The Efficacy of a Scheduled Telephone Intervention for Ameliorating Depressive Symptoms During the First Year After Traumatic Brain Injury

Departments of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, USA.
The Journal of head trauma rehabilitation (Impact Factor: 2.92). 07/2009; 24(4):230-8. DOI: 10.1097/HTR.0b013e3181ad65f0
Source: PubMed


To determine whether an intervention designed to improve functioning after traumatic brain injury (TBI) also ameliorates depressive symptoms.
Single-blinded, randomized controlled trial comparing a scheduled telephone intervention to usual care.
One hundred seventy-one persons with TBI discharged from an inpatient rehabilitation unit.
The treatment group received up to 7 scheduled telephone sessions over 9 months designed to elicit current concerns, provide information, and facilitate problem solving in domains relevant to TBI recovery.
Brief Symptom Inventory-Depression (BSI-D) subscale, Neurobehavioral Functioning Inventory-Depression subscale, and Mental Health Index-5 from the Short-Form-36 Health Survey.
Baseline BSI-D subscale and outcome data were available on 126 (74%) participants. Randomization was effective except for greater severity of depressive symptoms in the usual care (control) group at baseline. Outcome analyses were adjusted for these differences. Overall, control participants developed greater depressive symptom severity from baseline to 1 year than did the treatment group. The treated group reported significantly lower depression symptom severity on all outcome measures. For those more depressed at baseline, the treated group demonstrated greater improvement in symptoms than did the controls.
Telephone-based interventions using problem-solving and behavioral activation approaches may be effective in ameliorating depressive symptoms following TBI. Proactive telephone calls, motivational interviewing, and including significant others in the intervention may have contributed to its effectiveness.

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    • "In one study, telephonically delivered CBT has been demonstrated to significantly decrease depressive symptoms and increase walking frequency in patients who have diabetes and depression, although failing to result in better glucose control (Piette et al., 2011). Despite recent interest in research using telephone-based and mobile-deviceYbased counseling methods for obesity in treatment in individuals with binge eating disorder and first-episode psychosis (Castelnuovo et al., 2011; Killackey et al., 2011), telephonic interventions in the mental health field have been largely limited to the treatment of substance use disorders and depression (Bombardier et al., 2009; McKay et al., 2004). Consequently , there remains a paucity of data on telephone-based interventions for weight reduction in persons with SMI. "
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    ABSTRACT: Obesity and metabolic disturbances frequently occur in individuals with psychiatric disorders. This study evaluates a telephonically delivered lifestyle coaching intervention aimed at weight reduction and wellness improvement in psychiatric outpatients. A cohort of 761 participants was prospectively followed up for a period of 12 months. Lifestyle coaching was administered telephonically on a weekly basis for the first 3 months and monthly thereafter. During the study period, there was a significant reduction in weight and waist circumference as well as a significant increase in general health in the completer group. A total of 46% of the participants lost 5% or more of their baseline weight. Significant predictors of attrition at baseline were the presence of metabolic syndrome, younger age, chronic illness, and the diagnosis of a mood disorder. Dropout was significantly less in those participants who received support from a nominated caregiver. Telephonic lifestyle coaching is feasible in this population.
    The Journal of nervous and mental disease 11/2013; 201(11):977-86. DOI:10.1097/NMD.0000000000000036 · 1.69 Impact Factor
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    • "Third, non-pharmacological interventions have also been found to improve outcomes. This was seen following telephone intervention trials in mild to severe TBI, in which the intervention was associated with improved overall function, functional status, quality of life, and depression measures in comparison to a control group with standard follow-up (Bell et al., 2005, 2008; Bombardier et al., 2009). Functional benefits were also reported in a placebo controlled trial of acupressure in post-acute mild TBI (McFadden et al., 2010). "
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    Frontiers in Neurology 03/2012; 3:31. DOI:10.3389/fneur.2012.00031
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    • "Individuals with TBI Bell et al. 2005, 2008; Bombardier et al. 2009 Family Problem Solving (FPS) online treatment program Website designed for families of children who had TBI. Several different modules on the website aim at helping families cope with a child who is recovering from a TBI. "

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