Development of a telehealth platform for delivery of the Diabetes PreventionProgram Group Lifestyle Balance modified for people with TBI (GLB-TBI+) - Our project goal is to improve the health and function of people after traumatic brain injury (TBI) by developing a telehealth weight-loss platform based on the Centers for Disease Control accredited Diabetes Prevention Program Group Lifestyle Balance intervention. Our team has demonstrated (1) efficacy of this evidence-based in-person weight-loss intervention modified for people with TBI and (2) feasibility of videoconference delivery during COVID-19. Our rationale for this project is our stakeholders with TBI lived experience identified a need as no telehealth weight-loss program is available to them despite high overweight and obesity rates. The objectives of our development project are to partner with an Advisory Board of people with TBI and clinicians to develop the telehealth platform that meets the needs of people with a TBI, and then pilot the program to (1) examine participant compliance, (2) evaluate participants usability and satisfaction, and (3) examine the impact of participation on weight-loss. Participants will be recruited to pilot the telehealth platform with the support of our national partners to include under-represented individuals with TBI who are overweight or obese and living in the community. Anticipated outcomes include: (1) telehealth weight-loss intervention tailored to meet the unique health needs of people after TBI, (2) evidence of compliance, satisfaction, and usability with the program, and (3) a scalable telehealth platform for use within the community that is eligible for Medicare reimbursement. Expected products include an evidence-based telehealth intervention to promote weight loss after TBI that is publicly available, designed to run on desktop (Windows, MacOS) and mobile (iOS, Android phones) platforms, and leadership guide to support community delivery.
