Narrative discourse treatment for Brain Injuries, Traumatic

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
VA Connecticut Healthcare System West Haven Campus, West Haven, CT, West Haven, CT
Brain Injuries, Traumatic+4 More
Narrative discourse treatment - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a novel treatment for discourse impairments in people with traumatic brain injury is feasible and acceptable.

See full description

Eligible Conditions

  • Brain Injuries, Traumatic
  • Traumatic Brain Injury (TBI)
  • Neurogenic Communication Disorders

Treatment Effectiveness

Effectiveness Progress

1 of 3

Other trials for Brain Injuries, Traumatic

Study Objectives

This trial is evaluating whether Narrative discourse treatment will improve 3 primary outcomes in patients with Brain Injuries, Traumatic. Measurement will happen over the course of 2 months.

2 months
Acceptability of treatment as measured by a treatment satisfaction survey
Feasibility of treatment as measured by dropout rate in the treatment condition
Tolerability of treatment as measured by rates of attendance for all aspects of treatment

Trial Safety

Safety Progress

1 of 3

Other trials for Brain Injuries, Traumatic

Trial Design

2 Treatment Groups

Treatment as Usual
1 of 2
Discourse Treatment
1 of 2
Active Control
Experimental Treatment

This trial requires 40 total participants across 2 different treatment groups

This trial involves 2 different treatments. Narrative Discourse Treatment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Discourse Treatment
Behavioral
Biweekly discourse treatment sessions.
Treatment as UsualNo treatment. Participants will engage in their usual care.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 2 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 2 months for reporting.

Closest Location

VA Connecticut Healthcare System West Haven Campus, West Haven, CT - West Haven, CT

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 10 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Veteran with diagnosis of mild to moderate TBI
Self-report of communication difficulty following TBI that interferes with activities
Can identify a significant other (e.g., spouse, family member, friend) who is able and willing to serve as an informant, who will verify discourse ability pre- and post-treatment
The informant must be an individual with whom the participant engages in weekly social communication
Adequate hearing and visual acuity to participate in study procedures
A score of 20 or higher on the St. Louis University Mental Status (SLUMS) exam
Willing and able to participate in telehealth sessions using VA Video Connect (VVC), the VA's videoconferencing platform, with appropriate equipment and access
e.g., smartphone, tablet, computer with camera, internet access
Stable housing
Participants must have a safe, private and quiet environment in their home to engage in VVC

Patient Q&A Section

What are the signs of brain injuries?

"The signs of brain injuries can be grouped into general and neurological signs. These signs of brain injuries should help prompt the use of imaging studies to make a diagnosis." - Anonymous Online Contributor

Unverified Answer

How many people get brain injuries a year in the United States?

"At least 1 in 7 American adults suffer a brain injury in a given year. Approximately 2 million of these injuries are permanent. An additional 12 million have at least one concussion or mild traumatic brain injury each year." - Anonymous Online Contributor

Unverified Answer

Can brain injuries be cured?

"Recovery from brain injuries is not a realistic objective. Patients who recover from brain injuries may suffer from profound psychological problems, such as chronic fatigue syndrome. This is a very difficult issue to study but, unless brain injuries are caused by trauma, is a non-fatal consequence (and may not be the cause of the injury itself) that cannot be cured, although many patients are reassured that the consequences are temporary. However, patients may benefit from a long-term program of rehabilitation and counselling to help them cope with the illness." - Anonymous Online Contributor

Unverified Answer

What causes brain injuries?

"The exact cause of brain injuries is unknown, but it is known to be connected to lifestyle and environmental factors. Brain injuries are a major cause of disability and can lead to mental disability such as dementia." - Anonymous Online Contributor

Unverified Answer

What is brain injuries?

"Brain injuries are those injuries to the brain tissue resulting in some loss of brain function or bodily function. Brain injuries can result from a stroke or traumatic brain injury, or from a seizure. While the term 'brain injury' commonly refers to a traumatic brain injury, it can also refer to a neurological condition caused by chemical or metabolic problems, stroke, or a tumour. Brain injuries occur in most countries with a major burden of disability." - Anonymous Online Contributor

Unverified Answer

What are common treatments for brain injuries?

"Brain injuries are treated with a variety of treatments. These treatments can be categorised into four main categories. The most commonly used treatments are analgesic, anti-inflammatory, anti-seizure, and anti-spastic medications for seizures and spasticity after head injuries. Brain injury patients have a higher prevalence of a long duration of hospitalisations." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in narrative discourse treatment for therapeutic use?

"This article outlines and describes the latest developments in narrative therapy practice. The theoretical framework underlying narrative therapy is now in its third generation, with its roots in the early writings of Carl Rogers, Rollo May, and Fritz Perls. The current version of narrative therapy is based on social constructionism; it is more rigorous and more scientifically rigorous. This includes a new theoretical foundation derived from narrative psychotherapy, known as transformative narrative therapy; and, on an interpersonal level, transformative story-work, a new story methodology based on principles derived from narrative therapy and narrative story therapy. This development also recognizes narrative treatment as a powerful therapeutic tool, which is at the heart of many clinical interventions and research projects." - Anonymous Online Contributor

Unverified Answer

How does narrative discourse treatment work?

"Data from a recent study, narrative discourse did not diminish or even moderately augment the rate of emotional recovery. There was no evidence of heightened distress over the course of treatment. It is unclear whether the process of narrative discourse is necessary in the treatment of complex posttraumatic emotional disturbances, and further studies in different patient populations are warranted." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets brain injuries?

"For the most common injury, head injury, the mean age for this age category is 52 years. Other common injuries of children and teens often don't happen as often as this injury, therefore they might not appear as an average injury age with a specific age in a category. This information is useful when looking for clinical trial trials for brain injury prevention." - Anonymous Online Contributor

Unverified Answer

Is narrative discourse treatment typically used in combination with any other treatments?

"Patients who receive NTD in combination with therapies such as therapy and counselling are significantly more likely to demonstrate change in psychological distress compared to those receiving NTD alone. This finding suggests that NTD should be more thoroughly investigated along with other therapies in order to better understand the mechanisms of change and better interpret what constitutes change." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of brain injuries?

"There is a need to reevaluate the way brain injuries are diagnosed and defined. The new definition of primary brain injury should include those conditions that were reported in this study." - Anonymous Online Contributor

Unverified Answer

Have there been other clinical trials involving narrative discourse treatment?

"This paper presents preliminary data of a trial evaluating the effectiveness of narrative therapy of injured brains in acute rehabilitation. Further investigation is indicated through a longitudinal and cross-sectional design to confirm whether this approach contributes to a significant reduction in length of stay in acute rehabilitation and to evaluate its benefits on functional recovery and quality of life." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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