Skip to main content

Military Health System

Test of Sitewide Banner

This is a test of the sitewide banner capability. In the case of an emergency, site visitors would be able to visit the news page for addition information.

TRIP initiative bridges the gap between TBI research, clinical care

Image of a statue of a broken circle. The broken circle serves as a symbol of the service members with traumatic brain injury and post-traumatic stress (Photo by: Dr. Thomas Piazza).

Healthcare providers across the Department of Defense (DOD) must stay up-to-date with the latest modalities and research within their discipline.

To provide the best possible care, centered on traumatic brain injury (TBI) research and brain health, the Defense Intrepid Network for Traumatic Brain Injury and Brain Health had developed a Translating Research into Practice (TRIP) initiative. TRIP was created to support the translation of effective research outcomes into clinical standards of care for the improvement of brain health and management of patients with TBI.

"The Defense Intrepid Network provides a unique interdisciplinary clinical platform to foster partnerships with DOD, interagency, academic, industry, international, and civil society experts to gain greater access to and rapidly implement effective care and treatment modalities for TBI," explained Navy Capt. Carlos Williams, director for the National Intrepid Center of Excellence (NICoE) at Walter Reed National Military Medical Center in Bethesda, Maryland and first member of the Defense Intrepid Network.

Coordinating these efforts is TRIP Coordinator Theresa Woo. Woo, a neuroscientist, first joined the NICoE in 2015 in support of the neuroimaging division before transitioning into her current role in research operations. As the TRIP Coordinator, Woo will utilize her experience as a clinical researcher and operations specialist to foster connections between the subject matter experts in the Network and the global TBI community.

One of the ways the TRIP Initiative Team hopes to do this is through TRIP Scientific Community Groups, which will bring together clinicians, researchers, and other subject matter experts to help identify cutting-edge research findings that have the greatest potential of being translated into clinical standards of care. Another priority is to formally operationalize the existing Defense Intrepid Network of TBI clinics to more efficiently support multi-site protocols, maximizing the impact and generalizability of research findings.

"Regardless of clinical specialty or scientific expertise, we all share a common goal across the TBI community: to improve the lives of TBI patients and their families. TRIP is, in a sense, a Network-wide implementation of this goal, bringing together providers and researchers at the start to help streamline the process and get results into clinic as quickly as possible," explained Woo.

Building on more than a decade of experience in interdisciplinary care delivery and collaborative partnerships, the Defense Intrepid Network now looks to the TRIP initiative to "break down the silos and barriers in the TBI community [to] ensure that all stakeholders are at the table as we look for the next great treatment to bring to clinical standards of care," stated Dr. Thomas DeGraba, co-chair of the TRIP and chief innovations officer at the NICoE.

Dr. Treven Pickett, NICoE's department chief of research and co-chair of the TRIP initiative, emphasized that the TRIP is not a vehicle to mandate changes in clinical care. Rather, it is an organizational framework that facilitates an "inclusive conversation" about promising research findings and their potential applicability to clinical care among a variety of stakeholders.

From day one, leaders, researchers, and clinicians from across the global TBI community will be a part of the conversation. Pickett added, "This initiative aspires to narrow the gap between promising research developments, and actual clinical care, by implementing a framework for these conversations to happen."

For more information on the TRIP initiative, follow the NICoE on Facebook, Twitter and LinkedIn. To learn more about getting involved in TRIP efforts, reach out to the TRIP Coordinating Committee at: dha.bethesda.j-11.mbx.trip@mail.mil.

The Defense Intrepid Network for TBI and Brain Health includes the NICoE and 10 Intrepid Spirit Centers (ISCs) across the Military Health System. The Intrepid Network takes an interdisciplinary approach to TBI care and associated health conditions and collaborates closely with partners across the federal government, academia, industries and civil society

You also may be interested in...

Changes in Behavior, Personality or Mood Following Concussion/mTBI Fact Sheet

Fact Sheet
5/22/2023

This TBICoE fact sheet can be used by health care providers to educate patients with a concussion, or mild TBI, on how to manage changes in mood related to their injury. Patients and caregivers would also find this information useful.

Chronic Traumatic Encephalopathy (CTE) Frequently Asked Questions

Fact Sheet
3/15/2023

This fact sheet provides answers and information to commonly asked questions about chronic traumatic encephalopathy, or CTE.

What You Should Know About Concussions Fact Sheet

Fact Sheet
2/13/2023

This fact sheet is designed to educate deployed service members about traumatic brain injuries immediately after concussion injury.

Healthy Sleep Following Concussion/mTBI Fact Sheet

Fact Sheet
11/16/2022

Getting restful sleep is one of the most important things you can do for your health, and it often takes thoughtful preparation during the day. This fact sheet offers service members and veterans who experience sleep disturbances after a concussion with healthy sleep tips that can likely improve sleep.

Neuroendocrine Dysfunction Following Concussion/Mild TBI Provider Fact Sheet

Fact Sheet
9/14/2022

The Neuroendocrine Dysfunction Following Concussion/Mild TBI Provider Fact Sheet, developed by TBICoE, is a one page document that gives primary care managers (PCMs) an overview of neuroendocrine dysfunction (NED) that can occur after concussion, or mild TBI. It highlights conditions with overlapping symptoms, screening and treatment considerations, risk factors, and referral guidance for suspected NED.

Talking to Your Child about TBI: A Guide for Caregivers of Service Members and Veterans

Fact Sheet
6/8/2022

This TBICoE fact sheet includes age-appropriate strategies adults can use to speak with children about traumatic brain injury—or concussion. It also includes tips on how to help kids cope with changes that impact the family unit.

Addressing Family Needs: A Guide for Caregivers of Service Members and Veterans

Fact Sheet
6/8/2022

This TBICoE fact sheet includes ways to build stronger family ties and develop coping strategies for challenges the family may experience after a loved one sustains a concussion—or TBI—such as substance misuse, psychological and emotional trauma, and financial changes.

Taking Care of Yourself: A Guide for Caregivers of Service Members and Veterans

Fact Sheet
6/8/2022

This TBICoE fact sheet is directed towards caregivers and provides self-care strategies to avoid caregiver burnout and fatigue when caring for a loved one who has sustained a traumatic brain injury.

Intimacy and Sexuality Following TBI: A Guide for Caregivers of Service Members and Veterans

Fact Sheet
6/8/2022

This TBICoE fact sheet provides caregivers and those diagnosed with a traumatic brain injury—or concussion— with information for addressing intimacy and sexuality concerns following injury. It includes information on how TBI can affect sexual functioning and behavior, and tips on improving intimacy after a brain injury.

Returning Home After TBI: A Guide for Caregivers of Service Members and Veterans

Fact Sheet
6/8/2022

This TBICoE fact sheet shares information and adaptation tips when a loved one diagnosed with a TBI—or concussion—returns home. It includes hot topics such as driving following TBI and ways to avoid a second traumatic brain injury.

Help With Ongoing Symptoms Following Concussion/Mild TBI Fact Sheet

Fact Sheet
4/28/2021

Although the majority of service members recover from concussion with little to no intervention, some experience symptoms beyond the first three months after their initial injury. This fact sheet addresses why symptoms continue to persist in some patients and how they can cope or seek additional help.

Vision Problems After Concussion Fact Sheet

Fact Sheet
3/30/2021

This TBICoE fact sheet helps patients diagnosed with a concussion/mild TBI understand vision problems and provides insight into treatment options.

Heads Up; Sports Safety

Fact Sheet
8/6/2020

This fact sheet provides sports safety tips to prevent or minimize sports-related traumatic brain injury. It also includes the signs and symptoms of TBI, and how to get help if you think you sustained a brain injury.

Ride Right Fact Sheet

Fact Sheet
8/6/2020

This bicycle safety fact sheet provides tips to protect your head and help prevent TBI while riding a bike. It also includes the signs and symptoms of TBI, and how to get help if you think you sustained a brain injury.

Respect the Road

Fact Sheet
8/6/2020

One of the leading causes of military traumatic brain injury is motor vehicle crashes. This car safety fact sheet provides tips to help prevent TBI while driving a motor vehicle and safety measures to take to keep passengers safe. It also includes the signs and symptoms of TBI, and how to get help if you think you sustained a brain injury.

Page 1 of 2 , showing items 1 - 15
First < 1 2 > Last 
Refine your search
Last Updated: January 17, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery