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A Randomized Controlled Pilot Study of a Manualized Intervention for Caregivers of Patients With Traumatic Brain Injury in Inpatient Rehabilitation

Published:August 01, 2018DOI:https://doi.org/10.1016/j.apmr.2018.07.422

      Abstract

      Objective

      Investigate effectiveness of a 5-session manualized intervention for addressing needs of caregivers of persons in acute traumatic brain injury (TBI) rehabilitation.

      Design

      Prospective, pilot randomized controlled trial.

      Setting

      Inpatient brain injury rehabilitation unit, level 1 trauma center.

      Participants

      Patients (N=93) with moderate-to-severe TBI and their family members were enrolled in the study with 42 randomized to the treatment group, 51 to the control group.

      Intervention

      Five-session manualized caregiver intervention with educational, stress and anxiety self-management, coping, and emotional support components.

      Main Outcome Measures

      Family Needs Questionnaire-Revised, knowledge assessment, Zarit Family Burden Scale, and Brief Symptom Inventory-18 were collected at pretreatment, posttreatment, and 3-month follow-up.

      Results

      Treatment group caregivers showed an increase in met needs for emotional, instrumental, and professional support, and brain injury knowledge from baseline to posttreatment, whereas controls did not. Between-group differences were significant for only emotional support needs. Treatment effects were not sustained at 3-month follow-up.

      Conclusions

      Caregivers of persons undergoing acute TBI rehabilitation may benefit from interventions that target their unique needs. Caregivers may require additional and longer-term supports to sustain treatment benefits.

      Keywords

      List of abbreviations:

      FNQ-R (Family Needs Questionnaire-Revised), IQR (interquartile range), TBI (traumatic brain injury)
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