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Research Paper

Brain Injury

Clinical Practice

Health Services Research

Military and Veterans Affairs

A National Intensive Evaluation and Treatment Program (IETP) for Persons with Mild to Moderate Traumatic Brain Injury (TBI) 8269

Friday, November 1, 2024

3:00 PM – 3:15 PM

Location: ROOM: Coronado C REGION: Tower Lobby Level >>> DIRECTIONS: From ACRM Registration desk, face the elephants and turn right. Proceed past the lobby elevators and turn right to enter the West Wing. Proceed down the corridor, turn right and then left. Proceed past the restrooms. Coronado C is the second room on the right.

Presenting Author(s)

Jolie N. Haun, PhD EdS LMT

Supervisory Research Health Scientist
Veterans Health Administration
Clearwater, FL, United States

Non-presenting Author(s)

Tali Schneider, PhD, MPH (she/her/hers)

Research Health Science Specialist
James A. Haley Veterans Hospital , Research and Development
Tampa, Florida, United States
Justin T. McDaniel, PhD

Associate Professor
Southern Illinois University
Carbondale, IL, United States
Julie McMahon-Grenz, MS, OTR/L

Occupational Therapist
Veterans Administration
Tampa, Florida, United States

Presenting Author(s)

Rachel C. Benzinger, BA

Health Communications Specialist
Veterans Health Administration
Lafayette, Indiana, United States

Slides
Risa Nakase-Richardson, FACRM, FNAN

Rehabilitation Neuropsychologist
James A. Haley Veterans' Hospital
Tampa, Florida, United States
Mary Jo Pugh, PhD, RN

Professor/Research Career Scientist
University of Utah/VA Salt Lake City
Salt Lake City, UT, United States

This research paper presents the evidence-based approach that was used to characterize an inpatient national Intensive Evaluation and Treatment Program (IETP) for service members and veterans (SM/V) with mild to moderate Traumatic Brain Injury (TBI). This work illustrates IETP characterization, determinants, mechanisms, and outcomes that influence implementation. A concurrent mixed methods evaluation design using a participatory approach was implemented to characterize the program and better understand IETP implementation. Methods and analytics were guided by implementation science frameworks including the Consolidated Framework for Implementation Research and RE-AIM. IETP provides integrated services to manage physical injuries, post-traumatic stress disorder, and/or emotional dysregulation to improve health and wellness, including managing outcomes associated with pain, function and participation, and mental health. Though IETP is a national program, findings indicate each site has unique attributes such as program length options, availability of specialty services, staffing, space, and equipment. Analyses resulted in identification of IETP-specific determinants.

Learning Objectives:

Upon completion, participant will be able to explain how methods using implementation science frameworks resulted in the characterization of a national Intensive Evaluation and Treatment Program (IETP).
Upon completion, participant will be able to describe the standard and unique programmatic characteristics of IETP.
Upon completion, participant will be able to identify IETP-specific determinants that informed implementation strategies; patient and site-level mechanisms; and service and clinical-level outcomes contextualized within the RE-AIM framework.

Disclosure(s):

Jolie N. Haun, PhD EdS LMT: No financial relationships to disclose

Tali Schneider, PhD, MPH: No financial relationships to disclose

Justin T. McDaniel, PhD: No financial relationships to disclose

Julie McMahon-Grenz, MS, OTR/L: No financial relationships to disclose

Rachel C. Benzinger, BA: No financial relationships to disclose