Problem-Solving Training for Concussion Study

This study is testing a new approach called Problem Solving Training for Concussion (PST-Concussion) to help Veterans who have ongoing issues after a mild traumatic brain injury (concussion). PST-Concussion combines problem-solving skills, concussion education, motivational interviewing, goal-setting, and strategies to help with thinking. You might also receive your usual care, called "treatment as usual." The study wants to see if PST-Concussion can reduce psychological distress (like anxiety or depression) better than usual care. To join, you need to be an English-speaking Veteran receiving VHA care, have a history of concussion, currently experience psychological distress, and have thinking problems for at least three months. The study is currently unclear on its recruitment status and plans to enroll 134 participants.

Study design: This study is a randomized trial, meaning you would be randomly assigned to either receive PST-Concussion or your usual care. About 134 people are expected to join.
What's involved: If you receive PST-Concussion, you will have six telehealth sessions, each lasting about 30 minutes. You will also complete self-report and cognitive tests at the beginning, after treatment, and three months later.
Compensation: Not stated in the trial record.
Follow-up: You will be followed for up to 24 weeks after starting the study, with assessments at three months after treatment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

Problem-Solving Training for Concussion

Recruiting

NAAges 18+InterventionalTreatment

VA Office of Research and Development

~134 participants

Updated 2025-09-08 on ClinicalTrials.gov

What's tested:Problem Solving Training for ConcussionTreatment as usual

At a glance

Recruiting sites

1 of 1 listed site is recruiting right now

RecruitingSuspended, closed, or not yet open

What they're measuring

Brief Symptom Inventory-18 (BSI-18) Global Severity Index T-Score

Measured over Up to 24 weeks

Conditions

Brain Concussion

Where it's being run

1 sites across 1 states

New York1

Study leadership

Paul R. King, PhD · PRINCIPAL_INVESTIGATOR · VA Western New York Healthcare System, Buffalo, NY

Who to contact

Paul R King, PhD

[email protected]

(716) 862-6038

Email the study team

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

English-speaking Veteran enrolled in VHA care;

History of concussion (mild traumatic brain injury or mTBI);

Current psychological distress;

Subjective neurocognitive symptoms of \>= 3 months.

Exclusion

Moderate to severe TBI or other major neurocognitive disorder;

Psychotic disorder (e.g., schizophrenia spectrum disorder, delusional disorder, bipolar or depressive disorder with psychotic features);

Acute suicidal ideation;

Inpatient psychiatric hospitalization within the past 12 months;

Other illness/ condition that would preclude or predictably influence ability to engage in study visits, as determined by the study team.

What this trial measures

Brief Symptom Inventory-18 (BSI-18) Global Severity Index T-ScoreUp to 24 weeks
The BSI-18 is a brief measure of psychological distress brought about by common somatic and affective symptoms. It has been validated for use in patients with history of TBI and is appropriate for use in primary care. Similar to a previous trial of PST for mTBI, its Global Severity Index (GSI) T-score will serve as the primary outcome measure. GSI T-scores range from 30-80, with lower scores signaling an overall lower level of psychological distress.

Trialytics