- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01816061
Executive Functioning in TBI From Rehabilitation to Social Reintegration: COMPASS (COMPASS)
Study Overview
Status
Intervention / Treatment
Detailed Description
The COMPASS (Community Participation through Self-Efficacy Skills Development) program aims at developing and testing a novel patient-centered intervention framework that can be utilized as a platform for VA community re-integration comparative effectiveness research. The COMPASSgoal intervention will be developed and implemented to meet these needs. COMPASSgoal will integrate principles and best practices of goal self-management. Goal setting is a core skill in self-management training by which persons with chronic health conditions learn to improve their status and decrease symptom impact.3F One important mechanism of action of this program appears to be its positive effect on self-efficacy, or confidence in one's ability to attain goals and solve problems.4F
The study goal is to gather data on the efficacy of a novel approach to psychosocial rehabilitation for Veterans with executive function impairment due to traumatic brain injury (TBI), and to explore over time, through relevant measures, Veteran responsiveness to intervention. Veterans with mild TBI will be randomized into two groups: the COMPASS (Community Participation through Self-Efficacy Skills Development) goal-management intervention group and the supported discharge group.
110 participants with residual deficits in executive function due to TBI will be recruited at a minimum of 3 months post-injury from the TBI program at the DC VAMC over the three-year period of the study. The operational definition of executive dysfunction/ inclusion into the study is based on both clinical diagnosis by a study physician and a standardized executive dysfunction measure, the Frontal Systems Rating Scale (FrSBe score), such that a total score or any of the 3 subscale scores < 1 SD compared to the normative score would indicate executive dysfunction sufficient to include in the study. The treatment phase for the Veterans enrolled in the intervention group will continue for two consecutive months (8 weekly sessions).
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20422
- Washington DC VA Medical Center, Washington, DC
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- TBI of at least mild severity using criteria related to disturbance of consciousness (VHA TBI Comprehensive Evaluation screening tool).
- Obtained informed consent.
- Males or females of working age, between the ages of 18 and 55.
- Medically stable with physician approval to participate
- Ability to comprehend and communicate in English at a 6th grade level
- Executive dysfunction as identified by Frontal Systems Rating Scale (FrSBe) and/or other study assessments
Exclusion Criteria:
- Unable to provide informed consent and no proxy available.
- Severe impairment of language or day- to-day memory that would preclude participation in a verbally-based therapy.
- Life expectancy of less than 36 months.
Severe multiple trauma (as judged by the attending physicians and/or investigators that is too severe to participate in this study) such as:
- severe burns
- serious organ damage
- amputations
- multiple fractures
- History of substance abuse severe enough to cause neurologic damage, pre-morbid history of neurologic disease (e.g., stroke).
- Prior history of known bipolar disorder or schizophrenia or severe psychiatric illness as determined by medical history.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental - COMPASS
Goal-setting sessions
|
Controlled randomized clinical trial.
Fifty-five participants in the intervention group will receive eight goal self-management sessions over a period of approximately ten weeks.
|
Active Comparator: Control - COMPASS
Informative phone calls
|
Increased hours of patient-provider interactions Group.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Community Reintegration for Injured Service Members at 2 Months
Time Frame: Baseline and 2 months
|
Change from Baseline in Community Reintegration for Injured Service Members (CRIS) at 2 months.
The investigators used in the report CRIS subscale - Extent of Participation, CRIS with the score range 28.0-64.0.
Higher scores mean a better outcome for the Extent of Participation, Community Reintegration for Injured Service Members (CRIS)
|
Baseline and 2 months
|
Change From Baseline in Frontal Systems Behavior Scale at 2 Months
Time Frame: Baseline and 2 months
|
Change from Baseline in Frontal Systems Behavior Scale (FrSBe) at 2 months.
Minimum value =21, Maximum value=158, Higher score correlates with worse outcome.
|
Baseline and 2 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Joel Scholten, MD, DCVAMC
Publications and helpful links
General Publications
- Libin AV, Scholten J, Schladen MM, Danford E, Shara N, Penk W, Grafman J, Resnik L, Bruner D, Cichon S, Philmon M, Tsai B, Blackman M, Dromerick A. Executive functioning in TBI from rehabilitation to social reintegration: COMPASS (goal,) a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013-2016). Mil Med Res. 2015 Nov 30;2:32. doi: 10.1186/s40779-015-0061-2. eCollection 2015.
- Libin AV, Schladen MM, Danford E, Cichon S, Bruner D, Scholten J, Llorente M, Zapata S, Dromerick AW, Blackman MR, Magruder KM. Perspectives of veterans with mild traumatic brain injury on community reintegration: Making sense of unplanned separation from service. Am J Orthopsychiatry. 2017;87(2):129-138. doi: 10.1037/ort0000253.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- D0637-R
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Traumatic Brain Injury
-
Fondazione per la Ricerca Ospedale MaggioreCompletedBrain Injuries, Traumatic | Brain Injury Traumatic Severe | Brain Injury Traumatic ModerateItaly
-
Hospital Sirio-LibanesUniversity of Sao Paulo; Ministry of Health, Brazil; Hospital Sao Rafael; PROAD... and other collaboratorsRecruitingBrain Injury Traumatic Severe | Brain Injury Traumatic Moderate | Post Traumatic EpilepsyBrazil
-
Toronto Rehabilitation InstituteCentre for Aging and Brain Health Innovation; Ontario Neurotrauma FoundationUnknownBrain Injuries, Traumatic | Brain Injury, Chronic | Brain Injury Traumatic Severe | Brain Injury Traumatic ModerateCanada
-
University of TurkuTurku University Hospital; The Finnish Funding Agency for Technology and Innovation... and other collaboratorsCompletedBrain Injuries | TBI (Traumatic Brain Injury) | Brain Injuries, Traumatic | Traumatic Brain Injury | Injury, Brain, TraumaticFinland
-
Children's Hospital Medical Center, CincinnatiUniversity of CincinnatiCompletedBrain Injury Traumatic MildUnited States
-
Institut National de la Santé Et de la Recherche...Institut National de Recherche en Informatique et en AutomatiqueNot yet recruitingTBI (Traumatic Brain Injury)France
-
BrainScope Company, Inc.RecruitingTBI (Traumatic Brain Injury) | Concussion, Brain | MTBI - Mild Traumatic Brain Injury | Closed Head InjuryUnited States
-
University of Sao Paulo General HospitalUnknownTraumatic Brain Injury | Severe Brain Injury | Closed Traumatic Brain InjuryBrazil
-
Queen Mary University of LondonCompleted
-
Northeastern UniversityBrandeis UniversityRecruitingTraumatic Brain Injury | Mild Traumatic Brain Injury | TBI | Moderate Traumatic Brain InjuryUnited States
Clinical Trials on Experimental - COMPASS
-
Columbia UniversityDepartment for International Development, United Kingdom; International Rescue...CompletedDomestic Violence | Sexual Assault | Interpersonal Relations | Marital StatusUnited States
-
King's College LondonKing's College Hospital NHS TrustNot yet recruitingDepression | Multiple Sclerosis | Anxiety
-
King's College LondonSouth London and Maudsley NHS Foundation TrustCompletedDepression | Quality of Life | Diabetes Mellitus, Type 2 | Diabetes Mellitus | Diabetes | Diabetes Mellitus, Type 1 | Anxiety | Loneliness | Distress, Emotional | Diabetes Distress | Social FunctioningUnited Kingdom
-
Seattle Children's HospitalLife Sciences Development FundUnknown
-
Mary RadomskiRecruitingConcussion; SyndromeUnited States
-
King's College LondonGuy's and St Thomas's NHS Foundation Trust; Crohn's and Colitis UKRecruitingPsychological Distress | IBD | Treatment of Illness-related Distress in IBDUnited Kingdom
-
King's College LondonCompletedDepression | Heart Failure | AnxietyUnited Kingdom
-
Mary RadomskiCompletedBreast Cancer | Breast NeoplasmUnited States
-
Wake Forest University Health SciencesDuke University; University of North Carolina, Chapel Hill; East Carolina UniversityCompleted
-
King's College LondonCompleted