: Cognitive Support Technology (CST) for Brain Injuries
This study is evaluating whether a set of activities can improve cognitive and vocational skills for people with traumatic brain injury.
See full descriptionAbout the trial for Brain Injuries
Treatment Groups
This trial involves 2 different treatments. : Cognitive Support Technology (CST) 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.
Eligibility
This trial is for patients born any sex of any age. There are 3 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether : Cognitive Support Technology (CST) will improve 1 primary outcome and 10 secondary outcomes in patients with Brain Injuries. Measurement will happen over the course of Baseline (enrollment in study) and 1 year (study completion).
Patient Q & A Section
What are common treatments for brain injuries?
A large proportion of individuals treated for a brain injury recover. The goal of treatment is to reduce symptoms and complications, particularly after injury, but there are no treatment-specific survival benefits. The treatment should be appropriate for a given patient's medical and psychological condition.
What causes brain injuries?
Brain injuries develop due to a combination of genetic, environmental, and neurological factors. The neurological and functional impairment related to brain injuries is complex and has a large influence on the quality of life, work, and social relationships of the injured individual.\n
What is brain injuries?
The brain is a complex organ surrounded by the skull that houses the cerebrum. It is lined with a thin coat of grey matter, or grey matter, which protects the brain and contains a wide range of cells responsible for transmitting nerve impulses and regulating body functions. The gray matter serves as the principal neural connections while the white matter is made up of delicate fibers, which do not have a nerve impulse carrying capacity. The brain can also be damaged by brain injuries or by tumors. Brain injuries can be severe and often cause long term problems. These injuries can occur as a result of traumatic brain injuries (TBI), stroke, birth injury, metabolic abnormalities and many other types of causes.
How many people get brain injuries a year in the United States?
Brain injury is common and serious with many potential consequences. If the goal of the US National Institutes of Health is to reduce the burden of brain injury in the US then our findings emphasize the urgency of developing a national strategy for brain injury prevention in the US with a focus on primary and secondary prevention. The American Academy of Pediatrics Committee on Traumatic Brain Injury concluded in 2009 that research is needed to determine whether trauma can increase the risk of future brain injury, while brain trauma in childhood can increase likelihood of future issues. Brain injury is associated with significant loss of life and productivity.
Can brain injuries be cured?
Multiple methods of brain injury evaluation including imaging and evaluation for biochemical parameters may be useful for long-term management of brain injury. In the future, it is hoped that innovative biologic therapeutic approaches will be developed for brain injury.
What are the signs of brain injuries?
Signs and symptoms will be more pronounced with a head injury versus a concussive injury. The severity of concussion is graded based on the Glasgow Coma Scale (GCS) score at the time of arrival. Patients with a GCS score greater than 12 will be more likely to recover from a mild head injury, which means a more severe injury. In patients with a GCS score between 9 and 12, the injury is usually non-severe and can almost always be safely treated at the scene by first responders. Patients with a GCS score under 9 will likely go on to develop clinical signs and symptoms of brain injuries and are at an exceptionally high risk for permanent brain damage and mortality.
What is the primary cause of brain injuries?
There are several well established risk factors for brain injuries; a detailed history of these conditions is critical during clinical evaluation and in the diagnosis of brain injuries. A diagnosis in the medical record of a potential [traumatic brain injury](https://www.withpower.com/clinical-trials/traumatic-brain-injury) cannot be substituted for a formal concussion history: A detailed history of prior concussions is essential in the management of a patient presenting with a brain injury.
Does : cognitive support technology (cst) improve quality of life for those with brain injuries?
Cst had a positive effect on QoL-AIT and QoL-CPS, in the domains of physical well-being, social-well-being, and global health in the first month post-injury, and throughout the 12-month period post-injury. Findings of this study support the need for a larger randomized prospective trial of cst with a control arm for the effectiveness of cst in improving QoL measures post-TBI.
Who should consider clinical trials for brain injuries?
Patients may want information before considering enrollment in a clinical trial. Trial-specific information is available on the clinicaltrials.gov database. We recommend a one-page brochure is developed for patients to consider and discuss with clinicians.
What are the common side effects of : cognitive support technology (cst)?
It is essential to evaluate the common side effects of cst in patients with moderate to severe brain injury. The side effects that we have described can be managed by using self-management approaches, a more conservative use of medications and the use of an objective scale to record the patient's data. Further research is required to determine the effectiveness and cost effectiveness of cst in an extended clinical scenario.
Have there been any new discoveries for treating brain injuries?
As neuroprotective treatments become more common; new drugs such as neuroinflammaging-related drugs will be able to treat brain injuries as well as preventing them. As more research is completed, new treatments will surely be found to help brain injury patients for the future.
Has : cognitive support technology (cst) proven to be more effective than a placebo?
There is a growing interest in utilizing cognitive support with individuals with brain injury in order to optimize behavioral and neuropsychologic outcomes and reduce the severity of the symptoms experienced by those with severe brain injuries.