POWER-A Telehealth Rehabilitation Program for Veterans: Feasibility and Preliminary Efficacy

Combat veterans experience high rates of traumatic brain injury (TBI) and related comorbidities. In addition to the deficits arising from the injury, veterans often experience a myriad of psychosocial impairments including post-traumatic stress symptoms (PTSS) and depression; however, utilization of mental health services or cognitive rehabilitation can be limited given the unique needs of the Operation Iraqi and Operation Enduring Freedom (OEF/OIF) veterans, most notably, family and work constraints. Results of this study support the feasibility of utilizing telehealth for cognitive rehabilitation in a group of veterans with a diagnosis of mild traumatic brain injury. Veterans reported high levels of satisfaction and perceived self-efficacy because they were able to stick with the program. Outcome measures including the Test of Memory and Learning (TOMAL-2nd Edition) and the Behavior Rating of Executive Function-Adult version (BRIEF-A) yielded moderate improvements in memory and some aspects of self-repo...