| Effectiveness of community-based rehabilitation after traumatic brain injury for 489 program completers compared with those precipitously discharged. | |
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MedLine Citation:
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PMID: 21044714 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate outcomes of home- and community-based postacute brain injury rehabilitation (PABIR). DESIGN: Retrospective analysis of program evaluation data for treatment completers and noncompleters. SETTING: Home- and community-based PABIR conducted in 7 geographically distinct U.S. cities. PARTICIPANTS: Patients (N=489) with traumatic brain injury who completed the prescribed course of rehabilitation (completed-course-of-treatment [CCT] group) compared with 114 who were discharged precipitously before program completion (precipitous-discharge [PD] group). INTERVENTION: PABIR delivered in home and community settings by certified professional staff on an individualized basis. MAIN OUTCOME MEASURES: Mayo-Portland Adaptability Inventory (MPAI-4) completed by means of professional consensus on admission and at discharge; MPAI-4 Participation Index at 3- and 12-month follow-up through telephone contact. RESULTS: Analysis of covariance (CCT vs PD group as between-subjects variable, admission MPAI-4 score as covariate) showed significant differences between groups at discharge on the full MPAI-4 (F=82.25; P<.001), Ability Index (F=50.24; P<.001), Adjustment Index (F=81.20; P<.001), and Participation Index (F=59.48; P<.001). A large portion of the sample was lost to follow-up; however, available data showed that group differences remained statistically significant at follow-up. CONCLUSIONS: Results provided evidence of the effectiveness of home- and community-based PABIR and that treatment effects were maintained at follow-up. |
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Authors:
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Irwin M Altman; Shannon Swick; Devan Parrot; James F Malec |
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Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 91 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-03 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 1697-704 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Gentiva Rehab Without Walls, Phoenix, AZ, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Care / methods* Brain Injuries / diagnosis, psychology, rehabilitation* Community-Based Participatory Research / methods* Disability Evaluation* Female Follow-Up Studies Humans Male Mental Health Patient Discharge* Prognosis Questionnaires Retrospective Studies Time Factors Trauma Severity Indices United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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