1. The Late Effects of Traumatic Brain Injury (LETBI) The goal of the LETBI project is to learn more about the long-term effects of traumatic brain injury (TBI) and repetitive head impacts (RHI) over the course of the lifespan. Participation in this research involves completing assessments of health and cognition, an MRI scan, and a blood draw. Participants are also asked to consider making known their wishes for brain donation at the end of life. This research aims to identify the signs and symptoms of post-TBI neurological changes experienced by some people with TBI, which will inform new treatments and therapies.
2. The Late Effects of Traumatic Brain Injury in Military Service Members (LETBI-MIL) LETBI-MIL expands the LETBI study to focus on brain health in a diverse population of U.S. veterans - including those who never received a formal diagnosis or care.
3. The Late Effects of Traumatic Brain Injury in Intimate Partner Violence (IPV) Survivors (LETBI-IPV) LETBI-IPV allows us to expand the LETBI restudy to focus on brain health in people who have experienced intimate partner violence. Our goal is to improve our understanding of the unique brain changes that can result from IPV. Participants are eligible if at least one year has passed since their most recent head injury related to partner violence.
4. Online EmReg Implementation *For licensed clinicians only* EmReg Implementation is a project involving licensed clinicians with experience in CBT, working with people with TBI, and providing group treatment. The purpose of this study is to make our research-supported intervention more widely available to people living with TBI. Clinicians participating in this study will receive free training on the intervention and consultation sessions (if applicable).
5. Perspectives on Research Participation Focus Group The purpose of this research study is to explore and understand the perspectives on research participation, with the goal of identifying barriers and fostering more inclusive and culturally sensitive research practices. If you choose to take part, you will be asked to answer a short questionnaire and answer a few open-ended questions about participation in research in a focus group format. *Please note: at this time, we are only conducting focus groups with participants who have served in the US Military*
6. Resilient Together for Chronic Brain Injury (RT-CBI) The goal of the RT-CBI study is to better understand the long-term emotional and relational effects of chronic brain injury on individuals and their care partners. Participation involves completing brief online questionnaires and an online focus group where you will be asked open-ended questions about emotional distress, coping, and communication. This research aims to inform interventions that support health, relationships, and quality of life.
Which project(s) are you interested in learning more about? Please select all that apply. * must provide value
Today M-D-Y
First Name
* must provide value
Last Name
* must provide value
Phone Number
* must provide value
Email Address
* must provide value
Preferred method of contact
* must provide value
Please indicate whether it is safe for us to leave a voicemail at the number you provided
Yes
No
Please indicate whether it is safe for us to send you an email.
Yes
No
Please indicate whether it is safe for us to send you a text
Yes
No
Please indicate any safety considerations we should be aware of before sending messages (if any)
What is the most convenient time to contact you? Please note the times listed are in EST
* must provide value
How did you hear about this study?
* must provide value
Physician/Therapist Referral Family/Friend Referral Flyer Social Media (Facebook, Instagram, Twitter) Mount Sinai Website Academic Listserv JFK Recruitment Email Other
Where did you see or get the flyer?
Have you ever served in the U.S. Military?
* must provide value
Yes
No
Do you currently live in the New York City area or are you within driving distance?
* must provide value
Yes
No
What state are you located in?
* must provide value
Are you a licensed psychologist, social worker, or mental health counselor?
* must provide value
Yes
No
What is your current age in years?
* must provide value
Are you currently residing in the United States, including any U.S. territories (e.g. Puerto Rico, Guam, U.S. Virgin Islands, Northern Mariana Islands, or American Samoa?
* must provide value
Yes
No
Are you able to speak and understand English?
* must provide value
Yes
No
Have you sustained one more blows to your head at any time in your life? (also known as a head injury, knock or blow to the head, traumatic brain injury, or a concussion). This may have occurred due to a car accident, being hit by an object, a fall, playing sports, physical abuse, a fight or attack, or during military services or training.
Care partner: Do you provide support to someone who has experienced a head injury? This can include being a family member, partner, friend, or other close person that provides practical, emotional, or other personal assistance in the face of challenges.
* must provide value
Yes, I have experienced a head injury
Yes, I know someone and I am a care partner
No, I have never experienced a head injury
No, I don't know someone with a head injury
Approximately how long ago did your most recent head injury (TBI) occur?
* must provide value
Less than 6 months ago
6-12 months ago
More than 1 year ago
Approximately how long ago did the person you support sustain their head injury?
* must provide value
Less than 6 months ago
6-12 months ago
More than 1 year ago
Is the person you support currently hospitalized or experiencing an acute medical emergency?
* must provide value
Yes
No
How many hits or blows to the head have you had in your life? Your best guess is fine.
* must provide value
1
2-3
4-9
10 or more
I don't know
How many hits or blows to the head have you had that caused you to lose consciousness or be "knocked out"? Your best guess is fine.
* must provide value
0
1
2-3
4-9
10 or more
I don't know
How many hits has the person you know had in their life? Your best guess is fine.
* must provide value
1
2-3
4-9
10 or more
I don't know
How many hits or blows to the head have the person you know had that caused them to lose consciousness or be "knocked out"? Your best guess is fine.
* must provide value
0
1
2-3
4-9
10 or more
I don't know
Are you interested in participating in a focus group study as a participant with a head injury or as a care partner?
Please note: We welcome individuals with a head injury only, care partners only, or both together; participation as a pair is not required.
* must provide value
Yes
No
Thank you for answering those questions. Unfortunately, you are not eligible for the Resilient Together for Chronic Brain Injury Research. We hope you will participate in future research with Mount Sinai's Brain Injury Research Center.
Thank you for answering those questions. You are eligible for the Resilient Together for Chronic Brain Injury study. Please move to the next page.
Please review the information sheet below. If you agree to participate, please click agree and move to the next screen.
THE MOUNT SINAI HEALTH SYSTEM ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI RESEARCH INFORMATION SHEET Study ID: STUDY-26-00098
Study Title: Developing RT-CBI, a focus group study to revise a program for individuals living with the chronic effects of brain injury and their care partners Principal Investigator (Lead Researcher): Sarah Bannon, PhD Physical Address: 5 East 98th St., B-15, New York, NY 10029 Mailing Address: One Gustave L Levy Place Box 1163, NY, NY 10029 Phone: 212-241-2221
The purpose of this research study is to gather feedback to revise Resilient Together for Chronic Brain Injury, a novel clinical program to support individuals living with the chronic effects of brain injury and their care partners (e.g., partners, family members, friends, or other close persons). You are being asked to take part in a research study because you are a person who has sustained a traumatic brain injury in the past or are the care partner of someone who has.
Participation in the research study is voluntary. You can agree to join or not. You can also say yes now, and change your mind later. Deciding not to be in the research study, now or later, will not affect your ability to receive medical care at Mount Sinai.
If you choose to take part, you will each be asked to complete an online survey independently. Then, you will be asked to participate in one online focus group via Zoom with other research participants who are enrolled. The researchers will ask that cameras remain off for the focus group. This session will be audio-recorded and transcribed. While the researchers will ask that all participants keep the information shared during the session confidential, please note that the researchers cannot guarantee that other participants will uphold this agreement outside of the focus group setting; so, please keep this in mind when deciding what you would or would not like to share with the group.
Your participation in this research study is expected to last about 1 hour and 45 minutes in total (~15 minutes for the survey and ~1.5 hours for the focus group). There are 40 people expected to take part in this research study.
You can choose not to answer any question you do not wish to answer in the survey and focus group. You can also choose to stop taking the survey or stop participating in the focus group at any time. You must be at least 18 years old to participate. If you are younger than 18 years old, please stop now.
The possible risks to you in taking part in this research are:
Discomfort with the questions being asked in the survey and focus group Risk of loss of private information; this risk always exists but there are procedures in place to minimize it
To protect your identity as a research subject, the researcher(s) will not share your information with anyone. In any publication about this research, your name or other private information will not be used.
If you have any questions about this research, please contact the Lead Researcher at 212-241-2221. You can also call the Program for the Protection of Human Subjects Office at (212) 824-8200.
Click here to download a PDF copy of this information sheet:
Do you agree to participate in this research study?
* must provide value
Yes, I agree to participate No, I do not agree to participate
Thank you for taking the time to complete this survey. If you have any additional questions, please contact the Brain Injury Research Center's main line at 212-241-5152 or birc@mountsinai.org.
Please indicate whether you consent to be contacted by a member of the research team.
* must provide value
Yes, I agree to be contacted
No, I do not agree to be contacted and no longer wish to participate
Thank you for taking the time to complete this survey. If you have any additional questions, please contact the Brain Injury Research Center's main line at 212-241-5152 or birc@mountsinai.org.
OPTIONAL Care Partner Information ( Note: If you are a care partner, this does not apply to you)
Please provide a name and the contact information of a person that supports you in navigating challenges after your head injury that you would like to participate in the study with. You can also leave this section blank if you would prefer to discuss this part of the study with a member of the research team.
Focus Group Availability
As part of the research study, we will invite you to complete a 60-90 minute online focus group via Zoom. Please indicate the days and times (in Eastern time (EST)) you are available in a typical week to complete the 60-90 minute focus group. We will contact you with confirmed appointment times for the focus group in the coming weeks.
Please include any dates that you may be unavailable to participate in a focus group (for example - planned vacations, upcoming surgery, etc.)
Thank you for completing this first part of the survey. Please complete this last set of questions to finalize your enrollment.
What is your current age?
* must provide value
Male
Female
Intersex
Woman only
Man only
Transgender only
Non-binary only
Two-spirit only
Agender only
I use a different term only
Prefer not to say
What is your marital status?
* must provide value
Single
In a relationship/married/common law/living with permanent partners
separated, widowed
Other
Unknown
Hispanic or Latino/a
Not Hispanic or Latino/a
Unknown
What is your race? (Select all that apply)
* must provide value
If "Other," please indicate what race you identify with. Else, please enter "N/A."
* must provide value
What is your highest level of education you completed?
* must provide value
No school/less than high school (1-8)
Some high school (9-12, no diploma or GED)
Graduated high school or GED
Some college, no degree
Graduated from 2-year school/vocational college/Associates Degree
Graduated from 4-year school, Bachelor's Degree
Some graduate school
Master's degree
Ed.D., MD, DDS, JD, or other professional degree
Other
Please indicate your level of education below.
* must provide value
Are you currently employed part- or full-time?
* must provide value
Full time
Part time
Student
Retired
Not employed
Don't Know
If you're taking part in this study with another person (for example, a romantic partner, parent, or sibling), how are you related to them?
* must provide value
N/A. I am participating by myself
They are my Romantic partner or spouse
They are my Parent
They are my Child
They are my Sibling
They are another Family Member (e.g., cousin, aunt/uncle)
They are my Friend
Other
Please describe your relationship below.
* must provide value
How long have you known the person you are participating in the study with (in YEARS)?
* must provide value
Yes
No
1. Have you ever participated in organized sports?By 'organized' we mean sports that involve a set of scheduled games/practices and that usually involve a referee and coach (ex. PeeWee leagues, junior varsity and varsity sports, intercollegiate sports, intramural sports, and organized recreational sports)?
No
Yes
Don't Know
If yes, what was your primary sport?
* must provide value
At was age did you start playing your primary sport?
* must provide value
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90+
For how many years TOTAL did you participate in...
Tackle Football + Organized Hockey + Rugby + Soccer + Lacrosse + Boxing or other combat sports?
* must provide value
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90+
2. Did you ever serve in the military?
* must provide value
No
Yes
Don't Know
How many MONTHS of combat training did you receive?
* must provide value
Never received combat training 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90+
Were you ever deployed to a non-combat zone?
* must provide value
Yes
No
If yes, for how many MONTHS were you deployed to a non-combat zone?
* must provide value
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90+
Were you ever deployed to a combat zone?
* must provide value
No
Yes
Don't Know
If yes, for how many MONTHS were you deployed to a combat zone?
* must provide value
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90+
3. Have you ever been in a relationship in which an individual repeatedly pushed, hit, kicked, choked, or shook you?
* must provide value
No
Yes
Don't Know
If yes, was the individual a(n):
* must provide value
Caregiver/guardian Intimate/romantic partner Other
Other:
* must provide value
4. Have you ever experienced repetitive blows to the head as a result of organized sports, military experience, or relationship OTHER than the reasons mentioned above?
* must provide value
Yes
No
Please specify this OTHER reason:
* must provide value
1. Have you ever experienced a blow to the head by being involved in a vehicle accident?(ex. Motor vehicle accident, pedestrian accident, motorcycle/ATV crash, etc.)
* must provide value
No
Yes
Don't Know
How many times have you experienced a blow to the head due to a vehicle accident?
* must provide value
1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incidents occur?
* must provide value
Did you ever lose consciousness?
* must provide value
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
* must provide value
No
Yes
Don't Know
How many times were you dazed or confused?
* must provide value
1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
2. Have you ever experienced a blow to the head by being hit by an object?(ex. equipment, falling object, etc.)
* must provide value
No
Yes
Don't Know
How many times have you experienced a blow to the head due to being hit by an object?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incidents occur?
* must provide value
Did you ever lose consciousness?
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
No
Yes
Don't Know
How many times were you dazed or confused?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
3. Have you ever experienced a blow to the head falling?(ex. downstairs, during a fainting spell, from a high place, etc.)
* must provide value
No
Yes
Don't Know
How many times have you experienced a blow to the head due to falling?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incident(s) occur?
* must provide value
Did you ever lose consciousness?
* must provide value
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
* must provide value
No
Yes
Don't Know
How many times were you dazed or confused?
* must provide value
1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
4. Have you ever experienced a blow to the head while participating in sports/Leisure?(ex: practicing or playing sports, biking, skiing, on the playground)
* must provide value
No
Yes
Don't Know
How many times have you experienced a blow to the head while participating in sports/leisure activities?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incident(s) occur?
* must provide value
Did you ever lose consciousness?
* must provide value
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
* must provide value
No
Yes
Don't Know
How many times were dazed or confused?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
5. Have you ever experienced a blow to the head due to physical abuse/assault?(ex: being mugged, intimate partner violence, etc.)
* must provide value
No
Yes
Don't Know
How many times have you experienced a blow to the head due to physical abuse/assault?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incident(s) occur?
* must provide value
Did you ever lose consciousness?
* must provide value
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
* must provide value
No
Yes
Don't Know
How many times were dazed or confused?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
6. Have you ever experienced a blow to the head due to military service?(ex: blast injury, training etc.)
* must provide value
No
Yes
Don't Know
How many times have you experienced a blow to the head due to military service?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incident(s) occur?
* must provide value
Did you ever lose consciousness?
* must provide value
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
* must provide value
No
Yes
Don't Know
How many times were you dazed or confused?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
7. Have you ever experienced a blow to the head due to any OTHER situation that was not mentioned above?
* must provide value
No
Yes
Don't Know
Please specify this OTHER situation:
* must provide value
How many times have you experienced a blow to this OTHER situation?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
In what year(s) did these incident(s) occur?
* must provide value
Did you ever lose consciousness?
* must provide value
No
Yes
Don't Know
How many times did you lose consciousness?
* must provide value
0 1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you lost consciousness?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Were you ever dazed or confused?
* must provide value
No
Yes
Don't Know
How many times were you dazed or confused?
* must provide value
1 2 3 4 5 6 7 8 9 10+
What was the longest duration of time you were dazed or confused?
* must provide value
Don't Know Less than 1 min. 1-10 mins. 11-20 mins. 21-30 mins. 31-45 mins. 46-60 mins. 1 hour-23 hours 1 day-1 week 1 week-1 month More than 1 month
Please have your romantic partner complete this portion of the study OR fill out on their behalf if not available:
Please have your parent complete this portion of the study OR fill out on their behalf if not available:
Please have your child complete this portion of the study OR fill out on their behalf if not available:
Please have your sibling complete this portion of the study OR fill out on their behalf if not available:
Please have your other family member complete this portion of the study OR fill out on their behalf if not available:
Please have your friend member complete this portion of the study OR fill out on their behalf if not available:
Please have your study partner complete this portion of the study OR fill out on their behalf if not available:
What is their current age?
* must provide value
What is their current sex?
* must provide value
Male
Female
Intersex
Woman only
Man only
Transgender only
Non-binary only
Two-spirit only
Agender only
I use a different term only
Prefer not to say
What is their marital status?
* must provide value
Single
In a relationship/married/common law/living with permanent partners
Separated, widowed
Other
Unknown
Hispanic or Latino/a
Not Hispanic or Latino/a
Unknown
What is their race? (Select all that apply)
* must provide value
If "Other," please indicate what race you identify with. Else, please enter "N/A."
* must provide value
What is the highest level of education they completed?
* must provide value
No school/less than high school (1-8)
Some high school (9-12, no diploma or GED)
Graduated high school or GED
Some college, no degree
Graduated from 2-year school/vocational college/Associates Degree
Graduated from 4-year school, Bachelor's Degree
Some graduate school
Master's degree
MD, DDS, JD, or other professional degree
Other
Please indicate their level of education below.
* must provide value
Are they currently employed?
* must provide value
Full time
Part time
Student
Retired
Not employed
Don't Know
Thank you for completing this survey! Please, press Submit below for a member of our research team to contact you. If you have any questions or concerns, please contact the study lead: Dr. Sarah Bannon (sarah.bannon@mountsinai.org)