New therapy aims to break the fear cycle after concussion
NCT ID NCT05365776
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a type of talk therapy called graded exposure therapy for people who have had a concussion and are still having symptoms. The therapy, delivered by a psychologist over 12 video sessions, helps people gradually face activities they have been avoiding due to fear of making symptoms worse. The trial includes 220 adults aged 18-70 who had a concussion 1 to 24 months ago.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Graded exposure therapy (behavioural therapy via videoconference)
- What this could lead to
- If it works, this could provide an effective, accessible treatment for people struggling with persistent symptoms after a concussion.
- What could go wrong
- This is a single trial with 220 participants, and the therapy requires active participation and homework. Results may not apply to everyone with concussion.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 220 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 69 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. aged 18-70 years; 2. sustained a concussion according to the ACRM mTBI Task Force definition between 1 and 24 months ago 3. fluent in English, because validated translations are not available for most questionnaires and recruiting multilingual therapists is not feasible; 4. access to a computer, tablet, or smartphone with internet capability; 5. 3 or more moderate-severe symptoms on the Rivermead Postconcussion Symptom Questionnaire. Exclusion Criteria: 1. medical contraindication to aerobic exercise (cardiac disease, chest pain with exertion, acute bone/joint/soft tissue injury aggravated by exercise) 2. change in cardiac medication within the last month, such as beta blockers, calcium channel blockers, or ivabradine 3. involved in personal injury litigation for index mTBI 4. currently pregnant or plan to become pregnant within the next three months 5. severe/unstable medical or psychiatric condition that could worsen over the next year")
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Calgary Brain Injury Program
Calgary, Alberta, T2N 2T9, Canada
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Fraser Health Acquired Brain Injury and Concussion Services
Langley, British Columbia, V1M 4A6, Canada
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G.F. Strong Adult Concussion Services
Vancouver, British Columbia, V5Z 2G9, Canada
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Head Injury Clinic at St. Michael's
Toronto, Ontario, M5B 1W8, Canada
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Hull-Ellis Concussion and Research Clinic
Toronto, Ontario, M5G 2A2, Canada
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Sunnybrooke Traumatic Brain Injury Clinic
Toronto, Ontario, M4N 3M5, Canada
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Toronto Western Hospital
Toronto, Ontario, M5T 2S8, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Eye-Tracking goggles could spot hidden brain injuries
- Can tailored magnetic pulses quiet a concussed brain?
- Could a smartphone app help teens recover from concussion?
- New study aims to predict concussion recovery in children using symptoms and biology
- New study targets lingering concussion symptoms in teens