Graded Exposure Therapy for Fear Avoidance Behaviour After Concussion (NCT05365776) | Clinical Trial Compass
Active — Not RecruitingNot Applicable
Graded Exposure Therapy for Fear Avoidance Behaviour After Concussion
Canada220 participantsStarted 2022-06-01
Plain-language summary
Concussions are very common. Although many people recover well from concussion, some will have persistent symptoms and difficulties with daily activities. How people cope with their symptoms following concussion powerfully influences their recovery. Fear avoidance behaviour is a particularly unhelpful approach to coping, in which people perceive their pre-injury activities as unnecessarily dangerous and take great care to avoid overexertion and overstimulation. The investigators developed and pilot tested a behavioural therapy, called graded exposure therapy, to reduce fear avoidance behaviour. Our preliminary work suggested that graded exposure therapy was acceptable to patients with concussion and possibly beneficial for their recovery. The GET FAB after concussion study will assess the effectiveness of graded exposure therapy.
Who can participate
Age range18 Years – 69 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. aged 18-70 years;
✓. sustained a concussion according to the ACRM mTBI Task Force definition between 1 and 24 months ago
✓. fluent in English, because validated translations are not available for most questionnaires and recruiting multilingual therapists is not feasible;
✓. access to a computer, tablet, or smartphone with internet capability;
✓. 3 or more moderate-severe symptoms on the Rivermead Postconcussion Symptom Questionnaire.
Exclusion criteria
✕. medical contraindication to aerobic exercise (cardiac disease, chest pain with exertion, acute bone/joint/soft tissue injury aggravated by exercise)
✕. change in cardiac medication within the last month, such as beta blockers, calcium channel blockers, or ivabradine
✕. involved in personal injury litigation for index mTBI
✕. currently pregnant or plan to become pregnant within the next three months
What they're measuring
1
Rivermead Post Concussion Symptoms Questionnaire (RPQ): Change