Acceptance and Commitment Therapy-based Rehabilitation of Post-concussion Symptoms

St. Olavs Hospital48 enrolled

Overview

The investigators aim to evaluate effects of an outpatient rehabilitation program based on Acceptance and Commitment Therapy compared to usual care on function in patients with post-concussion syndrome (PCS) and post-traumatic headache (PTH). This study builds on the investigators' previous observational studies and treatment studies in this patient group.

The study is run in an outpatient setting at the Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Norway. All patients are also participants in the observational study: "Minimal and mild head injury: an exercise and outpatient follow-up study at St. Olavs Hospital" (REK number 2018/2159).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Post-Concussion Syndrome Post-Traumatic Headache

Interventions

Acceptance and Commitment TherapyBEHAVIORAL

ACT-based rehabilitation is an interdisciplinary group rehabilitation which includes 7 sessions of group-based ACT therapy. Each session lasts 2½ hours and is offered twice a week. The ACT sessions will be based on a detailed intervention manual, developed specifically for group treatment. Each group will include a maximum of eight patients. The patients are asked to do homework between each ACT-group session.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Having sustained a minimal HI or MTBI * PCS/ PTH had evolved within 1 week after the head trauma. * At least one post-concussion symptoms of at least moderate degree, that affects daily life. * \> 6 months post-injury. * First line treatment has been tried, e.g. psychoeducation, increase of physical activity and pharmacological treatments for headache Exclusion Criteria: * More than 5 years since last injury. * Symptoms are better explained by other conditions. * Severe communication problems, typically due to poor knowledge of Norwegian. * Severe psychiatric, neurological, somatic or substance abuse disorders that will make it problematic to function in a group and/or will complicate follow-up and outcome assessment.

Locations (1)

St Olavs Hospital Clinic of Physical Medicine and Rehabilitation

Trondheim, Norway

RECRUITING

Outcomes

Primary Outcomes

Postcincussion symptom burden

The Rivermead postconcussion symptom questionnaire. The scale measures 13 common postconcussion somatic, emotional and cognitive symptoms on a range from 0 (no symptoms) to 64 (all symptoms graded as severe).

Time frame: 3, 6 and 12 months after the intervention

Secondary Outcomes

Headache

mean change in days of headache of at least moderate intensity, based on headache diary

Time frame: 3, 6 and 12 months after the intervention

Work participation

change in the self-reported number of hours with paid work or ordinary studies per week

Time frame: 3, 6 and 12 months after the intervention

Central Contacts

Toril Skandsen, phd

CONTACT

+47 92692780 toril.skandsen@ntnu.no

Simen Berg Saksvik, PhD

CONTACT

simen.b.saksvik@ntnu.no

Data from ClinicalTrials.gov

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