Patterns of community integration 2-5 years post-discharge from brain injury rehabilitation

Doig, E., Fleming, J. and Tooth, L. (2001) Patterns of community integration 2-5 years post-discharge from brain injury rehabilitation. Brain Injury, 15 9: 747-762. doi:10.1080/02699050110034343


Author Doig, E.
Fleming, J.
Tooth, L.
Title Patterns of community integration 2-5 years post-discharge from brain injury rehabilitation
Journal name Brain Injury   Check publisher's open access policy
ISSN 0269-9052
Publication date 2001-01-01
Sub-type Article (original research)
DOI 10.1080/02699050110034343
Volume 15
Issue 9
Start page 747
End page 762
Total pages 16
Editor Jeff Kreutzer
Nathan Zasler
Place of publication United Kingdom
Publisher Taylor & Francis
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Abstract Outcome after traumatic brain injury (TBI) is characterized by a high degree of variability which has often been difficult to capture in traditional outcome studies. The purpose of this study was to describe patterns of community integration 2-5 years after TBI. Participants were 208 patients admitted to a Brain Injury Rehabilitation Unit between 1991-1995 in Brisbane, Australia. The design comprised retrospective data collection and questionnaire follow-up by mail. Mean follow-up was 3.5 years. Demographic, injury severity and functional status variables were retrieved from hospital records. Community integration was assessed using the Community Integration Questionnaire (CIQ), and vocational status measured by a self administered questionnaire. Data was analysed using cluster analysis which divided the data into meaningful subsets. Based on the CIQ subscale scores of home, social and productive integration, a three cluster solution was selected, with groups labelled as working (n = 78), balanced (n = 46) and poorly integrated (n = 84). Although 38% of the sample returned to a high level of productive activity and 22% achieved a balanced lifestyle, overall community integration was poor for the remainder. This poorly integrated group had more severe injury characterized by longer periods of acute care and post-traumatic amnesia (PTA) and greater functional disability on discharge. These findings have implications for service delivery prior to and during the process of reintegration after brain injury.
Keyword Neurosciences
Rehabilitation
Quality-of-life
Disability Rating-scale
Closed-head-injury
Follow-up
Questionnaire
Impairments
Employment
Australia
Amnesia
Profile
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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Created: Wed, 15 Aug 2007, 01:15:45 EST