Live Video Mind-body Treatment to Prevent Persistent Symptoms Following mTBI

Live Video Mind-body Treatment to Prevent Persistent Symptoms Following mTBI

The investigator aims to conduct a pilot randomized controlled trial to test the feasibility of two symptom management programs for college-age individuals with recent concussions and anxiety, TOR-C 1 and TOR-C 2. The investigator will assess the feasibility of recruitment procedures (screening, eligibility, and enrollment) and data collection as well as the feasibility, credibility, and acceptability of the programs (adherence, retention, fidelity, and satisfaction), following prespecified benchmarks. Both programs will be delivered virtually (Zoom).

The investigator aims to conduct a pilot randomized controlled trial to test the feasibility of two symptom management programs for college-age individuals with recent concussions and anxiety, TOR-C 1 and TOR-C 2. The investigator will assess the feasibility of recruitment procedures (screening, eligibility, and enrollment) and data collection as well as the feasibility, credibility, and acceptability of the programs (adherence, retention, fidelity, and satisfaction), following prespecified benchmarks. Both programs will be delivered virtually (Zoom).

Each program will consist of four 45-minute sessions over the secure Zoom platform. Participants will receive a treatment manual. There are 3 assessment points consisting of self-report surveys: baseline, post program, and 3-month follow-up.

Inclusion Criteria:

• Male and female outpatients, ages 18-35
• English fluency and literacy
• Diagnosed with a concussion in the past 10 weeks
• Owns a smartphone or computer with Internet access
• Willingness and ability to participate in four 45-minute program sessions and answer remote questionnaires before, after, and 3-month following the program
• Free of concurrent psychotropic or have been on stable dosage for at least 6 weeks
• Clinically significant anxiety symptoms (score ≥ 5 on GAD-7 anxiety scale)

Exclusion Criteria:

• Previous history of moderate or severe TBI OR concussion in the past 2 years that resulted in symptoms lasting 3 months or more
• Diagnosed with a medical illness expected to worsen in the next 6 months (e.g., malignancy)
• Lifetime history of schizophrenia, bipolar disorder, or other psychotic disorder
• Current substance abuse or dependence and current substance use disorder
• Current active self-reported suicidal ideation
• Practice of mindfulness techniques for greater than 45 minutes per week within the last 3 months
• Participation in a mind-body or CBT treatment in the past 3 months
• Currently pregnant