Concussion treatment after combat trauma: Development of a telephone based, problem solving intervention for service members

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Abstract:

Article describes the protocol for a randomized clinical trial of a telephone-mediated program for military service members who sustain mild traumatic brain injuries during a combat deployment. The 12-session program combines problem-solving training with embedded modules targeting depression, anxiety, insomnia, and headache. The rationale and development of this behavioral intervention for implementation with individuals with multiple co-morbidities is described along with the proposed analysis of results. In particular, details are provided regarding the creation of a treatment that is manualized yet flexible enough to address a wide variety of problems and symptoms within a standard framework. The methods involved in enrolling and retaining an often hard-to-study population are also highlighted.

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