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Group Differences Among Caregivers of Civilians and Service Members or Veterans With Traumatic Brain Injury

Published:December 08, 2018DOI:https://doi.org/10.1016/j.apmr.2018.11.009

      Abstract

      Objective

      To examine group differences among caregivers of service members or veterans (SMVs) and civilians with traumatic brain injury (TBI).

      Design

      An observational research study examining the group differences between caregivers of SMVs and civilians with TBI. The data presented was collected as part of a larger study that calibrated and validated the Traumatic Brain Injury-Care Quality of Life (TBI-CareQOL) item banks.

      Setting

      Participants in this multicenter study completed an online survey via a study-specific website. Surveys were completed at the study site, at home, or via phone interview. Civilian caregivers were recruited from 4 rehabilitation hospitals and caregivers of SMVs were recruited through community outreach and collaboration with the Hearts of Valor.

      Participants

      Participants (N=473) consisted of 344 caregivers of civilians with TBI and 129 caregivers of SMVs with TBI.

      Interventions

      Not applicable.

      Main Outcome Measures

      Zarit Burden Interview Scale, TBI-CareQOL, and Mayo Portland Adaptability Inventory, 4th revision (MPAI-4).

      Results

      Of the independent variables included in the logistic regression model that classified military-affiliated vs civilian caregivers, 5 were statistically significant: age, spousal status, time since injury, MPAI-4 Adjustment, and TBI-CareQOL Feeling Trapped.

      Conclusions

      The results indicate that caregivers of SMVs were more likely to report worse emotional and social adjustment among the individuals with TBI and caregivers of SMVs were more likely to report greater levels of feeling trapped by their caregiving duties.

      Keywords

      List of abbreviations:

      MPAI-4 (Mayo Portland Adaptability Inventory, 4th revision), PTSD (post-traumatic stress disorder), SMV (service member or veteran), TBI (traumatic brain injury), TBI-CareQOL (Traumatic Brain Injury-Care Quality of Life), VA (Veterans Affairs)
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