Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2024 Nov-Dec;39(6):435-445.
doi: 10.1097/HTR.0000000000000988. Epub 2024 Nov 4.

A Partner-Engaged Approach to Developing an Implementation Research Logic Model for a Traumatic Brain Injury-Intensive Evaluation and Treatment Program

Jolie N Haun  1 , Christine Melillo, Tali Schneider, Justin McDaniel, Julie McMahon-Grenz, Rachel C Benzinger, Risa Nakase-Richardson, Mary Jo V Pugh, Karen M Skop, Yvonne Friedman, Roberto Sandoval, Jerome Sabangan, Kimberly Samson, Linda M Picon, Jacob Kean
Affiliations
Multicenter Study

A Partner-Engaged Approach to Developing an Implementation Research Logic Model for a Traumatic Brain Injury-Intensive Evaluation and Treatment Program

Jolie N Haun et al. J Head Trauma Rehabil. 2024 Nov-Dec.

Abstract

Background: A partnered evaluation project with Veterans Health Administration Physical Medicine and Rehabilitation program office uses a partner-engaged approach to characterize and evaluate the national implementation of traumatic brain injury (TBI)Intensive Evaluation and Treatment Program (IETP).

Objective: This paper illustrates a partner-engaged approach to contextualizing the IETP within an implementation research logic model (IRLM) to inform program sustainment and spread.

Setting: The project was conducted at five IETP sites: Tampa, Richmond, San Antonio, Palo Alto, and Minneapolis.

Participants: Partners included national and site program leaders, clinicians, Department of Defense Referral Representatives, and researchers. Participants included program staff ( n = 46) and Service Members/Veterans ( n = 48).

Design: This paper represents a component of a larger participatory-based concurrent mixed methods quality improvement project.

Main measures: Participant scripts and demographic surveys.

Methods: Datasets were analyzed using rapid iterative content analysis; IETP model was iteratively revised with partner feedback. Each site had an IETP clinical team member participate. The IRLM was contextualized within the Consolidated Framework for Implementation Research (CFIR); systematic consensus building expert reviewed implementation strategies; RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance); and Implementation Outcomes Framework (IOF).

Results: Analyses and partner feedback identified key characteristics, determinants, implementation strategies, mechanisms, and outcomes.

Conclusions: This partner-engaged IRLM informs implementation and sustainment of a rehabilitation program for individuals with TBI. Findings will be leveraged to examine implementation, standardize core outcome measurements, and inform knowledge translation.

PubMed Disclaimer

Conflict of interest statement

Authors declare there is no conflict of interest.

References

    1. Reid MW, Velez CS. Discriminating military and civilian traumatic brain injuries. Mol Cell Neurosci. 2015;66(Pt B):123–128. doi:10.1016/j.mcn.2015.03.014. - DOI
    1. Hammond FM, Corrigan JD, Ketchum JM, et al. Prevalence of medical and psychiatric comorbidities following traumatic brain injury. J Head Trauma Rehabil. 2019;34(4):E1–E10. doi:10.1097/HTR.0000000000000465. - DOI
    1. Malec JF. Polytrauma transitional rehabilitation in the veterans administration: implementing the principles of person-centered, participation-oriented rehabilitation. J Head Trauma Rehabil. 2019;34(3):135–140. doi:10.1097/HTR.0000000000000456. - DOI
    1. Coming home (for real). VA News. Accessed January 18, 2024. https://news.va.gov/85533/coming-home-real/
    1. Florida VA program helps elite warriors heal unseen wounds of war - CBS News. CBS Mornings. Published 2020. Accessed January 18, 2024. https://www.cbsnews.com/news/florida-va-program-helps-elite-warriors-hea...

Publication types