Effects of an Interdisciplinary Fitness and Social Engagement Intervention
Effects of an Interdisciplinary Fitness and Social Engagement Intervention
This study will evaluate feasibility and preliminary effectiveness of a 10-week
 interdisciplinary and multimodal intervention that utilizes patient education, group
 discussion, and supervised exercise for Veterans with a history of traumatic brain injury
 (TBI). Primary outcomes include physical activity (PA), sleep quality, and community
 integration.
This randomized controlled trial will have a sample size of 24. Veterans between the ages of
 18 and 65 in the Polytrauma and TBI program who are greater than 1 year post injury prior to
 entering the study, will be recruited. After randomization participants in the intervention
 group will complete a 10 week bout of multidisciplinary wellness education, group discussion,
 and supervised exercise. The intervention will occur weekly and last up to 2 hours. The
 control group will complete a 10week comprehensive health education program simultaneously.
 All measures will be collected again, post intervention. A follow-up collection will occur at
 3 months post-intervention.
Inclusion Criteria:

 -  TBI of at least mild severity using criteria related to disturbance of consciousness

 -  Most recent TBI occurred >1 year prior to consent process

 -  Medically stable with physician approval to participate

 Exclusion Criteria:

 -  Unable to provide informed consent and no proxy available

 -  Prior history of known bipolar disorder or schizophrenia or severe psychiatric illness

 -  Veterans with any cardiac condition that may cause sudden decompensation during
 cardiovascular testing and training (e.g., severe congestive heart failure and
 uncontrolled hypertension)

 -  Veteran is currently active in a skilled physical therapy program.

 -  Veterans who meet or exceed American Heart Association and American College of Sports
 Medicine guidelines for physical activity