GOALS Cognitive Training Delivered to Aging Veterans in Person or Via Telehealth (TeleGOALS)
Brain Injuries, Traumatic, Executive Dysfunction
About this trial
This is an interventional treatment trial for Brain Injuries, Traumatic focused on measuring Veterans, Rehabilitation, Cognitive training, Telehealth
Eligibility Criteria
Inclusion Criteria:
Veterans aged 65 or older with history of chronic TBI (>6 months post-injury) -- sustained either during military service
- including in combat
- or as a civilian
- Self-reported cognitive complaints [1 moderate or severe cognitive symptom(s) on the Neurobehavioral Symptom Inventory (NSI [58]) that interfere(s) with daily function]
Endorsement of comfort and familiarity with technology and/or the possession of a personal computer, or other HBT-compatible device
- i.e., tablet, or smartphone
Per the investigators' preliminary patient survey, approximately 75% of the target population has access to a personal computer
- Participants who do not endorse comfort/familiarity with technology may be eligible to participate if they can identify a family member or other caregiver who is consistently present and willing to assist with connecting to study sessions
- A limited number of VA-issued tablets will be available for use by participants who do not have access to a personal computer or other HBT-compatible device
Exclusion Criteria:
Moderate-severe objective cognitive impairment, as measured by score <20 on the Montreal Cognitive Assessment (MoCA [59-61]), that interferes with daily functioning (i.e., Major Neurocognitive Disorder)
- Unstable medical, neurologic, or psychiatric conditions precluding participation in research activities
- Other reasons for being unable or unwilling to participate in study procedures
- Ongoing illicit or prescription drug (Mini International Neuropsychiatric Interview Version 7.0.2 (MINI) [79] or alcohol abuse (Alcohol Use Disorders Test-Consumption (AUDIT-C) [62]>8)
- Active psychosis
- Poor English comprehension
Sites / Locations
- San Francisco VA Medical Center, San Francisco, CARecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Home-based telehealth GOALS
In-person GOALS
Participants in this arm will receive the GOALS intervention via in-home video telehealth.
Participants in this arm will receive the GOALS intervention in the traditional in-person format.