Study of STAR-C Cognitive Rehabilitation for Adults with Mild Traumatic Brain Injury Comparing In-Person, Telehealth, and No Treatment Control Groups

What this Trial Is About

Researchers are evaluating the Symptom-Targeted Approach to Rehabilitation for Concussion STAR-C in adults with a history of mild traumatic brain injury mTBI. The study aims to compare the effects of in-person STAR-C, telehealth STAR-C, and no treatment on reducing everyday cognitive complaints. The trial also seeks to understand how patient characteristics affect treatment response and to develop a plan for wider use of STAR-C in clinical settings. Participants are randomly assigned to one of three groups a four-week no treatment waitlist, in-person cognitive rehabilitation, or telehealth cognitive rehabilitation. Those receiving treatment will have up to nine sessions plus a wrap-up session over several weeks. Therapy focuses on compensatory strategies, personalized goals, and homework practice to help make strategy use a habit. The wrap-up session helps participants plan to maintain their progress. During the study, participants complete questionnaires and assessments at baseline, immediately post-treatment, and at one- and three-month follow-ups. Outcome measures include the Common Concussive Cognitive Complaints C4 and Goal Attainment Scaling GAS to track improvement and maintenance. Researchers will also gather feedback from patients and clinicians to guide future implementation. The total duration of participation varies but includes treatment and follow-up visits over several months.

Symptom-Targeted Approach to Rehabilitation for Concussion (STAR-C)