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TBI Rehabilitation and Activation in Veterans

Recruiting

TBI Rehabilitation and Activation in Veterans (TRAIN-Vets)

Who can join

Ages 50 to 89 · All sexes

Full eligibility criteria
Inclusion Criteria:

* Veteran, age 50-89 years
* History (more than 6 months post injury) of mild or moderate TBI defined by the Ohio State University TBI Identification Method and DOD/VA Clinical Practice Guidelines for Definition of TBI
* Sufficient vision and hearing to allow cognitive testing
* Willingness to participate in water-based exercise program + cognitive training program for eight months
* Approval of primary medical provider to participate in a water-based exercise program
* Subjective cognitive complaints as evidenced by self-report
* English proficiency to allow for cognitive testing
* Internet connected device to participate in testing and cognitive training

Exclusion Criteria:

* Current severe and unstable psychiatric disorder
* Diagnosis of dementia, Montreal Cognitive Assessment score less than 18, or delirium
* TBI within the past 6 months
* Acute illness or unstable chronic illness
* Current severe cardiac disease
* Severe TBI or open head injury
* Inability to exercise consistently
* Inability to read, verbalize understanding, and voluntarily sign the Informed Consent

About the study

This trial will evaluate the impact of a multicomponent program (TBI Rehabilitation and Activation in Veterans; TRAIN-Vets) on improving cognitive function over an 8-month trial period in older Veterans with traumatic brain injury (TBI). Older Veterans with a history of TBI and subjective cognitive complaints will be enrolled and randomly assign to either the TRAIN-Vets intervention (consisting of aquatic-based exercise training, cognitive training, and lifestyle coaching) or the Health Education Control, where they will receive educational materials about brain health and healthy lifestyles.

What is being tested

Sponsor: Northern California Institute of Research and Education · Participants: 120 · Started: May 12, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06562127

Locations in the U.S.

CaliforniaVA Palo Alto Health Care System, Palo Alto
San Francisco VA Health Care System, San Francisco

Conditions

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