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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).
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.
