DCoE Blog

  • Congressional Brief: ‘We’re Making Progress, but Not Yet Claiming Victory’
    Photo of Cpt. Colston

    I recently testified in front of the House Armed Services Subcommittee on Military Personnel. My conversation with members of Congress offered an excellent chance to highlight our efforts to promote psychological health and to prevent, diagnose and treat traumatic brain injury (TBI) in the military. ...I shared many of our accomplishments with the committee and I want to share a few with you below. I believe they reveal the important advances we made, provide an understanding of where we should target future research, and encourage more investments in medical research.


  • Celebrating Milestones through 25 Years of DVBIC
    DVBIC Defense and Veterans Brain Injury Center 25 years of service, 1992-2017

    This year marks 25 years since a congressional mandate created the Defense and Veterans Head Injury Program in response to the first Gulf War and the need to treat service members with traumatic brain injury (TBI). Service members and veterans impacted by TBI rely on the program, known today as the Defense and Veterans Brain Injury Center (DVBIC), to propel TBI clinical care, groundbreaking research and innovative education.

    Over its 25 years, DVBIC has reached a number of pivotal milestones in the advancement of TBI care that continue to impact prevention and treatment today.

  • Top 10 Concussion Research Articles of 2016
    DoD photo by Sgt. Christopher Giannetti

    There is no shortage of clinical research articles on traumatic brain injury (TBI). In fact, a team of experts from Defense and Veterans Brain Injury Center (DVBIC) recently reviewed more than 250 abstracts from literature published in 2016. The team, with a variety of clinical backgrounds, reviewed the latest in brain injury research and selected 10 articles that advance brain injury research.

    In recognition of Brain Injury Awareness Month, here is our top 10 list of TBI research articles, with summaries, categorized by topic. Click on the article title to access the abstract or article on PubMed, a service of the U.S. National Library of Medicine.

  • Review Clinical Study Methods before You Accept Results, Expert Says
    Doctor conducting session using telehealth technology
    U.S. Navy photo by Douglas Stutz

    As new medical treatment approaches and platforms come along, providers should check whether the evidence offered to support the new approaches actually proves what it claims. This is especially important when it comes to non-inferiority studies, which try to show that a new approach is no worse than the old one, said Derek Smolenski, an epidemiologist and quantitative methodologist for the National Center for Telehealth & Technology.

    A non-inferiority study is conducted to prove, or disprove, that a new form of treatment is no worse than the current standard of treatment, or if it is, that it is not unacceptably worse. Because this type of study is often used to compare new approaches like video conferencing and electronic self-help resources to current methods, a provider’s ability to critically analyze the findings of such studies is paramount, Smolenski said in a webinar hosted last month by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury.

  • Clinician’s Corner: Using Psychological Health Data to Inform the Military Health System
    Download this image of a soldier using the Behavioral Data Health Portal from Army Medicine's website
    Photo courtesy of U.S. Army

    The Defense Department operates one of the largest health systems in the country, with nearly 9.4 million beneficiaries. Much of the care delivered within this system occurs in hospitals and clinics run by the department and the military services. Each visit with a health care provider generates data used to monitor and evaluate care delivery.

    Recent changes in military electronic health records make accessing and using medical data much easier. The changes permit faster analysis and delivery of near real-time information to medical decision-makers while safeguarding individual patient information. Importantly, this increased access to information allows the Military Health System (MHS) to move beyond a review of general health care metrics that are standard across the industry to more nuanced investigations of specific conditions or areas of care.

  • Clinician’s Corner: Top 10 Concussion Research Articles of 2015
    Top Ten Concussion Research Articles of 2015

    As the Defense Department’s center of excellence for traumatic brain injury (TBI), one of the primary goals of the Defense and Veterans Brain Injury Center (DVBIC) is to stay up-to-date on the latest in brain injury research. A team of DVBIC experts with a variety of clinical backgrounds reviewed approximately 250 abstracts from the TBI clinical research literature published in 2015, choosing the ten articles they felt advanced the field of TBI research the furthest.

    Listed below and categorized by topic are the titles and summaries of these top 10 concussion research articles of 2015. Click on the links provided to access the complete abstract or article on PubMed, a service of the U.S. National Library of Medicine.