Problem-Solving Training for Concussion to Improve Recovery and Mental Health in Veterans with Mild Traumatic Brain Injury

What this Trial Is About

Researchers are evaluating a brief and flexible behavioral health treatment called Problem-Solving Training for Concussion PST-Concussion designed for Veterans with mild traumatic brain injury mTBI, also known as concussion. Many Veterans with mTBI experience lasting neurobehavioral issues influenced by co-occurring conditions like post-traumatic stress disorder, depression, and chronic pain. This study aims to assess whether PST-Concussion can improve recovery by reducing psychological distress and enhancing functional outcomes compared to usual care. Participants will be randomly assigned to one of two groups one receiving PST-Concussion and the other receiving treatment as usual TAU. The PST-Concussion group will have six telehealth sessions, each about 30 minutes, that include problem-solving training, concussion education, motivational interviewing, goal-setting, and cognitive strategies. Those in the TAU group will receive standard primary care treatment as determined by their healthcare providers. Throughout the study, participants will complete self-report and cognitive assessments at the start, after treatment, and three months later. These include measures of psychological distress, neurocognitive functioning, psychosocial functioning, and quality of life. Some participants in the PST-Concussion group will be interviewed to understand the interventions impact better. The study will monitor outcomes up to 24 weeks, and the total participation duration includes treatment and follow-up periods.

Problem-Solving Training for Concussion