Identifying factors associated with perceived success in the transition from hospital to home after brain injury

Nalder, Emily, Fleming, Jennifer, Foster, Michele, Cornwell, Petrea, Shields, Cassandra and Khan, Asad (2012) Identifying factors associated with perceived success in the transition from hospital to home after brain injury. Journal of Head Trauma Rehabilitation, 27 2: 143-153. doi:10.1097/htr.0b013e3182168fb1


Author Nalder, Emily
Fleming, Jennifer
Foster, Michele
Cornwell, Petrea
Shields, Cassandra
Khan, Asad
Title Identifying factors associated with perceived success in the transition from hospital to home after brain injury
Journal name Journal of Head Trauma Rehabilitation   Check publisher's open access policy
ISSN 0885-9701
1550-509X
Publication date 2012-03
Year available 2011
Sub-type Article (original research)
DOI 10.1097/htr.0b013e3182168fb1
Open Access Status
Volume 27
Issue 2
Start page 143
End page 153
Total pages 11
Editor Bruce Caplan
Jennifer Bogner
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2012
Language eng
Formatted abstract
OBJECTIVE:
To identify the factors associated with perceived success of the transition from hospital to home after traumatic brain injury (TBI).

DESIGN:
Prospective longitudinal cohort design with data collection at discharge and 1, 3, and 6 months postdischarge. PARTICIPANTS: A total of 127 individuals with TBI discharged to the community and 83 significant others.

MAIN MEASURES:

An analog scale (0-100) of perceived success of the transition from hospital to home rated by individuals and significant others; Sentinel Events Questionnaire; EuroQol Group Quality-of-Life measure visual analog scale; Sydney Psychosocial Reintegration Scale; Mayo-Portland Adaptability Inventory-4; short form of the Depression, Anxiety, Stress Scales; Craig Hospital Inventory of Environmental Factors; and Caregiver Strain Index.

RESULTS:
Greater perceived success of transition for individuals with a TBI was associated with higher levels of health-related quality of life, level of community integration, and more severe injury. Among survivors, sentinel events such as returning to work and independent community access and changing living situation were associated with greater perceived success; financial strain and difficulty accessing therapy services were associated with less success. Among significant others, lower ratings of transition success were associated with higher significant other stress levels as well as lower levels of community integration and changes in the living situation of the individual with TBI.

CONCLUSION:
A combination of sentinel events and personal and environmental factors influences the perceptions of individuals and their families regarding the success of the transition from hospital to home.
Keyword Community integration
Transition
Traumatic brain injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 25 April 2011

 
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Created: Tue, 21 Feb 2012, 19:06:59 EST by Dr Jennifer Fleming on behalf of School of Health & Rehabilitation Sciences