TY - JOUR
T1 - Providing equal attention
T2 - designing control groups for intensive lifestyle interventions after brain injury
AU - Juengst, Shannon
AU - Rainey, Evan
AU - Noorbakhsh, Donna
AU - Driver, Simon
N1 - Funding Information:
The contents of this manuscript were developed under a grant from The National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90DPTB0013). NIDILRR is a centre within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.
PY - 2020/10/14
Y1 - 2020/10/14
N2 - Primary objective: Interventions are needed to address chronic health conditions, such as obesity and diabetes, faced by adults with traumatic brain injury (TBI). The objective of this narrative is to present the justification for and an exemplar of an active attention control condition as a needed comparison group in clinical trials for intensive lifestyle interventions after TBI. Research Design: Narrative review Methods and Procedures: N/A Main Outcomes and Results: Despite the historical use in scientific research, integration of appropriate control conditions to account for not only the placebo effect, but also to isolate the “active ingredients” of behavioural interventions, remains a challenge. This is particularly true for intensive lifestyle interventions, especially with the increasing use of mobile health (mHealth) to augment these interventions. Herein we describe the design, content, and implementation of a group-based, attention control condition, referred to as the Brain Health Group, as an exemplar active comparison to an intensive lifestyle intervention for weight-loss among individuals with TBI (GLB-TBI). Conclusions: Intervention studies should incorporate strong scientific designs and active control conditions to assess effectiveness and aid in replication. Following recommended guidelines, we provide an active control condition for future group-based intensive lifestyle interventions post-TBI.
AB - Primary objective: Interventions are needed to address chronic health conditions, such as obesity and diabetes, faced by adults with traumatic brain injury (TBI). The objective of this narrative is to present the justification for and an exemplar of an active attention control condition as a needed comparison group in clinical trials for intensive lifestyle interventions after TBI. Research Design: Narrative review Methods and Procedures: N/A Main Outcomes and Results: Despite the historical use in scientific research, integration of appropriate control conditions to account for not only the placebo effect, but also to isolate the “active ingredients” of behavioural interventions, remains a challenge. This is particularly true for intensive lifestyle interventions, especially with the increasing use of mobile health (mHealth) to augment these interventions. Herein we describe the design, content, and implementation of a group-based, attention control condition, referred to as the Brain Health Group, as an exemplar active comparison to an intensive lifestyle intervention for weight-loss among individuals with TBI (GLB-TBI). Conclusions: Intervention studies should incorporate strong scientific designs and active control conditions to assess effectiveness and aid in replication. Following recommended guidelines, we provide an active control condition for future group-based intensive lifestyle interventions post-TBI.
KW - Traumatic brain injuries
KW - clinical trials
KW - intensive lifestyle intervention
KW - weight-loss
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U2 - 10.1080/02699052.2020.1825807
DO - 10.1080/02699052.2020.1825807
M3 - Article
C2 - 33001707
AN - SCOPUS:85091838373
SN - 0269-9052
VL - 34
SP - 1618
EP - 1624
JO - Brain injury
JF - Brain injury
IS - 12
ER -