Kessler Foundation awarded major federal grant to study holistic approach to improving outcomes for traumatic brain injury and dementia

Denise Krch, PhD
Dr. Krch conducts research on cognitive rehabilitation across neurologic populations, with an emphasis on cognitive reserve, caregiver burden, and the use of virtual reality technology in cognitive rehabilitation. Fluent in Spanish, she investigates outcomes in Hispanics after brain injury and the efficacy of cognitive rehabilitation interventions across Hispanic cultures.​​​​​​

Denise Krch, PhD, leads multi-site study testing the effectiveness of a group-based treatment designed to provide individuals and their caregivers with long-lasting skills for managing the impact of traumatic brain injury and dementia.

East Hanover, NJ – February 14, 2022 – Denise Krch, PhD, senior research scientist in the Center for Traumatic Brain Injury Research at Kessler Foundation, has been awarded a $2,799,992 grant from the U.S. Department of Defense, U.S. Army Medical Research & Development Command, Congressionally Directed Medical Research Programs (CDMRP), Peer Reviewed Alzheimer’s Disease Research Program (PRARP). The award funds a four-year study titled, “Teaching Self-Management Skills to Improve Self-Efficacy and Quality of Life for Caregiver Dyads in TBI and Dementia Populations.”

As common causes of long-term disability and caregiver burden, traumatic brain injury and dementia are targets for innovative interventions with the potential to improve quality of life for individuals and their caregivers. Researchers will test the effectiveness of WeCAN (Wellness, Coping, & Adaptation for Neurocognitive Conditions), a nonpharmacologic, group-based treatment designed to teach long-lasting management skills to each dyad, or patient and caregiver pair. Researchers will also seek to identify behavioral, neuroimaging, and blood biomarkers that correlate with treatment efficacy.

The randomized, controlled trial will be conducted at three sites, with a different clinical population targeted at each site. Kessler Foundation will enroll 60 individuals with moderate to severe traumatic brain injury, Franciscan Health (Indiana) will enroll 60 individuals with mil traumatic brain injury, and the University of Michigan will 60 enroll individuals with mixed dementia. A total of 180 dyads, i.e., patient/caregiver pairs, will be randomized to a 12-week protocol of either WeCan or another wellness support group.  

According to Dr. Krch, WeCAN is broadly applicable to a variety of populations and roles.

“Unlike acute interventions that target the individual, WeCan is designed to engage both the individual and their caregiver in actively learning to modify their behaviors,” Dr. Krch explained. “This holistic approach positions each caregiver dyad to work as a team to gain the skills they need to adapt successfully to the long-term challenges of daily living. The unique design of this intervention and the broad scope of this trial have the potential to transform how we manage traumatic brain injury and dementia in the future.”

 

Opinions, interpretations, conclusions, and recommendations are those of the author and are not necessarily endorsed by the Department of Defense.

Funding: Department of Defense, U.S. Army Medical Research & Development Command (USAMRDC), Congressionally Directed Medical Research Programs (CDMRP), Peer Reviewed Alzheimer’s Disease Research Program (PRARP) Leveraging Approaches for Innovation in Care and Support Award # W81XWH-21-10743.
 

For information on ongoing rehabilitation research studies at Kessler Foundation, contact: [email protected].


About nTIDE Updates
National Trends in Disability Employment (nTIDE) is a joint project of Kessler Foundation and the University of New Hampshire Institute on Disability. The nTIDE team closely monitors the job numbers, issuing semi-monthly reports that track the impact of economic shifts on employment for people with and without disabilities. As the effect of the COVID-19 pandemic continues to wane and inflation persistently rises, the nTIDE team has superseded its mid-month COVID Update to a “Deeper Dive” into the BLS data for people with disabilities. The statistics in the nTIDE are based on BLS numbers but are not identical. They are customized by UNH to combine the statistics for men and women of working age (16- 64). nTIDE is funded by the National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR; 90RTGE0005) and Kessler Foundation. Each nTIDE release is followed by an nTIDE Lunch & Learn online webinar. This live broadcast, hosted via Zoom Webinar, offers attendees Q&A on the latest nTIDE findings, provides news, updates from the field, and features invited panelists who discuss current disability-related findings and events.

About the Institute on Disability at the University of New Hampshire
The Institute on Disability at the University of New Hampshire was established in 1987 to provide a university-based focus for the improvement of knowledge, policies, and practices related to the lives of persons with disabilities and their families. For information on the Institute’s NIDILRR-funded Rehabilitation Research and Training Center on Disability Statistics and Demographics (StatsRRTC), visit ResearchOnDisability.org.

About Kessler Foundation
Kessler Foundation, a major nonprofit organization in the field of disability, is a global leader in rehabilitation research. Our scientists seek to improve cognition, mobility, and long-term outcomes, including employment, for adults and children with neurological and developmental disabilities of the brain and spinal cord including traumatic brain injury, spinal cord injury, stroke, multiple sclerosis, and autism. Kessler Foundation also leads the nation in funding innovative programs that expand opportunities for employment for people with disabilities. KesslerFoundation.org.

For more information, contact:
Deb Hauss, [email protected]

Stay Connected with Kessler Foundation
X (formerly known as Twitter) | Facebook | YouTube | Instagram | SoundCloud