Behavioral activation augmented with mobile technology for depression and anxiety in chronic moderate-severe traumatic brain injury: Protocol for a randomized controlled trial

Model System:

TBI

Reference Type:

Journal article

Accession No.:

J84901

Journal:

Archives of Rehabilitation Research and Clinical Translation

Year, Volume, Issue, Page(s):

2019 , 1, 3-4, 100027

Publication Website:

Abstract:

Article describes the methods and rationale for a randomized controlled trial for depression or anxiety after moderate to severe traumatic brain injury (TBI), including the interventions, measures, and data analytic plan. The study will test 2 treatments based on behavioral activation (BA), a promising model to promote both positive mood and increased activity in this population. Participants are 60 community-dwelling individuals with moderate-severe TBI at least 6 months prior to enrollment and greater than mild depression or anxiety. Participants will be randomized into: (1) an 8-session treatment, behavioral activation with technology, consisting of 6 face-to-face sessions and 2 via phone, with mood and activity monitoring conducted via ecological momentary assessment on a smartphone; or (2) a single session incorporating BA principles followed by 8 weeks of activity reminders in the form of implementation intentions, delivered as text messages. Outcome measures included: Brief Symptom Inventory-18 (primary outcome); Environmental Reward Observation Scale, Behavioral Activation for Depression Scale, Participation Assessment with Recombined Tools-Objective, Diener Satisfaction With Life Scale, Quality of Life after Brain Injury scale, and Patient Global Impression of Change. Outcomes are measured midway through intervention, after treatment cessation (primary outcome), and at 2-month follow-up. A treatment enactment interview is administered after the follow-up to ascertain to what extent participants continue to engage in activities and use strategies promoted during trial participation.

Author(s):