Project Summary

PCORI has identified the need for large studies that look at real-life questions facing diverse patients, caregivers, and clinicians. In 2014, PCORI launched the Pragmatic Clinical Studies initiative to support large-scale comparative effectiveness studies focusing on everyday care for a wide range of patients. The Pragmatic Clinical Studies initiative funded this research project.

This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.

What is the research about?

Bumps or jolts to the head can damage the brain, resulting in traumatic brain injury, or TBI. TBI can cause headaches, sleep problems, dizziness, mood changes, and tiredness. People with TBI may have trouble thinking clearly, and their memory may be affected. Some of these problems may not go away quickly, and people with TBI may have a hard time returning to their daily routine. About half of people whose moderate to severe TBI requires a hospital stay have a long-term disability.

Although TBI is common, not all healthcare professionals are equipped to care for TBI-related health problems or are familiar with the education or services patients may need after leaving the hospital. The research team wants to compare different approaches to connect patients and their caregivers to education or services to help patients continue to recover from TBI after they leave the hospital. 

Who can this research help?

Results of this study can help doctors and patients with TBI and their caregivers plan for the patients’ recovery after a hospital stay.

What is the research team doing?

The team is working with six hospitals that offer TBI inpatient rehabilitation treatment to recruit 900 patients being treated for moderate to severe TBI. Before patients leave the hospital for home or another facility, the team is assigning them, by chance, to one of two groups.

One group is getting the care patients and families usually receive to help plan for recovery after a hospital stay. This care includes education, advice, and a plan based on the patient’s needs. A care manager from the hospital calls the patient at home within three days to follow up.

The other group is also getting usual care. But in addition, patients and families in this group are receiving help from a TBI care manager for the first six months after leaving the hospital. Care managers contact patients and families by phone. They help patients and families stay on their care plans and connect them to education or services if needed. Patients and families also have access to a helpline, or they can e-mail or text the care managers for help.

The team is following up with patients every three months for one year to find out if patients are returning to their normal daily activities and to ask about their quality of life. Follow-up questions ask about caregiver burden and how often patients use healthcare services. The team is also looking at how much work it is for the TBI care managers to help connect patients and caregivers to services and what services are available.

Patients with TBI and their families helped plan the study and decide what results to measure. They are contributing to all phases of the study.

Research methods at a glance

Design Elements Description
Design Randomized controlled trial
Population Adult patients who have been hospitalized for treatment of moderate to severe TBI
Interventions/
Comparators
  • Usual care with rehabilitation discharge plan
  • Transition care with rehabilitation transition plan
Outcomes

Primary: Participation Assessment with Recombined Tools-Objective 17 (PART-O), Quality of Life after Brain Injury Scale (QoLIBRI)

Secondary: healthcare utilization; caregiver burden; quality of life for caregiver including personal quality of life and time spent in caregiving; process variables, including time it takes for the TBI care manager to connect patients and caregivers with healthcare, education, and services

Timeframe 6-month follow-up for primary outcomes

Journal Articles

Engagement Resources

Engagement Resource

P&F Stakeholder Description

Project Information

Jeanne Hoffman, PhD
Jesse Fann, MD, PhD
University of Washington
$13,091,467

Key Dates

60 months
March 2017
October 2023
2017

Study Registration Information

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Health Conditions

Health Conditions

These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them.

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Populations

Populations

PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders.

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Intervention Strategy

Intervention Strategies

PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care.

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The state where the project originates, or where the primary institution or organization is located.

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Last updated: September 27, 2021