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Brain Imaging01:14

Brain Imaging

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Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans),  magnetic resonance imaging (MRI),  functional magnetic resonance imaging (fMRI), and Transcranial Magnetic...
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Using Implementation Science to Improve Health Care Access and Quality for People With Traumatic Brain Injury-Related

Risa Nakase-Richardson1,2,3, Jolie N Haun3,4, Megan Moore5

  • 1Department of Neurosurgery, Brain, and Spine, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.

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|March 18, 2026
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Summary

This study addresses healthcare inequities for Veterans and Service Members with traumatic brain injury (TBI) and polytrauma by using implementation science to improve access to high-quality care and reduce disparities.

Keywords:
brain injuries, traumaticcommunity-based participatory researchhealth care accesshealth care evaluationhealth care qualitymilitary personnelveterans

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Traumatic Brain Injury (TBI) Research

Background:

  • Individuals with TBI morbidity and polytrauma comorbidities face significant healthcare access and engagement challenges, leading to inequities.
  • Veterans and Service Members (V/SMs) with TBI may experience reduced access to essential healthcare, impacting health outcomes.
  • A lack of implementation science research hinders the adoption of evidence-based practices for TBI care.

Purpose of the Study:

  • To improve access and engagement in high-quality, evidence-based healthcare for V/SMs with TBI morbidity through the I-HEAL protocol.
  • To address knowledge gaps in healthcare access and engagement for V/SMs with TBI-related conditions.
  • To foster the development of early/mid-career researchers in implementation science for TBI care access.

Main Methods:

  • Developing a nudge intervention for providers to engage healthcare proxies for individuals with cognitive disabilities.
  • Creating a provider toolkit with adapted behavioral health interventions for polytrauma comorbidities in cognitively impaired individuals.
  • Adapting and disseminating team interventions for managing maladaptive behaviors post-TBI and evaluating virtual health modalities.

Main Results:

  • The I-HEAL protocol, funded by Congressionally Directed Medical Research Programs, commenced in October 2023 and is funded through September 2027.
  • Project 1 has enrolled 48 participants, and Project 3 has enrolled 34 participants as of September 2025.
  • All four projects are currently underway, focusing on implementation science strategies to enhance TBI care.

Conclusions:

  • Traumatic brain injury (TBI) is linked to increased healthcare utilization, comorbidities, and mortality.
  • Implementation science strategies are proposed to overcome barriers to physical and psychological healthcare for individuals with TBI.
  • The study aims to reduce healthcare disparities associated with TBI disability by improving care access and engagement.