Abstract
Geurtsen GJ, van Heugten CM, Martina JD, Rietveld AC, Meijer R, Geurts AC. Three-year
follow-up results of a residential community reintegration program for patients with
chronic acquired brain injury.
Objective
To evaluate outcomes of a residential community reintegration program 3 years after
treatment on independent living, societal participation, emotional well-being, and
quality of life in patients with chronic acquired brain injury and psychosocial problems
hampering societal participation.
Design
A follow-up assessment 3 years after treatment was compared with the 1-year follow-up
assessment in a prospective cohort study.
Setting
A tertiary rehabilitation center for acquired brain injury.
Participants
Of the 67 patients assessed at the 1-year follow-up, 63 subjects (94%; 42 men; mean
age at admission to treatment 24.7y; mean time postonset 5.1y) were available at the
3-year follow-up and taken into account in the analyses.
Intervention
A structured residential treatment program directed at improving independence in domestic
life, work, leisure time, and social interactions.
Main Outcome Measures
Community Integration Questionnaire, Employability Rating Scale, living situation,
school, work situation, work hours, Center for Epidemiological Studies-Depression
scale, and the World Health Organization Quality of Life Scale Abbreviated (5 scales).
Results
There were no significant differences for any of the outcome measures between the
1-year and 3-year follow-up assessment.
Conclusions
These results indicate that the established significant and clinically relevant improvements
after a residential community reintegration program remain stable in the long term.
Key Words
List of Abbreviations:
BIP (Brain Integration Program), CES-D (Center for Epidemiological Studies-Depression Scale), CIQ (Community Integration Questionnaire), ERS (Employability Rating Scale), GCS (Glasgow Coma Scale), QOL (quality of Life), TBI (traumatic brain injury), WHOQOL-BREF (World Health Organization Quality of Life Scale Abbreviated)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 22, 2012
Footnotes
Supported by the Johanna Child Fund and BIO Child Rehabilitation Fund (grant no. 2003/0120-009).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Reprints are not available from the author.
In-press corrected proof published online on Mar 22, 2012, at www.archives-pmr.org.
Identification
Copyright
© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
