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Problem-Solving Training for Concussion

Problem-Solving Training for Concussion (PST-Concussion): A Brief, Skills-Focused Intervention to Improve Functional Outcomes in Veterans With mTBI and Co-occurring Mental Health Symptoms

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

* 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 Criteria:

* 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.

About the study

Mild traumatic brain injury (mTBI), also known as concussion, is a common injury sustained by Veterans. While most individuals who sustain mTBI experience a complete recovery within several weeks of injury, many Veterans with history of mTBI report frequent and long-lasting neurobehavioral complaints and functional impairment. Though research suggests that these outcomes are strongly influenced by co-occurring conditions such as post-traumatic stress disorder, depression, and chronic pain, evidence-based interventions capable of addressing this wide array of concerns are lacking. This study seeks to address this gap by evaluating the effectiveness of a brief and flexible behavioral health treatment (Problem-Solving Training for Concussion, or PST-Concussion), which was designed to be delivered by generalist providers working in VA primary care settings. If PST-Concussion is shown to be effective, this skills-focused intervention may help improve Veterans' recovery experience following mTBI.

What is being tested

• Problem Solving Training for Concussion (behavioral)
• Treatment as usual (other)

Sponsor: VA Office of Research and Development · Participants: 134 · Started: Oct 1, 2023

Contact the study team

• Paul R King, PhD · Phone: (716) 862-6038

Official record on ClinicalTrials.gov — NCT05837676

Locations in the U.S.

Conditions

• Concussion

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.