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Updated: Jun 20, 2025
Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
A Partner-Engaged Approach to Developing an Implementation Research Logic Model for a Traumatic Brain
Jolie N Haun1, Christine Melillo, Tali Schneider
1Author Affiliations: Research Service, James A. Haley Veterans' Hospital, Tampa, Florida (Drs Haun, Melillo, and Schneider, and Mss McMahon-Grenz and Benzinger); Division of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, Utah (Dr Haun); College of Public Health, University of South Florida, Tampa, Florida (Dr Schneider); School of Human Sciences, Southern Illinois University, Carbondale, Illinois (Dr McDaniel); Pulmonary/Sleep Medicine Division, Department of Internal Medicine, University of South Florida, Tampa, Florida (Dr Nakase-Richardson); James A. Haley Veterans' Hospital, Associate Chief of Staff Office, Tampa, Florida (Dr Nakase-Richardson); VA Salt Lake City Health Care System, Informatics, Decision-Enhancement and Analytic Sciences Center, Salt Lake City, Utah (Dr Pugh); Post-deployment Rehabilitation and Evaluation Program, Physical Medicine and Rehabilitation Services, James A Haley Veterans' Hospital, Tampa, Florida (Dr Skop and Ms Friedman); School of Physical Therapy, Morsani College of Medicine, University of South Florida, Tampa, Florida (Dr Skop); Post-deployment Acceleration Comprehensive Evaluation and Rehabilitation Program Polytrauma System of Care, South Texas Veterans Health Care System, Audie L. Murphy VAMC, San Antonio, Texas (Dr Sandoval); Intensive Evaluation & Treatment Program (IETP), Polytrauma System of Care, VA Palo Alto Health Care System, Palo Alto, California (Drs Sabangan and Samson); Office of Rehabilitation and Prosthetic Services, Department of Veterans Affairs, Washington, District of Columbia (Ms Picon); and VA Salt Lake City Health Care System, VA Informatics and Computing Infrastructure, Salt Lake City, Utah (Dr Kean).
This study used a partner-engaged approach to evaluate the national implementation of traumatic brain injury (TBI) Intensive Evaluation and Treatment Programs (IETP), informing future program sustainment and spread.
Area of Science:
- Implementation Science
- Rehabilitation Medicine
- Health Services Research
Background:
- A partnered evaluation project assessed the national implementation of the Traumatic Brain Injury (TBI) Intensive Evaluation and Treatment Program (IETP) within the Veterans Health Administration.
- A partner-engaged approach was utilized to characterize and evaluate the program's national rollout.
Purpose of the Study:
- To illustrate a partner-engaged approach for contextualizing the IETP within an Implementation Research Logic Model (IRLM).
- To inform program sustainment and spread of the TBI IETP.
Main Methods:
- A mixed-methods quality improvement project was conducted at five IETP sites.
- Data were collected through participant scripts and demographic surveys from program staff and Service Members/Veterans.
- Analysis involved rapid iterative content analysis, with the IETP model revised based on partner feedback. The IRLM was contextualized using CFIR, RE-AIM, and IOF frameworks.
Main Results:
- Key characteristics, determinants, implementation strategies, mechanisms, and outcomes of the TBI IETP were identified through analysis and partner feedback.
- Iterative refinement of the IETP model and IRLM was achieved through collaborative input.
Conclusions:
- The developed partner-engaged IRLM provides a framework for the implementation and sustainment of TBI rehabilitation programs.
- Future work will focus on examining implementation, standardizing outcome measurements, and informing knowledge translation for TBI IETP.
