The COMA Family Program: A Skills-Based Resiliency Program for Caregivers of Patients With Severe Acute Brain Injuries

Inclusion Criteria:

Eligible caregivers must be caregivers of patients considered to have severe acute brain injury and be unable to communicate with their loved one or clinical team due to their incapacitated nature. Caregivers must meet the following inclusion criteria:

1. Age 18 or older

2. English-speaking

3. Confirmed by the primary clinical team as the primary caregiver for a patient who: a. Is age 18 or older; b. Has been admitted to the ICU with a severe acute braininjury: i. Ischemic stroke ii. Intracerebral hemorrhage iii. Subarachnoid hemorrhageiv. Traumatic brain injury v. Hypoxic-ischemic encephalopathy; c. In the judgment ofthe medical team, has had a Glasgow Coma Scale score below 9 while not intubated ORan inability to following meaningful commands while intubated at any point duringhis or her hospitalization course for greater than 24 consecutive hours, felt to bedue to the brain injury itself and not a confounding factor (i.e., sedation,seizures, etc.); d. Is still alive in the ICU at the time that the clinical teamapproaches the primary caregiver about possible recruitment; e. Has a prognosis forsurvival of greater than 3 months and does not have a concurrent diagnosis of aterminal illness or injury, as judged by the clinical team.

Exclusion Criteria: Patient has terminal diagnosis Caregiver has:

• Lack of access to internet and/or a device with a camera

• Current untreated or unstable severe mental health conditions like bipolardisorder, schizophrenia, or active substance use