Brain Injury Education and Outpatient Navigation for Hispanic Children and Their Caregivers-1stBIEN

What this Trial Is About

Researchers are studying traumatic brain injury (TBI) in Hispanic children, who face higher long-term disability and lower quality of life compared to non-Hispanic children despite similar hospital discharge outcomes. The study aims to test a bilingual, culturally tailored program called 1st BIEN that combines brain injury education with outpatient care navigation to improve long-term adherence to rehabilitation and reduce disability. This intervention addresses barriers Hispanic families face in accessing and maintaining outpatient treatments, including knowledge gaps and language challenges. The trial involves two groups: the intervention group receives one in-person education session, weekly tailored video education via mobile phones, and three months of bilingual patient navigation to support transitions to outpatient care and school reintegration. The control group receives one in-person education session, monthly well-child text messages, and usual follow-up care. The study enrolls 150 Hispanic children aged 3 to 17 years with mild to severe TBI and their primary caregiver parents across five U.S. centers. Participants will be followed for up to 12 months after hospital discharge with assessments at multiple time points. Researchers will measure treatment adherence by tracking attendance at follow-up appointments and outpatient therapies. They will also evaluate children's functional status, health-related quality of life, social participation, and academic performance. Parental health literacy, self-efficacy, and mental health will be measured. The study includes training and monitoring of patient navigators to ensure consistent delivery of the intervention.

Brain Injury Education and Outpatient Navigation-1stBIEN