Abstract
Sady MD, Sander AM, Clark AN, Sherer M, Nakase-Richardson R, Malec JF. Relationship
of preinjury caregiver and family functioning to community integration in adults with
traumatic brain injury.
Objective
To investigate the relationship of preinjury caregiver and family functioning to community
integration outcomes in persons with traumatic brain injury (TBI).
Design
Inception cohort.
Setting
Three TBI Model Systems inpatient rehabilitation facilities.
Participants
Persons with TBI (N=141) and their caregivers admitted to inpatient rehabilitation
and followed up at 1 to 2 years after injury.
Interventions
Not applicable.
Main Outcome Measures
Community Integration Questionnaire and the Social and Occupation scales of the Craig
Handicap Assessment and Reporting Technique.
Results
There were significant interactions of several preinjury caregiver and family variables
with injury severity. For persons with complicated mild/moderate injury, better family
functioning was associated with greater home integration, and less caregiver distress
was associated with better social integration. For persons with severe injuries, greater
caregiver perceived social support was associated with better outcomes in productivity
and social integration.
Conclusions
Preinjury caregiver and family characteristics interact with injury severity to affect
outcomes in persons with injury. Research on outcomes should include measures of caregiver
and family functioning. Early interventions targeted toward decreasing caregiver distress,
increasing support, and improving family functioning may have a positive impact on
later outcomes.
Key Words
List of Abbreviations:
BSI (Brief Symptom Inventory), CHART (Craig Handicap Assessment and Reporting Technique), CHocc (CHART Occupation scale), CHsi (CHART Social Integration scale), CIQ (Community Integration Questionnaire), CIQhi (CIQ Home Integration scale), CIQprod (CIQ Productivity scale), CIQsi (CIQ Social Integration scale), DRS (Disability Rating Scale), FAD (Family Assessment Device), GCS (Glasgow Coma Scale), GSI (Global Severity Index), MSPSS (Multidimensional Scale of Perceived Social Support), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Reprints will not be available from the author.
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© 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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- CorrectionArchives of Physical Medicine and RehabilitationVol. 91Issue 12
- PreviewIn Sady MD, Sander AM, Clark AN, Sherer M, Nakase-Richardson R, Malec JF. Relationship of preinjury caregiver and family functioning to community integration in adults with traumatic brain injury. Arch Phys Med Rehabil 2010:91;1542-50, the authors regret that the following acknowledgment was omitted from the initial publication.
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