Community integration following multidisciplinary rehabilitation for traumatic brain injury

被引:65
作者
Goranson, TE
Graves, RE
Allison, D
La Freniere, R
机构
[1] Univ Victoria, Dept Psychol, Victoria, BC V8W 3P5, Canada
[2] Gorge Rd Hosp, Dept Psychol, Victoria, BC, Canada
[3] Gorge Rd Hosp, Dept Rehabil Med, Victoria, BC, Canada
关键词
D O I
10.1080/0269905031000088513
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Primary objective : To determine the extent to which participation in a multidisciplinary rehabilitation programme and patient characteristics predict improvement in community integration following mild-to-moderate traumatic brain injury (TBI). Research design : A non-randomized case-control study was conducted employing a pre-test-post-test multiple regression design. Methods and procedures : Archival data for 42 patients with mild-to-moderate TBI who completed the Community Integration Questionnaire (CIQ) at intake and again 6-18 months later were analysed. Half the sample participated in an intensive outpatient rehabilitation programme that provided multi-modal interventions, while the other half received no rehabilitation. The two groups were matched on age, education and time since injury. Results : On the CIQ Home Integration scale, participation in rehabilitation and female gender predicted better outcome. On the Productivity scale, patients with a lower age at injury had better outcome. Outcome on both of these scales, as well as on the Social Integration scale, was predicted by the baseline pre-test score (initial severity). Conclusions : Overall, multidisciplinary rehabilitation appeared to increase personal independence. It is also concluded that: (1) multivariate analysis can reveal the relative importance of multiple predictors of outcome; (2) different predictors may predict different aspects of outcome; and (3) more sensitive and specific outcome measures are needed.
引用
收藏
页码:759 / 774
页数:16
相关论文
共 32 条
[1]  
[Anonymous], CLIN NEUROPSYCHOLOGY
[2]  
ARANOW HU, 1987, J HEAD TRAUMA REHAB, V2, P24
[3]  
BENYISHAY Y, 1987, J HEAD TRAUMA REHAB, V2, P35, DOI DOI 10.1097/00001199-198703000-00007
[4]   Effect of cognitive rehabilitation on outcomes for persons with traumatic brain injury: A systematic review [J].
Carney, N ;
Chesnut, RM ;
Maynard, H ;
Mann, NC ;
Patterson, P ;
Helfand, M .
JOURNAL OF HEAD TRAUMA REHABILITATION, 1999, 14 (03) :277-307
[5]   Summary report: Evidence for the effectiveness of rehabilitation for persons with traumatic brain injury [J].
Chesnut, RM ;
Carney, N ;
Maynard, H ;
Mann, NC ;
Patterson, P ;
Helfand, M .
JOURNAL OF HEAD TRAUMA REHABILITATION, 1999, 14 (02) :176-188
[6]   Evidence-based cognitive rehabilitation: Recommendations for clinical practice [J].
Cicerone, KD ;
Dahlberg, C ;
Kalmar, K ;
Langenbahn, DM ;
Malec, JF ;
Bergquist, TF ;
Felicetti, T ;
Giacino, JT ;
Harley, JP ;
Harrington, DE ;
Herzog, J ;
Kneipp, S ;
Laatsch, L ;
Morse, PA .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2000, 81 (12) :1596-1615
[7]   Acute predictors of successful return to work 1 year after traumatic brain injury: A multicenter analysis [J].
Cifu, DX ;
KeyserMarcus, L ;
Lopez, E ;
Wehman, P ;
Kreutzer, JS ;
Englander, J ;
High, W .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1997, 78 (02) :125-131
[8]   PSYCHOMETRIC CHARACTERISTICS OF THE COMMUNITY INTEGRATION QUESTIONNAIRE - REPLICATION AND EXTENSION [J].
CORRIGAN, JD ;
DEMING, R .
JOURNAL OF HEAD TRAUMA REHABILITATION, 1995, 10 (04) :41-53
[9]  
CREPEAU F, 1993, NEUROPSYCHOL REHABIL, V3, P5, DOI 10.1080/09602019308401421