Abstract
Objective
To conduct a systematic review of the prognostic value of self-reported traits/problems/strengths
and environmental barriers/facilitators for participation outcomes in persons with
traumatic brain injury (TBI).
Data Sources
Articles published through August 15, 2013, obtained by conducting electronic searches
of PubMed, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature
databases and a review of reference lists of reviewed articles.
Study Selection
Reviewed articles were written in English and presented findings on adult humans with
TBI, participation outcomes, and ≥1 self-reported trait/problem/strength (eg, depression,
pain, coping style) and/or ≥1 environment barrier/facilitator (eg, social support,
family functioning, access to services).
Data Extraction
Each of the 996 abstracts was examined by 2 reviewers, and those failing to meet all
inclusion criteria were excluded. Data were extracted from the 63 retained articles
by 2 independent reviewers, who met to resolve any differences in study quality rating
or evidence recorded. Study quality was determined using American Academy of Neurology
(AAN) criteria.
Data Synthesis
Conclusions regarding prognostic importance of self-report and environmental barrier/facilitator
variables were made using AAN criteria. Conclusions regarding barrier/facilitator
variables indicated that access to transportation, access to services, and participation
in social interaction were possibly predictive of employment outcome, whereas living
arrangements and social support were possibly not predictive of employment outcome.
Conclusions regarding self-report variables indicated that the number of postconcussive
symptoms, fatigue, and physical competence were probably predictive of employment
and need for supervision, whereas self-efficacy was probably not predictive of employment.
Subjective well-being, pain, and social interaction were possibly predictive of employment,
whereas coping style was possibly not predictive.
Conclusions
Although additional investigation is needed, self-report variables are likely to make
important contributions to predicting participation outcomes. Future research should
be guided by coherent conceptual models and use a consistent set of assessment instruments
to facilitate comparisons between studies.
Keywords
List of abbreviations:
AAN (American Academy of Neurology), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 28, 2014
Footnotes
Supported by the U.S. Department of Education National Institute on Disability and Rehabilitation Research (grant nos. H133B090023 and H133A120020).
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
