Rehabilitation Psychology最新文献

{"title":"\"Find sunshine wherever you can\": A conceptual model of psychosocial wellness based on perspectives from individuals with multiple sclerosis.","authors":"Anna L Kratz, Jade Treder, Josiah Goga, Evan Smith, Dawn Ehde","doi":"10.1037/rep0000690","DOIUrl":"https://doi.org/10.1037/rep0000690","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Psychosocial wellness (PSW), a construct incorporating emotional/psychological well-being and social/collective well-being, is not well defined in people with multiple sclerosis (MS). We conducted a qualitative study of definitions and experiences of PSW, facilitators and barriers, and associations with distress and resilience to inform an empirically grounded person-centered conceptual model of PSW in MS.</p><p><strong>Research method/design: </strong>Five focus groups (∼90 min) were conducted via videoconference with 40 adults with MS from the United States between March and April 2024. Focus groups were facilitated by a clinical psychologist using a semistructured guide and were audio-recorded, transcribed, deidentified, and analyzed using thematic analysis within a constructivist framework to generate a PSW conceptual model.</p><p><strong>Results: </strong>We identified 11 minor themes (<i>italicized</i> in parentheses) organized under nine major themes: Definitions of PSW, temporal characteristics (<i>daily variability, change over time, hope follows grief</i>), psychological contributors to PSW (<i>silver linings and flexibility and acceptance)</i>, behavioral contributors to PSW (<i>creative outlets/hobbies, symptom management</i>), social contributors to PSW (<i>supporters and partners, contribution/responsibility, finding community, setting boundaries),</i> spirituality, environmental barriers, social/cultural barriers, and health and function barriers. Themes informed a conceptual model of PSW as a dynamic, individualized equilibrium between distress and satisfaction shaped by shifting facilitators and barriers; resilience buffers the effects of barriers to PSW.</p><p><strong>Conclusion/implications: </strong>Qualitative themes informed an empirically grounded, person-centered model of PSW in MS. Participants' descriptions highlight concrete, teachable strategies-such as psychological flexibility, value-based role redefinition, boundary setting, activity adaptations, and savoring-that could be leveraged to support living well with MS. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized controlled trial of online mindfulness-based stress reduction in chronic stroke.","authors":"Sandy J Lwi, Jas Chok, Krista Schendel, Timothy J Herron, Brian C Curran, Juliana V Baldo","doi":"10.1037/rep0000651","DOIUrl":"10.1037/rep0000651","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>Mindfulness-based stress reduction (MBSR) has been shown to improve mental health and well-being in people with different medical conditions. However, whether it improves outcomes in chronic stroke populations is less clear, as few studies have examined the efficacy of MBSR in this population with a randomized controlled trial and an active control condition. Our study aimed to address this gap.</p><p><strong>Research method/design: </strong>People with a history of chronic stroke (n = 59) participated in a randomized controlled trial of MBSR. They were randomly assigned to an online MBSR intervention or an online Brain Health Education intervention. Both interventions were matched on a number of variables, including schedule, instructor, and format. Participants were assessed pre-, post-, and 6 months postintervention using online questionnaires and an online neuropsychological battery.</p><p><strong>Results: </strong>MBSR did not lead to improved anxiety <i>F</i>(2, 55) = 1.13, <i>p</i> = .321, η² = .01) or depression <i>F</i>(2, 68) = 0.53, <i>p</i> = .588, η² = .002) symptoms over time. Exploratory outcomes of cognitive functioning, physical health, and well-being also revealed no MBSR-specific improvements over time (<i>p</i>s > .318).</p><p><strong>Conclusions/implications: </strong>People with a history of chronic stroke reported improved outcomes from participating in either intervention, providing support that both online MBSR and Brain Health Education interventions are feasible and low-cost interventions for this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"404-416"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation psychology: 2024 state of the field survey.","authors":"Laurie N Baker, Brigid Waldron-Perrine, Robert L Karol, Mark Barisa, Greg A Stern, W Mark Sweatman","doi":"10.1037/rep0000656","DOIUrl":"10.1037/rep0000656","url":null,"abstract":"<p><strong>Purpose/objective: </strong>To date, only one \"salary survey\" has been published to depict state of the field information specifically for the specialty of rehabilitation psychology (Baker et al., 2022) Given workforce challenges identified since the COVID-19 pandemic, the authors initiated an updated survey to obtain comprehensive information regarding the current workforce. This study provides improved data on rehabilitation psychologists' demographics, geography, board certification, training, and salary information. The current article provides comparisons with the prior survey and discusses advocacy implications for the future of the specialty with respect to service, policy, payment, public impact, and protecting rehabilitation psychology.</p><p><strong>Research method/design: </strong>Members of the American Psychological Association (APA) Division 22 Practice Committee designed, tested, and disseminated the survey via Division 22 membership email listserv. This resulted in a voluntary convenience sample of 295 responses, of which 285 were included in the final data analyses.</p><p><strong>Results: </strong>Findings indicated that 81% of respondents were Division 22 members; most were women (76%), worked in hospitals/medical centers (64%), held PhD degrees (66%), worked in urban/suburban settings (97%), and had a traditional salary compensation structure (65%). Significant income differences were identified based on gender, age, degree, certification, years licensed, job title, and workplace setting. There were no significant differences found by race, disability, population served, or region.</p><p><strong>Conclusions/implications: </strong>Inferences related to salary information, gender, race, ethnicity, workload, reimbursement issues, and implications for our current and future workforce, including the need for additional analyses of experiential information such as quality-of-life items, are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"480-490"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Internalized Ableism Inventory: Scale development using a hybrid artificial intelligence and community-based participatory research design.","authors":"Paul B Perrin, Bryan R Christ, Tiffanie A Vargas, Mia E Dini, Benjamin Ertman, Steph L Cull, Diego Rivera, Bridget Xia, Erin E Andrews-Ash, Linda Mona, Alexander J Gates, Daniel W Klyce","doi":"10.1037/rep0000639","DOIUrl":"10.1037/rep0000639","url":null,"abstract":"<p><strong>Objective: </strong>This study (a) used OpenAI's GPT-4 large language model to generate an initial item pool for a potential scale measuring internalized ableism, (b) involved disabled community stakeholders in refining the items and prompting additional artificial intelligence-generated items, and (c) psychometrically validated the scale in a large sample of disabled individuals.</p><p><strong>Method: </strong>Following a series of GPT-4 prompts and iterative community-based participatory research feedback, a tentative item pool of 90 statements was developed. A sample of 409 adults with diverse disabilities completed a survey containing the initial item pool, potentially related scales, and demographic questions.</p><p><strong>Results: </strong>An exploratory factor analysis helped identify the final 51 items and subscale structure, and a confirmatory factor analysis then provided evidence of excellent factor structure fit. The scale contained eight subscales with Cronbach's αs that ranged from .85 to .97, with an overall total score α of .98. The total score and subscales showed consistent convergent validity with other measures of internalized stigma for chronic illness and anger and frustration with disability.</p><p><strong>Conclusion: </strong>This study generated for the first time in the known research literature a nuanced, comprehensive, and psychometrically sound scale based on the integration of both artificial intelligence and community-based participatory research methodology: the Internalized Ableism Inventory. The demonstrated methodology generating it has the potential to modernize psychological scale development approaches. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"370-382"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability discrimination, disability permanence, and mental health among U.S. adults.","authors":"Jordan Rubin-McGregor, Jeffrey M Hunger","doi":"10.1037/rep0000643","DOIUrl":"10.1037/rep0000643","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Disability is often framed as an inherently negative experience that harms the mental health and well-being of disabled individuals. This perspective, however, ignores the impact of disability discrimination. The relationship between disability discrimination and mental health has been documented in several cultural contexts, but not yet in a large-scale, nationally representative sample in the United States. Additionally, limited research has explored moderators of the relationship between disability discrimination and mental health. The purpose of the present study was to examine the association between disability discrimination and mental health outcomes, as well as the moderating role of disability permanence-a critical yet understudied component of the disability experience-in shaping this relationship.</p><p><strong>Research method/design: </strong>The present study uses a large national sample of adults with physical disabilities in the United States (<i>N</i> = 5,115), drawn from the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions Wave-II.</p><p><strong>Results: </strong>Our findings reveal that experiencing greater disability discrimination in the prior year predicts greater anxiety and depression, assessed through both symptomology and clinical diagnoses, and that this relationship is stronger for people with temporary (vs. permanent) disabilities.</p><p><strong>Conclusion/implications: </strong>These results underscore the necessity of addressing disability discrimination in order to promote the mental health and well-being of disabled individuals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"351-361"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of i-virtual reality and telemedicine based cognitive approach for rehabilitation of prospective memory in individuals with Parkinson's disease and mild cognitive impairment: A randomized-controlled trial.","authors":"Silvia Zabberoni, Maria Stefania De Simone, Sara Taglieri, Gaetano Tieri, Giorgia Cona, Eleonora Fiorenzato, Antonella Peppe, Valentina Massimi, Gian Daniele Zannino, Giovanni Augusto Carlesimo, Angelo Antonini, Carlo Caltagirone, Alberto Costa","doi":"10.1037/rep0000645","DOIUrl":"10.1037/rep0000645","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The ability to perform intended actions after a delay or specific event reflects prospective memory (PM), a multiprocess involving episodic memory and attentional/executive functions. PM difficulties are common in Parkinson's disease patients, especially those with Mild Cognitive Impairment (PD-MCI). This study explores the efficacy of attention/executive function training on PM in PD-MCI patients using a combined immersive Virtual Reality (iVR) and Telemedicine approach. Research Methods/Design: Thirty PD-MCI patients were assessed on PM and attention-executive measures and randomly assigned to two groups: training (TR-C) or active placebo (AP-C). Training involved real-life scenarios with planning, shifting, and updating exercises, of increasing difficulty, in an immersive virtual environment. The AP-C group performed similar daily tasks with lower cognitive demands. All tasks were conducted remotely via telemedicine using iVR headsets. Outcome measures were collected at baseline (T0), post-training (T1, 4 weeks), and follow-up (T2, 2 months). A randomized controlled trial (RCT) was executed with Experimental Condition (TR-C vs. AP-C) as between factor and Time of Assessment (T0 vs. T1 and T2) and Task (prospective score and ongoing task) as within factor.</p><p><strong>Results: </strong>A mixed ANOVA revealed that the training group improved on PM tasks versus placebo, with effects lasting at follow-up. However, no significant gains were observed in executive tasks, highlighting the greater multitasking demands of PM compared to selective executive tasks.</p><p><strong>Conclusion/implications: </strong>The study demonstrates the efficacy of iVR and telemedicine in improving PM in PD-MCI patients, highlighting the potential of innovative cognitive interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"417-430"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood academic experiences and employment outcomes in adults with disabilities or chronic health conditions: A machine-learning approach.","authors":"Bryan R Christ, Lucie Adams, Jack D Watson, Olivia Chapman, Madeline Lee, Beau LeBlond, Paul B Perrin","doi":"10.1037/rep0000640","DOIUrl":"10.1037/rep0000640","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Prior research highlights the complex interplay among disability, education, employment, and poverty, underscoring the importance of investigating how positive academic experiences among disabled individuals may predict employment status and poverty levels, potentially many years later. To address this gap, this study examined how educational factors including academic satisfaction, college degree attainment, and unmet academic accommodation needs predict employment and poverty among adults with disabilities or chronic health conditions.</p><p><strong>Research method/design: </strong>A sample of 409 adults with disabilities or chronic health conditions while they had attended school in the United States completed an online survey of these constructs. Random forest models and their built-in measures of feature (or predictor) importance were used to predict the binary outcomes of employment status and poverty status using academic satisfaction, college degree attainment, and unmet academic accommodation needs as well as several common sociodemographic characteristics, including age, disability level, gender, rurality, and minority racial/ethnic identity. Across measures of feature importance, the academic factors showed comparable or greater predictive importance than all other sociodemographic predictors, and correlational analyses revealed that these academic factors were associated with higher levels of employment and lower levels of poverty.</p><p><strong>Conclusion/implication: </strong>These findings suggest that positive educational experiences and accommodations are important predictors of both employment and poverty outcomes for individuals with disabilities. Future research should further explore how specific educational experiences impact employment outcomes for individuals with disabilities and examine supports and interventions that can create positive academic experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"341-350"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Tools for rehabilitation and cognitive care (ON-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury\" by Pagulayan et al. (2025).","authors":"","doi":"10.1037/rep0000683","DOIUrl":"10.1037/rep0000683","url":null,"abstract":"<p><p>Reports an error in \"Tools for rehabilitation and cognitive care (On-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury\" by Kathleen F. Pagulayan, Holly K. Rau, Orli M. Shulein, Madeleine L. Werhane, David P. Sheppard, Jeanne M. Hoffman, Elizabeth W. Twamley and Rhonda M. Williams (<i>Rehabilitation Psychology</i>, Advanced Online Publication, Nov 17, 2025, np; see record 2026-91104-001). Due to an editorial production error, the title was originally incorrectly published as \"On-Tools for Rehabilitation and Cognitive Care: Development of a Brief Intervention for Chronic Cognitive Difficulties After Mild Traumatic Brain Injury.\" All versions of this article have been corrected. (The following abstract of the original article appeared in record 2026-91104-001.) Purpose/Objective: To describe the development of a novel rehabilitation intervention (Tools for Rehabilitation and Cognitive Care [On-TRACC]) for individuals reporting cognitive persistent postconcussive symptoms (PPCSs) after mild traumatic brain injury (mTBI) as a bridge to care for modifiable conditions that can impact cognition.</p><p><strong>Research method/design: </strong>Intervention development via four methods: literature review, veteran survey, clinician survey, and a beta test with three participants/three clinicians. A total of 53 veterans with a history of mTBI and cognitive PPCSs participated in the veteran survey, while seven clinicians, including speech pathologists, psychologists, and a psychology postdoctoral fellow, completed the clinician survey. Three veterans and three clinicians participated in a beta test of the intervention to assess usability, identify any content issues, and gather specific feedback.</p><p><strong>Results: </strong>The new intervention is a five-session, patient-centered rehabilitation program for individuals reporting persistent cognitive difficulties after mTBI. On-TRACC provides tailored psychoeducation about modifiable factors contributing to cognitive difficulties, self-management skills, and compensatory cognitive rehabilitation strategies. On-TRACC is based on personalized values and is designed to support short- and long-term management of factors contributing to current symptoms that are currently untreated or undertreated.</p><p><strong>Conclusion/implications: </strong>Through a multistep process that incorporated stakeholder input and a review of the empirical literature, we developed an evidence-informed intervention that fills a gap in current care for cognitive PPCSs. Future studies are needed to evaluate the efficacy of this intervention for individuals with chronic cognitive difficulties after mTBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"450"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tools for rehabilitation and cognitive care (On-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury.","authors":"Kathleen F Pagulayan, Holly K Rau, Orli M Shulein, Madeleine L Werhane, David P Sheppard, Jeanne M Hoffman, Elizabeth W Twamley, Rhonda M Williams","doi":"10.1037/rep0000641","DOIUrl":"10.1037/rep0000641","url":null,"abstract":"<p><p>[Correction Notice: An Erratum for this article was reported online in <i>Rehabilitation Psychology</i> on Jul 20 2026 (see record 2027-92628-001). Due to an editorial production error, the title was originally incorrectly published as \"On-Tools for Rehabilitation and Cognitive Care: Development of a Brief Intervention for Chronic Cognitive Difficulties After Mild Traumatic Brain Injury.\" All versions of this article have been corrected.] Purpose/Objective: To describe the development of a novel rehabilitation intervention (Tools for Rehabilitation and Cognitive Care [On-TRACC]) for individuals reporting cognitive persistent postconcussive symptoms (PPCSs) after mild traumatic brain injury (mTBI) as a bridge to care for modifiable conditions that can impact cognition.</p><p><strong>Research method/design: </strong>Intervention development via four methods: literature review, veteran survey, clinician survey, and a beta test with three participants/three clinicians. A total of 53 veterans with a history of mTBI and cognitive PPCSs participated in the veteran survey, while seven clinicians, including speech pathologists, psychologists, and a psychology postdoctoral fellow, completed the clinician survey. Three veterans and three clinicians participated in a beta test of the intervention to assess usability, identify any content issues, and gather specific feedback.</p><p><strong>Results: </strong>The new intervention is a five-session, patient-centered rehabilitation program for individuals reporting persistent cognitive difficulties after mTBI. On-TRACC provides tailored psychoeducation about modifiable factors contributing to cognitive difficulties, self-management skills, and compensatory cognitive rehabilitation strategies. On-TRACC is based on personalized values and is designed to support short- and long-term management of factors contributing to current symptoms that are currently untreated or undertreated.</p><p><strong>Conclusion/implications: </strong>Through a multistep process that incorporated stakeholder input and a review of the empirical literature, we developed an evidence-informed intervention that fills a gap in current care for cognitive PPCSs. Future studies are needed to evaluate the efficacy of this intervention for individuals with chronic cognitive difficulties after mTBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"439-450"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing burden and anxiety for caregivers of veterans with traumatic brain injury and dementia: Randomized controlled trial of the resources for enhancing all caregivers' health-Hope intervention.","authors":"Linda O Nichols, Jennifer Martindale-Adams, Ronald T Seel, Jeffrey K Zuber, Robert Perera, Paul B Perrin","doi":"10.1037/rep0000632","DOIUrl":"10.1037/rep0000632","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Caregivers of veterans with comorbid traumatic brain injury (TBI) and dementia face many challenges managing their loved ones' neurobehavioral functioning and, importantly, their own well-being. This study developed and tested Resources for Enhancing All Caregivers' Health (REACH) Hope, which provides caregivers with one-on-one telehealth education, support, skills building, and personalized digital information.</p><p><strong>Method: </strong>Caregivers (<i>N</i> = 110) of veterans with both TBI and dementia were randomly assigned to either REACH Hope (<i>n</i> = 56) or a waitlist-control group (<i>n</i> = 54) for 3 months; waitlist participants then received REACH Hope. Data collection occurred by telephone at baseline, 3 months (postintervention/waitlist switch), 6 months, and 9 months (for waitlist-control only). The 12-item short-form Zarit Burden Interview (ZBI-12) at 3 months (posttreatment) was the primary outcome. Secondary outcomes included caregiver depression, anxiety, self-efficacy, and number of veteran safety risks.</p><p><strong>Results: </strong>REACH Hope reduced burden and anxiety for caregivers with moderate to high levels of burden and anxiety compared to the waitlist group. Caregivers with ZBI-12 scores ≥ 21 had increasing treatment benefits with higher burden. Caregivers with Generalized Anxiety Disorder-7 scores ≥ 13 showed the same pattern for higher anxiety levels. There were no significant treatment group effects for depression, self-efficacy, or veteran safety.</p><p><strong>Conclusion: </strong>This is the first clinical trial to evaluate the efficacy of a telehealth intervention for caregivers of veterans with both TBI and dementia. REACH Hope represents the first evidence-based intervention of its kind and one that warrants further study and implementation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"383-394"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12483318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}