Medical and Resource Facilitation Intervention After Traumatic Brain Injury (MRFI)
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|ClinicalTrials.gov Identifier: NCT03429322|
Recruitment Status : Not yet recruiting
First Posted : February 12, 2018
Last Update Posted : November 7, 2018
Mayo Clinic's Traumatic Brain Injury (TBI) Model System Center (TBIMSC) will capitalize on longstanding collaborations with the non-profit Minnesota Brain Injury Alliance (MN BIA) and Minnesota Department of Health (MDH) to test a new way of delivering medical and social services. This trial will address chronic unmet needs expressed by individuals with TBI and their families in the U.S. pertaining to the ineffective connection to specialized medical and community resources in the transition from hospital to community-based care, limited access to TBI experts, and lack of primary care provider (PCP) knowledge about the complex needs of individuals with TBI. Target populations for this study are: 1) individuals with TBI eligible for MN BIA provided Resource Facilitation (RF), 2) their families, and 3) their PCPs.
This clinical trial will use a theory-driven complex behavioral intervention that integrates the medical-rehabilitation, therapy, and TBI expertise of Mayo's Brain Rehabilitation Clinic (BRC) with MN BIA's highly developed RF program (a free two-year telephone support service offering assistance in navigating life after brain injury). Mayo Clinic's medical-rehabilitation expertise will be integrated with RF services to deliver direct clinical care remotely using telemedicine and other information and communication technology to test whether outcomes over time are better in a group receiving this model of care compared to a group that receives usual care in their communities.
Costs between usual care and intervention groups will be compared in collaboration with the MDH. The overarching goal is development of a replicable, sustainable, and cost effective model of telemedicine care that integrates TBIMS Centers and BIAs nationwide and builds TBI expertise and capacity among PCPs.
|Condition or disease||Intervention/treatment||Phase|
|Brain Injuries, Traumatic Family Physician's Role||Behavioral: Medical Care and Resource Facilitation Other: Usual Care||Not Applicable|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||1500 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Community-based randomized pragmatic clinical trial of a complex behavioral intervention delivered remotely|
|Masking:||None (Open Label)|
|Official Title:||Testing an Integrated Medical and Resource Facilitation Intervention After Traumatic Brain Injury: A Community-based Pragmatic Clinical Trial|
|Estimated Study Start Date :||November 2018|
|Estimated Primary Completion Date :||September 2024|
|Estimated Study Completion Date :||September 2025|
Experimental: Medical Care and Resource Facilitation
All intervention components will be delivered remotely: there will be no face-to-face interaction with the participants. The intervention is comprised of the clinical, educational, and supportive services of Mayo's Brain Rehabilitation Clinic integrated with the MN BIA RF program.
Behavioral: Medical Care and Resource Facilitation
The intervention expands on an established web-based platform and uses other information and communication technology (ICT) devices, incorporating synchronous direct clinical care and asynchronous intervention. Participants will use their own devices and internet access for any and all interactions with Mayo Clinic providers. The specific ICT modes used and services provided to interact with participants will be determined by clinical need, individual preference, and technological capacity.
Active Comparator: Usual care
Individuals with TBI, their family members and PCPs assigned to the usual care group will receive care and provide services as usual in their communities. Individuals with TBI assigned to the usual care group will receive RF as routinely provided by MN BIA.
Other: Usual Care
Participants will receive and provide usual and customary care in their communities.
- Change in Mayo-Portland Participation Index (M2PI) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]A primary participation assessment and outcome measure for phone follow-up
- Change in Traumatic Brain Injury-Quality of Life (TBI-QOL) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Measures health-related patient-reported quality of life measurement specific to TBI
- Change in Participation Assessment with Recombined Tools-Objective (PART-O) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Measures long-term outcomes and function at the societal level
- Change in Vocational Independence Scale [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Quantifies degree of vocational independence: 5-point ordinal scale which quantifies the degree of vocational independence, where level 1 is unemployed and level 5 is independent engagement in community-based work (at least 15 hours per week) without external supports.
- Change in Telemedicine Perception Questionnaire (TMP-Q) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Assesses impressions of the risks and benefits of home tele-care
- EQ-5D™ [ Time Frame: Assessed at study end (18 months) ]A measure of health outcome to be used in determining cost-effectiveness
- Change in Zarit Burden Inventory (ZBI) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Caregiver burden self-report measure
- Change in Family Needs Questionnaire (FNQ) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Assesses diverse family needs
- Change in Clinical Satisfaction and Competency Rating Scale (CSCRS) [ Time Frame: Collected 3 times: enrollment, midpoint (6 months), and study end (18 months) ]Measures provider efficacy and mastery in caring for individuals with TBI: a 7 question format with each question rated in a 5-point scale with 1=disagree and 5=agree. The highest score of 35 indicates the best satisfaction and competency and the lowest score of 7 indicates the worst clinical satisfaction and competency.
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 ClinicalTrials.gov identifier (NCT number): NCT03429322
|Contact: Anne M Moessner, RN, MSNfirstname.lastname@example.org|
|Contact: Nicole L Dernbach, CCRPemail@example.com|
|United States, Minnesota|
|Mayo Clinic in Rochester|
|Rochester, Minnesota, United States, 55905|
|Principal Investigator:||Allen W Brown, MD||Mayo Clinic|