Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury
ObjectiveMany active duty service members with mild traumatic brain injury (mTBI) report comorbidities such as depression, anxiety, PTSD, insomnia, and pain. We analyzed data from a prior randomized controlled trial (RCT) to examine the effects of evidence-based treatment modules, delivered by telep...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1594748/full |
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| author | Jesse R. Fann Jesse R. Fann Tessa Hart Kathleen R. Bell Wesley Cole Sonia Jain Rema Raman Jason Barber Sureyya Dikmen Sureyya Dikmen John Richardson Murray B. Stein Murray B. Stein Murray B. Stein Nancy Temkin Nancy Temkin Nancy Temkin |
| author_facet | Jesse R. Fann Jesse R. Fann Tessa Hart Kathleen R. Bell Wesley Cole Sonia Jain Rema Raman Jason Barber Sureyya Dikmen Sureyya Dikmen John Richardson Murray B. Stein Murray B. Stein Murray B. Stein Nancy Temkin Nancy Temkin Nancy Temkin |
| author_sort | Jesse R. Fann |
| collection | DOAJ |
| description | ObjectiveMany active duty service members with mild traumatic brain injury (mTBI) report comorbidities such as depression, anxiety, PTSD, insomnia, and pain. We analyzed data from a prior randomized controlled trial (RCT) to examine the effects of evidence-based treatment modules, delivered by telephone, on the number and symptom burden of five common comorbidities.Setting and participants356 service members from two military medical centers who had sustained deployment-related mTBI in the preceding 2 years.DesignSecondary analysis of RCT comparing 6 months of telephone-delivered problem-solving treatment (PST) with comorbidity-specific modules to education only (EO).Main measuresComorbidity burden measured by Patient Health Questionnaire-9, Brief Symptom Inventory-Anxiety, PTSD Checklist, Pittsburgh Sleep Quality Inventory, Rivermead Postconcussion Symptoms Questionnaire (headache item) assessed at baseline and 6 and 12 months.Results47% of service members endorsed ≥ 3 comorbidities at baseline. At 6 months, the PST group had significantly fewer comorbidities, greater improvement in depression, anxiety, PTSD, and sleep, but not headache, and higher response/remission rates for depression and sleep, compared to EO. There were no significant group differences at 12 months.ConclusionTelephone-delivered PST with comorbidity-specific modules reduces burden of comorbidities after deployment-related mTBI. Research is needed on how to maintain improvements over time. |
| format | Article |
| id | doaj-art-51c4d993a05443b9aec24eaf7c7c83c3 |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-51c4d993a05443b9aec24eaf7c7c83c32025-08-20T03:34:44ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-07-011610.3389/fneur.2025.15947481594748Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injuryJesse R. Fann0Jesse R. Fann1Tessa Hart2Kathleen R. Bell3Wesley Cole4Sonia Jain5Rema Raman6Jason Barber7Sureyya Dikmen8Sureyya Dikmen9John Richardson10Murray B. Stein11Murray B. Stein12Murray B. Stein13Nancy Temkin14Nancy Temkin15Nancy Temkin16Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United StatesDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, United StatesMoss Rehabilitation Research Institute, Elkins Park, PA, United StatesDepartment of Physical Medicine and Rehabilitation, University of Texas Southwestern, Dallas, TX, United StatesDepartment of Brain Injury Medicine, Womack Army Medical Center, Fort Bragg, NC, United StatesHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United StatesAlzheimer’s Therapeutic Research Institute, University of Southern California, Los Angeles, CA, United StatesDepartment of Neurological Surgery, University of Washington, Seattle, WA, United StatesDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, United StatesDepartment of Neurological Surgery, University of Washington, Seattle, WA, United StatesDepartment of Health Management and Policy, University of Michigan, Ann Arbor, MI, United StatesHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United States0Department of Psychiatry, University of California, San Diego, La Jolla, CA, United States1VA San Diego Healthcare System, San Diego, CA, United StatesDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, United StatesDepartment of Neurological Surgery, University of Washington, Seattle, WA, United States2Department of Biostatistics, University of Washington, Seattle, WA, United StatesObjectiveMany active duty service members with mild traumatic brain injury (mTBI) report comorbidities such as depression, anxiety, PTSD, insomnia, and pain. We analyzed data from a prior randomized controlled trial (RCT) to examine the effects of evidence-based treatment modules, delivered by telephone, on the number and symptom burden of five common comorbidities.Setting and participants356 service members from two military medical centers who had sustained deployment-related mTBI in the preceding 2 years.DesignSecondary analysis of RCT comparing 6 months of telephone-delivered problem-solving treatment (PST) with comorbidity-specific modules to education only (EO).Main measuresComorbidity burden measured by Patient Health Questionnaire-9, Brief Symptom Inventory-Anxiety, PTSD Checklist, Pittsburgh Sleep Quality Inventory, Rivermead Postconcussion Symptoms Questionnaire (headache item) assessed at baseline and 6 and 12 months.Results47% of service members endorsed ≥ 3 comorbidities at baseline. At 6 months, the PST group had significantly fewer comorbidities, greater improvement in depression, anxiety, PTSD, and sleep, but not headache, and higher response/remission rates for depression and sleep, compared to EO. There were no significant group differences at 12 months.ConclusionTelephone-delivered PST with comorbidity-specific modules reduces burden of comorbidities after deployment-related mTBI. Research is needed on how to maintain improvements over time.https://www.frontiersin.org/articles/10.3389/fneur.2025.1594748/fulltraumatic brain injuryconcussioncomorbiditytelehealthclinical trial |
| spellingShingle | Jesse R. Fann Jesse R. Fann Tessa Hart Kathleen R. Bell Wesley Cole Sonia Jain Rema Raman Jason Barber Sureyya Dikmen Sureyya Dikmen John Richardson Murray B. Stein Murray B. Stein Murray B. Stein Nancy Temkin Nancy Temkin Nancy Temkin Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury Frontiers in Neurology traumatic brain injury concussion comorbidity telehealth clinical trial |
| title | Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury |
| title_full | Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury |
| title_fullStr | Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury |
| title_full_unstemmed | Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury |
| title_short | Effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury |
| title_sort | effects of a modular telehealth intervention on comorbid conditions in service members with mild traumatic brain injury |
| topic | traumatic brain injury concussion comorbidity telehealth clinical trial |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1594748/full |
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