Community-based Implementation of an Emotion Regulation Intervention for Individuals With Traumatic Brain Injury

What this Trial Is About

Researchers are evaluating the best way to train clinicians to deliver the Online EmReg intervention, a web-based group therapy designed to improve emotion regulation in individuals with traumatic brain injury (TBI). This hybrid type III implementation-effectiveness trial aims to determine which training strategy helps clinicians deliver Online EmReg most effectively, while also assessing patient improvements related to emotion regulation. The study is sponsored by the Icahn School of Medicine at Mount Sinai and involves a randomized comparison of training approaches. The trial compares two training methods for clinicians: Standard Training, which is a 3-hour on-demand workshop, and Extended Training, which includes the same 3-hour workshop plus three months of bi-weekly consultation sessions. After training, clinicians are expected to implement the Online EmReg intervention into their routine clinical practice. The Extended Training arm adds ongoing support to help clinicians during the first three months of applying the intervention. Participants in the study will be assessed through self-report surveys, performance evaluations using role plays, and tracking of clinician participation and fidelity to the intervention. The primary outcomes include clinician self-efficacy and performance evaluation scores, measured up to 18 months. Secondary outcomes include training satisfaction, intervention acceptability, feasibility, appropriateness, and patient emotion regulation improvements. The total participation may last up to 18 months, during which clinicians will complete training, consultations if assigned, and implementation activities.

Community-based Implementation of Online EmReg