Effectiveness of Telehealth Versus In-Person Combined Metacognitive and Attention Training for Veterans with Mild Traumatic Brain Injury and PTSD

What this Trial Is About

Veterans with mild traumatic brain injury mTBI and post-traumatic stress disorder PTSD often face challenges with attention, executive function, and cognitive tasks that affect their daily lives. This research aims to evaluate and compare the effects of a combined strategy called Goal Management Training plus computerized attention training GMTATT delivered either in-person or through telehealth. The study will assess improvements in executive function, attention, and real-world tasks in these Veterans. Participants will be randomly assigned to one of three groups in-person GMTATT, telehealth GMTATT, or a control group receiving the Brain Health Workshop BHW. Both GMT and attention training involve weekly 2-hour sessions over 10 weeks, with homework assignments between sessions. The in-person group attends sessions at the clinic, while the telehealth group participates via video connection. The BHW control includes brain education and National Geographic movie sessions for the same duration. Throughout the study, Veterans will undergo evaluations before treatment, immediately after, and at 6-month and 1-year follow-ups. Assessments include tests of executive function, attention, real-life task performance like grocery shopping, and quality of life measures. Researchers will track cognitive changes, treatment response, and safety, aiming to determine if telehealth delivery is as effective as in-person therapy over the total study period.

Comparing Telehealth to In-person a Combined Metacognitive Training in Veterans With mTBI/PTSD