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Pagulayan Research Group

Recent Projects

Brief telehealth cognitive rehabilitation following mild traumatic brain injury: A pilot study

A flow chart illustrating: 1)The main components of On-TRACC, 2) Immediate Treatment Targets, and 3) Positive outcomes

Funding Agency:

Garvey Institute for Brain Health Solutions

Study Description: 

This pilot study addressed the gap between significant individual and societal impact of post-mTBI cognitive concerns and evidence to guide interventions and treatment for these issues; particularly in the telehealth realm, a critical means by which access to care can be improved. The study addressed this gap by evaluating the feasibility, acceptability, and preliminary effectiveness of a brief (5-session) cognitive rehabilitation intervention that was developed for individuals with mTBI and was administered over HIPAA-compliant video-based telehealth technology. The development of this intervention was supported by a grant from the Department of Defense, with critical elements identified through surveys completed by clinicians and Veterans with a history of mTBI, and also the clinical expertise of the team. The intervention was designed to be delivered to 40 individuals with a history of mTBI (recruited from VA Puget Sound and the Rehabilitation Medicine Clinics at UW Medicine and Harborview Medical Center).

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Development of a Brief Version of Compensatory Cognitive Training for Veterans with Mild Traumatic Brain Injury

The 5 On-TRACC sessions: 1) Introduction and goals, 2) Reducing Cognitive Breakdowns, 3) Attention & Memory Tools, 4) Stress and Cognition link, and 5) Brain Health and next steps, placed consecutively on a winding road. Underneath the winding road, the On-TRACC sessions are listed in circular graphics.Funding Agency:

Department of Defense

Study Description: 

The goal of this study was to develop a treatment manual for a proposed brief cognitive rehabilitation intervention, as well as other materials necessary to conduct later RCTs. To develop the manual, information was integrated from multiple sources, including (1) a survey of Veterans with mTBI to assess treatment preferences, barriers to care, attitudes toward cognitive rehabilitation, and the nature of functional impacts on persistent cognitive difficulties, (2) a survey of clinicians with expertise in providing cognitive rehabilitation interventions in VA settings, and (3) a review of the empirical literature base centered around post-concussive outcomes and clinical care. The manual for the resulting intervention, called On-TRACC (Tools for Recovery and Clinical Care) was piloted on a small sample of Veterans. Post-treatment feedback was incorporated into the final version of the manual. 

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