TY  - JOUR
AU  - Perrin, Paul B
AU  - Haun, Jolie N
AU  - Klyce, Daniel W
AU  - Melillo, Christine
AU  - Nakase-Richardson, Risa
AU  - Seel, Ronald T
AU  - Martindale-Adams, Jennifer
AU  - Nichols, Linda O
AU  - Perera, Robert A
AU  - Xia, Bridget
AU  - Hahm, Bridget
AU  - Zuber, Jeffrey
PY  - 2024
DA  - 2024/8/15
TI  - 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
JO  - JMIR Res Protoc
SP  - e57692
VL  - 13
KW  - traumatic brain injury
KW  - telehealth
KW  - caregiver
KW  - methodology
KW  - veterans
KW  - service members
AB  - 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 
SN  - 1929-0748
UR  - https://www.researchprotocols.org/2024/1/e57692
UR  - https://doi.org/10.2196/57692
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39145996
DO  - 10.2196/57692
ID  - info:doi/10.2196/57692
ER  -