Article

OBJECTIVE: To evaluate the effect of a Scheduled Telephone Intervention (STI)
compared with usual care (UC) on function, health/emotional status,
community/work activities, and well-being at 1 and 2 years after traumatic brain
injury (TBI). DESIGN: Two group, randomized controlled trial. SETTING: Telephone
contacts with subjects recruited in inpatient rehabilitation. PARTICIPANTS:
Eligible subjects (N=433) with TBI (age>16y) were randomly assigned to STI plus
UC (n=210) or UC (n=223) at discharge. STI subjects (n=169) completed the outcome
at year 1 (118 at year 2) and 174 UC subjects at year 1 (123 at year 2).
INTERVENTIONS: STI subjects received calls at 2 and 4 weeks and 2, 3, 5, 7, 9,
12, 15, 18, and 21 months consisting of brief training in problem solving,
education, or referral. MAIN OUTCOME MEASURES: A composite outcome at 1 year was
the primary endpoint. Analysis on intent-to-treat basis used linear regression
adjusted for site, Glasgow Coma Scale, race/ethnicity, age, FIM, sex, and
Disability Rating Scale (DRS). Secondary analyses were conducted on individual
and composite measures (FIM, DRS, community participation indicators, Glasgow
Outcome Scale [Extended], Short Form-12 Health Survey, Brief Symptom
Inventory-18, EuroQOL, and modified Perceived Quality of Life). RESULTS: No
significant differences were noted between the groups at years 1 or 2 for primary
(P=.987 regression for year 1, P=.983 for year 2) or secondary analyses.
CONCLUSIONS: This study failed to replicate the findings of a previous single
center study of telephone-based counseling. While telephone mediated treatment
has shown promise in other studies, this model of flexible counseling in problem
solving and education for varied problems was not effective over and above usual care.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS