Project Type(s):
Clinical Research
Moderate to severe traumatic brain injury (TBI) is a common cause of long-term disability. Persons with TBI receiving care in inpatient rehabilitation facilities (IRFs) are at risk for rehospitalization, poor community reintegration, family stress, and other unfavorable outcomes. In a six-center randomized pragmatic comparative effectiveness study, we compare the effectiveness of two methods for transition from IRF to the community. The Rehabilitation Discharge Plan (RDP) includes patient/ family education and referrals for continued care. The Rehabilitation Transition Plan (RTP) provides RDP plus individualized, manualized care management via phone or videoconference. 900 patients will be randomized, with caregivers also invited to participate. Assessed outcomes include societal participation, quality of life, caregiver well-being, and use of healthcare resources at 6-months and 12-months post-discharge.
Project Period:
August 1, 2017 — July 31, 2023
Funding Type(s):
Federal
PCORI
Geographic Area(s):
National
Practice Type(s):
Hospital, Online/remote/apps/social media, Outpatient, Rural
Patient Population(s):
Adults, Caregivers/Providers
Targeted Condition(s):
Trauma/Traumatic Brain Injury (TBI)
