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A Health and Wellness Intervention for Those With Moderate to Severe Traumatic Brain Injury: A Randomized Controlled Trial

Brenner, Lisa A. PhD; Braden, Cynthia A. MA, CCC; Bates, Mike; Chase, Terry MA, ND, RN, CNS; Hancock, Celeste PT, DPT; Harrison-Felix, Cynthia PhD; Hawley, Lenore MSW, LCSW; Morey, Clare MA, CCC; Newman, Jody MA, CCC; Pretz, Christopher PhD; Staniszewski, Kristi BS, RPT

Journal of Head Trauma Rehabilitation: November/December 2012 - Volume 27 - Issue 6 - p E57–E68
doi: 10.1097/HTR.0b013e318273414c
Original Articles

Objectives: To assess the efficacy of a standardized 12-week health and wellness group intervention for those with moderate to severe traumatic brain injury (TBI).

Study Design: Randomized controlled trial.

Participants: Seventy-four individuals with moderate to severe TBI recruited from the outpatient program at a rehabilitation hospital, a Veterans Affairs Medical Center, and the community.

Method: Eligible participants were randomized to treatment (health and wellness therapy group) or wait-list control (treatment, n = 37; wait-list, n = 37). The primary outcome was the Health Promoting Lifestyle Profile-II.

Results: The results of the mixed-model repeated-measures analysis indicated no differences between treatment and control groups engaging in activities to increase their health and well-being.

Conclusions: Findings did not support the efficacy of the intervention. Results may have been impacted by the wide variability of individualized health and wellness goals selected by group members, the structure and/or content of the group, and/or the outcome measures selected.

Craig Hospital (Drs Brenner, Chase, Hancock, Harrison-Felix, and Pretz; Mss Braden, Hawley, Morey, Newman, Staniszewski; and Mr Bates) VISN 19 Mental Illness Research, Education, and Clinical Center (MIRECC), Denver (Dr Brenner); and Departments of Psychiatry (Dr Brenner), Neurology (Dr Brenner), and Physical Medicine and Rehabilitation (Drs Brenner and Harrison-Felix), University of Colorado Denver, School of Medicine, Aurora.

Corresponding Author: Lisa A. Brenner, PhD, VISN 19 MIRECC, 1055 Clermont St, Denver, CO 80220 (lisa.brenner@va.gov).

This research was supported by an award from the US Department of Education, Office of Special Education and Rehabilitation Services, National Institute on Disability and Rehabilitation Research to the Rocky Mountain Regional Brain Injury System (H133A070022). Additional support was provided by the Veterans Integrated Service Network (VISN) 19 Mental Illness Research Education and Clinical Center (MIRECC). The views expressed in this article are those of the authors and do not necessarily represent the official policy or position of the Department of Education, the National Institute on Disability and Rehabilitation Research, the Department of Veterans Affairs, or the US Government. The authors thank Craig Ravensloot, Jeff Cuthbert, Lisa Betthauser, and Melissa Sendroy-Terrill for their contributions to this project.

The authors declare no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.