Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Enhanced environment therapy for recovery in chronic traumatic brain injury

Official title: Multimodal, Enriched Environment for Rehabilitation

Run by MetroHealth Medical Center · NCT06734026 · Data updated 2026-11-12

This study tests if a new therapy program where people with chronic traumatic brain injury run a café can help them improve their thinking, social, and movement skills better than regular treatment.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment20 (estimated)
SponsorMetroHealth Medical Center
Academic / other
Locations1 site (Cleveland, Ohio)
StatusRecruiting
StartedApril 8, 2025
Main results expectedJanuary 15, 2028
Study endsJanuary 15, 2029
Registry record updatedMarch 3, 2026
Trial IDNCT06734026 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 years old with moderate to severe TBI who have been discharged from therapy and can follow multi-step instructions.

Probably not a fit

Patients who are unable to provide informed consent, non-English speakers, or those with severe medical instability or other neurological conditions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of a multimodal therapy approach in an enriched environment called the Metro Café for individuals with chronic traumatic brain injury (TBI). Participants will engage in various therapeutic activities while operating a café, which includes serving food and drinks, to improve their cognitive, social, and motor skills. The study will compare outcomes between those receiving Metro Café therapy and those receiving standard care, focusing on therapy dosage and clinical outcomes. The intervention consists of 18 training sessions over two months, each lasting up to two hours.

Why it matters

Potential benefit: If successful, this approach could significantly enhance recovery outcomes for patients with chronic TBI by providing a more engaging and practical therapeutic environment.

How similar studies have gone: While similar multimodal approaches have shown promise in rehabilitation, this specific enriched environment therapy is relatively novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* moderate to severe neurological diagnosis as diagnosed by a clinician,
* ability to comprehend multi step instructions,
* ability to independently balance with weight support,
* physical deficits resulting in need for additional functional goals,
* ability to endure 2 hours of weight-supported standing,
* ability to provide informed consent,
* basic communication ability,
* currently discharged from therapy,
* \>3 months post-injury,
* \>18 years of age at time of enrollment

Exclusion Criteria:

* Adults unable to consent
* Individuals who are not yet adults (infants, children, teenagers)
* Non-English speaking
* Pregnant women
* Prisoners
* Medical instability
* Other neurological conditions
* Severe problems with maintaining follow-up expected (such as, but not limited to history of substance abuse, homelessness/incarceration, dementia and psychotic disorders)

Where it's running

  • MetroHealth Medical Center
    Cleveland, Ohio, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.