Psychoeducation as Precision Health in Military-Related Mild Traumatic Brain Injury |
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| Institution: | 1. Moss Rehabilitation Research Institute, Elkins Park, PA;2. Department of Behavioral Health, Fort Belvoir Intrepid Spirit Center, Fort Belvoir, VA;1. College of Physical Education, Shenzhen University, Shenzhen, China;2. Institute of Textiles and Clothing, The Hong Kong Polytechnic University, Hong Kong;4. College of Physical Education, Guangzhou Sport University, Gaungzhou, China;5. Shenzhen Fuyong Middle School, Shenzhen, China;1. Comprehensive Health Innovation, Research, and Policy Division, RTI International, Waltham, Massachusetts;2. Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, Illinois;3. Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, Illinois;4. Health Advance, RTI International, Waltham, Massachusetts;5. Division of Post-Acute Care, Center for Clinical Standards and Quality (CCSQ), Centers for Medicare and Medicaid Services, Baltimore, Maryland;6. RTI International, Waltham, Massachusetts;1. Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN, United States;2. Institute for Knowledge Translation, Carmel, IN, United States;3. Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI, United States;4. Shirley Ryan AbilityLab, Chicago, IL, United States;5. Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, United States;6. South Eastern Norway Regional Center of Knowledge Translation in Rehabilitation, Oslo, Norway;1. Comprehensive Health Innovation, Research and Policy Division, RTI international, Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL;2. Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL;3. Comprehensive Health Innovation, Research and Policy Division, RTI International, Waltham, MA;4. Division of Post-Acute Care, Center for Clinical Standards and Quality (CCSQ), Centers for Medicare & Medicaid Services, Baltimore, MD;5. Health, Quality & Analytics Division, RTI International, Waltham, MA;6. Comprehensive Health Innovation, Research and Policy Division, RTI International, Research Triangle Park, NC;7. Health Advance, RTI International, Waltham, MA;8. RTI International, Chicago, IL;9. Health Care, Abt Associates, Durham, NC;1. Comprehensive Health Innovation, Research and Policy Division, RTI International, Waltham, MA;2. Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL;3. Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL;4. Health Advance, RTI International, Waltham, MA;5. RTI International, Chicago, IL;6. Division of Post-Acute Care, Center for Clinical Standards and Quality (CCSQ), Centers for Medicare & Medicaid Services, Baltimore, MD;1. Department of Rehabilitation Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing;2. Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China |
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| Abstract: | A significant proportion of Service Members and Veterans (SMVs) experience at least 1 mild traumatic brain injury during military activities (mil-mTBI), which can result in enduring cognitive symptoms. Although multiple cognitive rehabilitation (CR) interventions have been developed for this population, patient psychoeducation focusing on biopsychosocial relationships and health behaviors is often cited as the first line of defense for mil-mTBI sequelae. However, theoretical and conceptual foundations of these psychoeducational techniques are not well articulated. This raises questions about the potency of attempts to boost health literacy in affected SMVs, who represent a highly heterogeneous patient population within a special cultural milieu. To elucidate the significance of this problem and identify opportunities for improvement, we view the psychoeducation of SMVs through the lens of educational principles described in serious mental illness, where “psychoeducation” was first formally defined, as well as contextual and phenomenological aspects of mil-mTBI that may complicate treatment efforts. To advance psychoeducation research and practice in mil-mTBI, we discuss how treatment theory, which seeks to link active treatment ingredients with specific therapeutic targets, and an associated conceptual framework for medical rehabilitation—the Rehabilitation Treatment Specification System—can be leveraged to personalize educational content, integrate it into multicomponent CR interventions, and evaluate its effectiveness. |
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| Keywords: | Stress disorders post-traumatic |
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