Kenjiro Tsubono, Sachiko Mitoku
Public school teachers' occupational stress across different school types: a nationwide survey during the prolonged COVID-19 pandemic in Japan
Frontiers in public health
purpose study examine efficacy better brain injury education training therapy enhance recovery vs usual transitional care management among diverse adults traumatic brain injury tbi discharged home acute hospital care families singlesite twoarm randomized controlled trial n 436 people 218 patientfamily dyads 109 dyads per arm better culturally linguisticallytailored patient familycentered tbi transitional care intervention adult patients tbi families skilled clinical interventionists follow manualized protocol address patientfamily needs interventionists coestablish goals participants coordinate posthospital care services resources provide patientfamily education training self familymanagement coping skills 16 weeks following hospital discharge english spanishspeaking adult patients mildtosevere tbi discharged directly home hospital without inpatient rehabilitation transfer settings community discharge associated family caregivers eligible randomized treatment usual transitional care management use intentiontotreat analysis determine patients receiving better higher quality life primary outcome sf36 16weeks posthospital discharge receiving usual transitional care management conduct descriptive qualitative study 45 dyads randomized better using semistructured interviews capture perspectives barriers facilitators participation data analyzed using conventional content analysis finally conduct costbudget impact analysis evaluating differences intervention costs healthcare costs arm findings guide team designing future multisite trial disseminate implement better clinical practice enhance standard care adults tbi families new knowledge generated drive advancements health equity among diverse adults tbi families nct05929833