%0 Journal Article
%@ 1929-0748
%I JMIR Publications
%V 13
%N 
%P e57692
%T Efficacy and Implementation Planning Across the Veterans Affairs Polytrauma System of Care: Protocol for the REACH Intervention for Caregivers of Veterans and Service Members With Traumatic Brain Injury
%A Perrin,Paul B
%A Haun,Jolie N
%A Klyce,Daniel W
%A Melillo,Christine
%A Nakase-Richardson,Risa
%A Seel,Ronald T
%A Martindale-Adams,Jennifer
%A Nichols,Linda O
%A Perera,Robert A
%A Xia,Bridget
%A Hahm,Bridget
%A Zuber,Jeffrey
%+ School of Data Science, University of Virginia, 102 Cresap Road, #101, Charlottesville, VA, 22903, United States, 1 (434) 982 2600, perrin@virginia.edu
%K traumatic brain injury
%K telehealth
%K caregiver
%K methodology
%K veterans
%K service members
%D 2024
%7 15.8.2024
%9 Protocol
%J JMIR Res Protoc
%G English
%X Background: The responsibility of care for Veterans and Service Members (V/SMs) with traumatic brain injury (TBI) often defaults to informal family caregivers. Caregiving demands considerable knowledge, skill, and support to facilitate the health and well-being of V/SMs and themselves. Persistent and common TBI caregiver issues include strain, depression, and anxiety. While evidence-based, brief interventions have been developed and implemented for family caregivers in Veteran neurodegenerative populations, few interventions have been developed, adapted, or tested to support the unique needs of caregivers of V/SMs with TBI. Objective: This study will adapt and test an evidence-based, personalized, 6-session telehealth caregiver intervention, “Resources for Enhancing All Caregivers’ Health” (REACH), to meet the unique needs of caregivers of V/SMs with TBI. If successful, a community-based participatory research team will develop an implementation plan to roll out REACH TBI across the national Veterans Affairs Polytrauma System of Care. Methods: This mixed methods, crossover waitlist control clinical trial will use a Type 1 Hybrid Effectiveness-Implementation approach to adapt and then test the effects of REACH TBI on key TBI caregiver outcomes. Results: This study was funded by the Department of Defense in September 2023. Participant enrollment and data collection will begin in 2024. Conclusions: If effective, REACH TBI will be the first evidence-based intervention for caregivers of V/SMs with TBI that can be scaled to implement across the Veterans Affairs Polytrauma System of Care and fill a notable gap in clinical services. International Registered Report Identifier (IRRID): PRR1-10.2196/57692 
%M 39145996
%R 10.2196/57692
%U https://www.researchprotocols.org/2024/1/e57692
%U https://doi.org/10.2196/57692
%U http://www.ncbi.nlm.nih.gov/pubmed/39145996