Skip to main content

Military Health System

Important Notice about Pharmacy Operations

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations. Read the statement to learn more. 

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...

Report
Feb 22, 2024

2000-2023 Q3 DOD Worldwide Numbers for TBI

.PDF | 1.47 MB

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis from calendar year 2000 through the third quarter of calendar year 2023. The data is also broken ...

Report
Feb 22, 2024

2023 Q3 DOD Worldwide Numbers for TBI

.PDF | 1.29 MB

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis in the third quarter of calendar year 2023. The data is also broken down by each branch of the ...

Report
Feb 22, 2024

2022 DOD Worldwide Numbers for TBI

.PDF | 1.19 MB

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis in the calendar year 2022. The data is also broken down by each branch of the armed services.

Publication
Feb 20, 2024

Progressive Return to Activity: Primary Care for Acute Concussion Management

.PDF | 505.25 KB

This clinical recommendation is an evidence-based return to activity protocol for primary care managers and concussion/traumatic brain injury clinic providers. The PRA is a six-step approach that begins after the provider performs the MACE 2 (Military Acute Concussion Evaluation 2) and the patient is diagnosed with a concussion, also known as a mild TBI.

Calendar Event
Feb 16, 2024

Virtual Reality, "Walk and Talk" Therapy, and Reconsolidation of Traumatic Memories: How Novel Interventions Can Improve the Care of Post-traumatic Stress

A NICOE educational offering with a guest speaker on Virtual Reality, "Walk and Talk" Therapy, and Reconsolidation of Traumatic Memories - part of 2024 BIAM event lineup.

Article
Feb 15, 2024

From Patients to Students: How the Intrepid Spirit Center in Fort Belvoir is Transforming Traumatic Brain Injury and Post-traumatic Stress Disorder Treatments

From Patients to Students: How the Intrepid Spirit Center in Fort Belvoir is Transforming Traumatic Brain Injury and Post-traumatic Stress Disorder Treatments

The National Intrepid Center of Excellence at Walter Reed National Military Medical Center is the headquarters of the Defense Intrepid Network for Traumatic Brain Injury and Brain Health, which consists of 10 Intrepid Spirit Centers located at military bases throughout the U.S., in addition to two TBI clinics in Alaska and Germany.

Topic
Feb 9, 2024

The National Intrepid Center of Excellence

The NICoE is a Department of Defense organization and the senior member of Defense Intrepid Network for Traumatic Brain Injury and Brain Health. The NICoE is dedicated to improving the lives of patients and families affected by traumatic brain injury (TBI) through collaborative efforts with patients, families, referring providers, and researchers.

Topic
Feb 8, 2024

Centers of Excellence

Military Health System Centers of Excellence were established to provide the Department of Defense with the ability to speed the advancement of our scientific knowledge and evidence-based practices for diagnosis and treatment of diseases and conditions that impact our military personnel and their families.

Infographic
Feb 8, 2024

Brain Injury Awareness Month: Infographic

Brain Injury Awareness Month infographic, visit health.mil/BIAMonth.

Even a mild traumatic brain injury can impact mission readiness and the ability to deploy. #BeABrainWarrior by understanding the signs and symptoms of TBI and knowing when to seek care. TBI is treatable and recovery is possible. https://health.mil/BIAMonth #BIAMonth

Article Around MHS
Feb 5, 2024

U.S. Army Medical Research & Development Command Supports Development of Blast Injury Prevention Standard

 Researchers from the Walter Reed Army Institute of Research used data collected during live fire training exercises to create accurate 3D simulations of blast overpressure exposures on virtual weapons crews to help training range managers, range safety officers and instructors position personnel to minimize their exposure to shock waves created by the firing of heavy weapons. The color coding indicates the blast pressure intensity as the wave expands and dissipates.

A new tool being developed by the U.S. Army Medical Research and Development Command’s DOD Blast Injury Research Coordinating Office will help Service Members protect themselves from the effects of high-pressure shock waves created by heavy weapons when they are fired during training.

Last Updated: July 11, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery