Expanding Delivery of an Evidence-based Weight-loss Intervention to Enhance Access and Reach Underserved Groups After TBI (tGLB-TBI)
Traumatic Brain Injury
About this trial
This is an interventional treatment trial for Traumatic Brain Injury
Eligibility Criteria
Inclusion Criteria: 18-80 years of age Greater than or equal to 6 months post traumatic brain injury (TBI) Moderate to severe TBI at time of injury Body Mass Index greater than or equal to 25 Able to participate in physical activity Willing to use a tablet/computer/smartphone (either personal device or one provided by the research team) Exclusion Criteria: Contraindications to physical activity (e.g., uncontrolled hypertension, unstable angina, severe joint disease, uncontrolled vertigo/dizziness) Not fluent in the English language Low cognitive function Residing in a hospital, acute rehabilitation facility, or skilled nursing facility Diagnosed with or taking medications for Type 2 diabetes Self-reported pregnancy Pre-existing diagnosis of an eating disorder
Sites / Locations
- Baylor Scott & White Research InstituteRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Telehealth GLB-TBI (tGLB-TBI)
Brain Health Group (BHG)
The goal of the tGLB-TBI program is to help the participant achieve and maintain a 5-7% weight-loss using a two-pronged approach: Physical activity: This is based upon recommendations by the American Heart Association and the American College of Sports Medicine (ACSM) to achieve 150 minutes of moderate intensity activity each week. Walking is the primary activity recommended. Healthy eating: Based on United States Department of Agriculture guidelines, the GLB emphasizes healthy eating patterns and tracking dietary intake. The tGLB-TBI was modified from the DPP-GLB and is a one-year program with 22 sessions. It begins with 12 weekly sessions called the Core Program, followed by a Transition phase consisting of 2 bi-weekly and 2 monthly sessions, and a Support Phase consisting of 6 monthly sessions. Sessions will be delivered in a group setting via telehealth (Microsoft Teams).
The Brain Health Group (BHG) meets at the same frequency as the GLB-TBI (i.e., 22 group-based sessions, 12 weekly, 4 bi-monthly, and 6 monthly).The focus of the BHG is on brain health education, self-management, and problem-solving and the BHG did not receive any education on weight-loss strategies. Sessions will be delivered in a group setting via telehealth (Microsoft Teams).