POWER-A Telehealth Rehabilitation Program for Veterans: Feasibility and Preliminary Efficacy Combat veterans experience high rates of traumatic brain injury (TBI) and related comorbidities. In addition to the deficits arising from the injury, veterans often experience a myriad of psychosocial impairments including post-traumatic stress symptoms (PTSS) and depression; however, utilization of mental health services or cognitive rehabilitation can be limited given ... Article
Article  |   March 16, 2017
POWER-A Telehealth Rehabilitation Program for Veterans: Feasibility and Preliminary Efficacy
Author Affiliations & Notes
  • Lindsay Riegler
    Rehabilitation Care Line, Cincinnati Veterans Affairs Medical Center, University of Cincinnati, Cincinnati, OH
  • Shari L. Wade
    Cincinnati Children's Hospital, University of Cincinnati College of Medicine, Cincinnati, OH
  • Megan Narad
    Cincinnati Children's Hospital, Cincinnati, OH
  • Lindsey Sarver
    Rehabilitation Care Line, Veterans Affairs Medical Center, Cincinnati, OH
  • Disclosures
    Disclosures ×
  • Financial: Lindsay Riegler has no relevant financial interests to disclose. Shari Wade has no relevant financial interests to disclose. Megan Narad has no relevant financial interests to disclose. Lindsey Sarver has no relevant financial interests to disclose.
    Financial: Lindsay Riegler has no relevant financial interests to disclose. Shari Wade has no relevant financial interests to disclose. Megan Narad has no relevant financial interests to disclose. Lindsey Sarver has no relevant financial interests to disclose.×
  • Nonfinancial: Lindsay Riegler has no relevant nonfinancial interests to disclose. Shari Wade has no relevant nonfinancial interests to disclose. Megan Narad has no relevant nonfinancial interests to disclose. Lindsey Sarver has no relevant nonfinancial interests to disclose.
    Nonfinancial: Lindsay Riegler has no relevant nonfinancial interests to disclose. Shari Wade has no relevant nonfinancial interests to disclose. Megan Narad has no relevant nonfinancial interests to disclose. Lindsey Sarver has no relevant nonfinancial interests to disclose.×
Article Information
Telepractice & Computer-Based Approaches / Attention, Memory & Executive Functions / Part 1
Article   |   March 16, 2017
POWER-A Telehealth Rehabilitation Program for Veterans: Feasibility and Preliminary Efficacy
Perspectives of the ASHA Special Interest Groups, March 2017, Vol. 2, 3-14. doi:10.1044/persp2.SIG18.3
History: Received September 30, 2016 , Revised January 9, 2017 , Accepted January 11, 2017
Perspectives of the ASHA Special Interest Groups, March 2017, Vol. 2, 3-14. doi:10.1044/persp2.SIG18.3
History: Received September 30, 2016; Revised January 9, 2017; Accepted January 11, 2017

Combat veterans experience high rates of traumatic brain injury (TBI) and related comorbidities. In addition to the deficits arising from the injury, veterans often experience a myriad of psychosocial impairments including post-traumatic stress symptoms (PTSS) and depression; however, utilization of mental health services or cognitive rehabilitation can be limited given the unique needs of the Operation Iraqi and Operation Enduring Freedom (OEF/OIF) veterans, most notably, family and work constraints.

Results of this study support the feasibility of utilizing telehealth for cognitive rehabilitation in a group of veterans with a diagnosis of mild traumatic brain injury. Veterans reported high levels of satisfaction and perceived self-efficacy because they were able to stick with the program. Outcome measures including the Test of Memory and Learning (TOMAL-2nd Edition) and the Behavior Rating of Executive Function-Adult version (BRIEF-A) yielded moderate improvements in memory and some aspects of self-reported executive function. Anxiety and depression were shown to influence improvements in memory and executive function respectively, underscoring the need to address comorbidities in concert with any cognitive rehabilitation. Taken together, preliminary results support the potential utility of the approach while suggesting potential avenues for strengthening the program.

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