Occupational Therapy for Brain Injury
(OT for ME Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how occupational therapy can improve mental health for individuals who have experienced a brain injury. The goal is to determine if incorporating mental health strategies into therapy enhances quality of life for these individuals. The trial focuses on occupational therapists working with adults with brain injuries in home or community settings, aiming to equip therapists with effective mental health techniques as part of their care. Only licensed occupational therapists and assistants working in this area are eligible to participate. As an unphased trial, this study provides a unique opportunity to contribute to innovative approaches in mental health care for brain injury patients.
Do I need to stop my current medications for this trial?
The trial information does not specify whether participants need to stop taking their current medications.
What prior data suggests that this occupational therapy protocol is safe for people with acquired brain injury?
Research has shown that occupational therapy (OT) is generally safe and well-received by people with brain injuries. Studies have found that OT can improve everyday tasks and increase social involvement for those with traumatic brain injury (TBI). These activities focus on practical skills and mental health, helping participants feel more connected to their communities.
A review found that OT is safe and can lead to better outcomes for people with brain injuries, including making daily tasks easier and improving overall well-being. While effectiveness can vary based on individual needs, strong evidence of harm or negative effects from OT is lacking.
OT has been used for a long time and is a standard part of recovery for brain injuries, demonstrating a proven safety record for many people. Overall, OT is a promising and safe option for those looking to improve their mental health and daily life after a brain injury.12345Why are researchers excited about this trial?
Researchers are excited about this occupational therapy approach for brain injury rehabilitation because it incorporates evidence-based mental health screening and intervention techniques that aren't typically emphasized in standard neurorehabilitation. This method uses cognitive behavioral therapy, problem-solving therapy, motivational interviewing, and more, aiming to address mental health challenges like anxiety, depression, and loneliness alongside physical rehabilitation. By tailoring strategies to fit local contexts and fostering interdisciplinary collaboration, this approach might offer a more holistic and personalized path to recovery than traditional therapies.
What evidence suggests that this occupational therapy program is effective for improving mental health in individuals with brain injury?
Studies have shown that occupational therapy (OT) helps people with traumatic brain injury (TBI) improve their ability to perform daily tasks and participate in social activities. Research indicates that engaging in specific activities enhances everyday skills for those with brain injuries. Evidence also suggests that a team approach, including OT, leads to a successful return to work and community life. More therapy each day has been linked to better results. This trial will focus on occupational therapy practitioners who will complete training and coaching sessions on evidence-based OT mental health screening and intervention practices. These findings suggest that OT effectively supports recovery and improves mental health for those with acquired brain injuries.14678
Are You a Good Fit for This Trial?
This trial is for state-licensed occupational therapists (OTs) or assistants (OTAs) in the US who work with adults having acquired brain injuries. It focuses on OT practitioners implementing mental health care into their routine neurorehabilitation services.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Training and Implementation
OT practitioners complete a virtual, self-paced, five-module educational training focused on evidence-based mental health screening and intervention strategies relevant to ABI, along with periodic check-ins, mentoring, and coaching.
Follow-up
Participants are monitored for the adoption of evidence-based mental health screening and intervention practices, and factors influencing implementation are assessed.
What Are the Treatments Tested in This Trial?
Interventions
- Occupational Therapy
Trial Overview
The study tests a multifaceted program designed to help OT practitioners integrate evidence-based mental healthcare into their services, aiming to improve overall care and patient engagement in daily activities.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
OTPs will complete training and coaching sessions on evidence-based OT mental health screening (anxiety and depressive symptoms and loneliness) and intervention practices (cognitive behavioral therapy, problem-solving therapy, motivational interviewing, behavior change, and self-regulation), receive job and decision aid templates, attend monthly check-insas a team and with clinical experts in OT mental healthcare, and fidelity monitoring and observation. Additional strategies may be identified through interviews or focus groups by tailoring implementation strategies further to the local context. Interdisciplinary team members will only undergo the training and share their experiences and perceptions of OT's role in mental health during neurorehabilitation.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Colorado State University
Lead Sponsor
Rehab Without Walls Neurorehabilitation
Collaborator
American Occupational Therapy Foundation
Collaborator
Citations
Rehabilitation approaches for traumatic brain injury
These interventions focus on daily living tasks and social participation, and they have been shown to improve outcomes for people with TBI.
2.
research.aota.org
research.aota.org/ajot/article/70/3/7003180040p1/6156/Effectiveness-of-Occupation-and-Activity-BasedEffectiveness of Occupation and Activity-Based Interventions
This systematic review presents research on the effectiveness of occupation- and activity-based interventions to improve everyday activities ...
Efficacy of Occupational Therapy Interventions in ...
There is moderate level evidence that multidisciplinary and holistic approaches lead to successful RTW and community reintegration outcomes for individuals ...
4.
researchexperts.utmb.edu
researchexperts.utmb.edu/en/activities/efficacy-of-occupational-therapy-interventions-in-facilitating-re/Efficacy of Occupational Therapy Interventions in ...
As RTW is a rare outcome for patients with severe TBI, more emphasis was placed on studies with participants diagnosed with mild and moderate TBI. However, ...
Is More Therapy Per Day Better?
Overall, the researchers found that individuals who received more therapy per day appeared to have better outcomes.
6.
research.aota.org
research.aota.org/ajot/article/77/4/7704397010/24930/Occupational-Therapy-Practice-Guidelines-forOccupational Therapy Practice Guidelines for Adults With ...
For those with moderate to severe TBI 5 yr postinjury, 20% will die from other medical causes, 57% are moderately to severely disabled, 55% are ...
Traumatic Brain Injury In the United States
TBI Occupational Therapy ... The relationship between therapy intensity and rehabilitative outcomes after traumatic brain injury: A multicenter analysis.
8.
clinicaltrials.gov
clinicaltrials.gov/study/NCT05148247?term=AREA%5BBasicSearch%5D(lena%20minor)&rank=1Occupational Therapy and Cognitive Challenges After ...
Purpose: A clinical trial to investigate the effectiveness of the PRPP intervention for older persons with cognitive impairments after brain injury in the ...
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