The effect of environmental barriers on community integration for individuals with moderate to severe traumatic brain injury

Fleming, Jennifer, Nalder, Emily, Alves-Stein, Serena and Cornwell, Petrea (2014) The effect of environmental barriers on community integration for individuals with moderate to severe traumatic brain injury. Journal of Head Trauma Rehabilitation, 29 2: 125-135. doi:10.1097/HTR.0b013e318286545d


Author Fleming, Jennifer
Nalder, Emily
Alves-Stein, Serena
Cornwell, Petrea
Title The effect of environmental barriers on community integration for individuals with moderate to severe traumatic brain injury
Journal name Journal of Head Trauma Rehabilitation   Check publisher's open access policy
ISSN 1550-509X
0885-9701
Publication date 2014-03-01
Year available 2014
Sub-type Article (original research)
DOI 10.1097/HTR.0b013e318286545d
Volume 29
Issue 2
Start page 125
End page 135
Total pages 11
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Objective: To describe environmental barriers endorsed by individuals with traumatic brain injury during the first 6 months after discharge and determine their effect on community integration. Design: Prospective longitudinal study with data collected at predischarge and at 1, 3, and 6 months postdischarge. Participants: One hundred thirty-five individuals with a diagnosis of traumatic brain injury discharged from a large metropolitan hospital to a home/community environment. Measures: Sydney Psychosocial Reintegration Scale; Craig Hospital Inventory of Environmental Factors; and Mayo-Portland Adaptability Inventory-4. Results: Multiple regression analyses indicated that environmental barriers arising during the transition from hospital to home had a negative association with community integration outcomes. Physical barriers were most commonly endorsed, but attitudinal barriers were significantly correlated with relationship changes. Conclusion: Environmental barriers should be addressed in rehabilitation and considered in policy development for people with traumatic brain injury. Future research on the measurement of environmental barriers is recommended.
Keyword Environmental factors
Participation
Rehabilitation
Traumatic brain injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
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