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The 12-month study will investigate a cognitive training augmentation of supported employment to improve cognitive performance and work outcomes, which are expected to result in improved quality of life and community integration for veterans with mild to moderate traumatic brain injuries. The primary hypothesis is that compared to veterans who receive enhanced supported employment, those who receive supported employment plus cognitive training will work more weeks during the 12 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Supported employment for 12 months plus cognitive training for the first 12 weeks |
|
| 2 | Active Comparator | Supported employment for 12 months plus one additional supported employment session per week for the first 12 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supported employment plus cognitive training | Behavioral | Supported employment for 12 months plus cognitive training for the first 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Weeks worked | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hours worked | 12 months | |
| Dollars earned from working | 12 months | |
| Cognitive performance |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth W Twamley, PhD | University of California, San Diego, VA San Diego Healthcare System, and Veterans Medical Research Foundation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA San Diego Healthcare System | San Diego | California | 92161 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26147236 | Derived | Walter KH, Jak AJ, Twamley EW. Psychiatric comorbidity effects on compensatory cognitive training outcomes for veterans with traumatic brain injuries. Rehabil Psychol. 2015 Aug;60(3):303-8. doi: 10.1037/rep0000049. Epub 2015 Jul 6. |
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| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D016832 | Employment, Supported |
| D000091942 | Cognitive Training |
| ID | Term |
|---|---|
| D004651 | Employment |
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
| D012050 | Rehabilitation, Vocational |
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| Enhanced supported employment | Behavioral | Supported employment for 12 months plus one additional supported employment session per week for the first 12 weeks. |
|
| 3, 6, and 12 months |
| Neurobehavioral symptoms | 3, 6, and 12 months |
| Quality of life | 3, 6, and 12 months |
| D006259 |
| Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D012046 |
| Rehabilitation |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D000066530 | Neurological Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |