NCT06815692

Brief Summary

The investigators aim to investigate the impact of interdisciplinary and individually tailored programs for mTBI (concussion) on quality of life and work capacity, both at the conclusion of the program and after 1 and 3 years. The investigators also want to examine whether early intervention is significant by comparing individuals who enter the program between 1 and 3 months post-concussion with those who only start the program more than 9 months post-concussion. Such a study has not been conducted before and can provide valuable insights into long-term effects and the importance of early intervention

Trial Health

65
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
140

participants targeted

Target at P50-P75 for all trials

Timeline
57mo left

Started Jan 2026

Longer than P75 for all trials

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress7%
Jan 2026Dec 2030

First Submitted

Initial submission to the registry

January 23, 2025

Completed
15 days until next milestone

First Posted

Study publicly available on registry

February 7, 2025

Completed
11 months until next milestone

Study Start

First participant enrolled

January 1, 2026

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2030

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2030

Last Updated

August 12, 2025

Status Verified

August 1, 2025

Enrollment Period

4.6 years

First QC Date

January 23, 2025

Last Update Submit

August 11, 2025

Conditions

Keywords

mTBIemploymentweekly working hoursquality of lifeConcussion

Outcome Measures

Primary Outcomes (1)

  • Weekly working hours

    Weekly working hours, measured in hours, will be assessed at baseline and after the intervention is completed. Subsequently, working hours will be assessed 1, 2, and 3 years after the intervention is completed. Follow-up will be conducted via telephone calls

    Measured at inclusion, through study completion (an average of 6 months), and after 6, 12 and 36 months of no intervention

Secondary Outcomes (16)

  • Rivermead Post-Concussion Symptoms Questionnaire (RPQ)

    Measured at inclusion, through study completion (an average of 6 months), and after 6, 12 and 36 months of no intervention

  • Work Role Functioning Questionnaire v. 2.0 (WRFQ 2.0).

    Measured at inclusion, through study completion (an average of 6 months), and after 6, 12 and 36 months of no intervention

  • Behavioural Rating Inventory of Executive Function - Adults (BRIEF-A)

    Measured at inclusion, through study completion (an average of 6 months), and after 6, 12 and 36 months of no intervention

  • European Quality of Life - 5 Dimensions

    Measured at inclusion, through study completion (an average of 6 months), and after 6, 12 and 36 months of no intervention

  • Clinical Global Impression Scale (CGI)

    Measured at inclusion, through study completion (an average of 6 months), and after 6, 12 and 36 months of no intervention

  • +11 more secondary outcomes

Study Arms (2)

Early intervention

Interventions for mTBI patients initiated within 1 to 3 months after symptoms onset: Interventions include psychoeducation for the individual, their family, and their workplace or educational setting. Investigators initiate contact with the individual's workplace or educational setting to discuss the case and collaborate closely with both the individual and their employer/supervisor. Investigators focus on vocational rehabilitation, aiming to gradually increase the participant's work capacity, weekly working hours, and job retention. Ongoing supportive conversations are provided before and during work or study. Investigators offer counseling on cognitive and psychological aspects, with a focus on mental health. All interventions focus on gradual progression, exposure, and rehabilitation in both personal and work life. Participants are guided in gradually increasing activities and working hours.

Behavioral: PsychoeducationBehavioral: PhysiotherapyBehavioral: Treatment of tinnitus and increased sound sensitivityBehavioral: Vision training and examinationBehavioral: Sleep guidance and educationBehavioral: Mindfulness with a cognitive therapeutic approachBehavioral: Employment-oriented interventionBehavioral: Energy management and graded exerciseOther: Neuropsychological counseling

Late intervention

Interventions for mTBI patients initiated at least 9 months after symptoms onset. Note that these interventions are the same as offered to the early interventions group: Interventions include psychoeducation for the individual, their family, and their workplace or educational setting. Investigators initiate contact with the individual's workplace or educational setting to discuss the case and collaborate closely with both the individual and their employer/supervisor. Investigators focus on vocational rehabilitation, aiming to gradually increase the participant's work capacity, weekly working hours, and job retention. Ongoing supportive conversations are provided before and during work or study. Investigators offer counseling on cognitive and psychological aspects, with a focus on mental health. All interventions focus on gradual progression, exposure, and rehabilitation in both personal and work life. Participants are guided in gradually increasing activities and working hours.

Behavioral: PsychoeducationBehavioral: PhysiotherapyBehavioral: Treatment of tinnitus and increased sound sensitivityBehavioral: Vision training and examinationBehavioral: Sleep guidance and educationBehavioral: Mindfulness with a cognitive therapeutic approachBehavioral: Employment-oriented interventionBehavioral: Energy management and graded exerciseOther: Neuropsychological counseling

Interventions

PsychoeducationBEHAVIORAL

Focus on understanding mechanisms of concussion

Early interventionLate intervention
PhysiotherapyBEHAVIORAL

Gradual training and physical exercises

Early interventionLate intervention

Treatment given individually or in groups

Early interventionLate intervention

Training and examination by a neuro-optometrist

Early interventionLate intervention

Counselling to achieve better sleep and reduce fatigue.

Early interventionLate intervention

Training by certified mindfulness instructor

Early interventionLate intervention

The Concussion Team therapists work with a patient's employer to facilitate a gradual return to normal working hours.

Early interventionLate intervention

Counselling to achieve more energy and vitality.

Early interventionLate intervention

Talks with a neuropsychologist about mTBI sequelae.

Early interventionLate intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Two cohorts will be followed, one group of adults included between 1 and 3 months after a concussion, and another group experiencing a concussion 9 months before inclusion.

You may qualify if:

  • Adults who are medically diagnosed with a concussion.
  • Adults with a connection to the labor market.
  • Participants must be able to communicate in Danish and be able to independently participate in the intervention.
  • Participants must be able to transport themsleves to and from SuB facility for their treatment sessions.
  • Rivermead Post-Concussion Symptoms Questionnaire (RPQ) score must be at least 20, indicating a significant severity of symptoms following a concussion.

You may not qualify if:

  • Persons without medically verified concussion.
  • Person where brain injury was found at symptom onset.
  • Persons with significant cognitive dysfunction.
  • Persons who are unable to understand Danish or with communication disorders that hinder test performance.
  • Persons with terminal illness or other progressive disease.
  • Chronic use of opioids.
  • Significant abuse of alcohol or euphoriants or narcotics or other serious illnesses that may affect test results or ability/possibility of attendance.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Brain Concussion

Interventions

Physical Therapy ModalitiesRestraint, PhysicalEducational StatusMindfulness

Condition Hierarchy (Ancestors)

Brain Injuries, TraumaticBrain InjuriesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesCraniocerebral TraumaTrauma, Nervous SystemHead Injuries, ClosedWounds and InjuriesWounds, Nonpenetrating

Intervention Hierarchy (Ancestors)

TherapeuticsRehabilitationBehavior ControlImmobilizationInvestigative TechniquesSocioeconomic FactorsPopulation CharacteristicsCognitive Behavioral TherapyBehavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Rune S Rasmussen, MSc, PhD

    Special Education and Employment Unit (SuB) in Slagelse

    STUDY DIRECTOR
  • Signe E Petersson, OT

    Special Education and Employment Unit (SuB) in Slagelse

    STUDY CHAIR

Central Study Contacts

Rune S Rasmussen, MSc, PhD

CONTACT

Signe E Petersson, OT

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
MSc, Ph.D., associate professor

Study Record Dates

First Submitted

January 23, 2025

First Posted

February 7, 2025

Study Start

January 1, 2026

Primary Completion (Estimated)

July 31, 2030

Study Completion (Estimated)

December 31, 2030

Last Updated

August 12, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share