrating treatment components

Placebo Comparator: 2
Patients will spend time with a therapist viewing video discs and standard rehabilitation care
Behavioral: FANCI
Watching DVDs chosen by participants on various topics.

Primary Outcome Measures :
  1. Functional Independence Measure scores [ Time Frame: Pre, post, six-month follow up ]

Secondary Outcome Measures :
  1. Neurobehavioral Rating Scale [ Time Frame: Pre, post, six month follow up ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria: at least 18 years old, English speaking, traumatic brain injury inpatient, out of post traumatic amnesia, not psychotic -

Exclusion Criteria: Prisoner, psychotic, not medically stable


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01166386

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Contact: Janet P Niemeier, Ph.d. 804.828.9867
Contact: Shy M Degrace, B.S. 804.827.2561

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United States, Virginia
Virginia Commonwealth University School of Medicine Recruiting
Richmond, Virginia, United States, 23298-0661
Contact: Janet P niemeier, ph.d.    804-828-9867   
Contact: William Walker, M.D.    804.828.0861   
Sponsors and Collaborators
Virginia Commonwealth University
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
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Principal Investigator: Janet P Niemeier, Ph.D. Virginia Commonwealth University
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Responsible Party: Virginia Commonwealth University Identifier: NCT01166386    
Other Study ID Numbers: 1R01HD052922-01A2 ( U.S. NIH Grant/Contract )
5R01HD052922 ( U.S. NIH Grant/Contract )
1R01HD052922-01A2 ( U.S. NIH Grant/Contract )
First Posted: July 21, 2010    Key Record Dates
Last Update Posted: March 13, 2012
Last Verified: March 2012
Keywords provided by Virginia Commonwealth University:
brain injury
Additional relevant MeSH terms:
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Brain Injuries
Brain Injuries, Traumatic
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Craniocerebral Trauma
Trauma, Nervous System
Wounds and Injuries