Document Detail


A prospective study to evaluate a new residential community reintegration programme for severe chronic brain injury: the Brain Integration Programme.
MedLine Citation:
PMID:  18568707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the effectiveness of a residential community reintegration programme for participants with chronic sequelae of severe acquired brain injury that hamper community functioning. DESIGN: Prospective cohort study. SUBJECTS: Twenty-four participants with acquired brain injury (traumatic n = 18; stroke n = 3, tumour n = 2, encephalitis n = 1). Participants had impaired illness awareness, alcohol and drug problems and/or behavioural problems. Intervention: A skills-oriented programme with modules related to independent living, work, social and emotional well-being. METHODS: The Community Integration Questionnaire, CES-Depression, EuroQOL, Employability Rating Scale, living situation and work status were scored at the start (T0), end of treatment (T1) and 1-year follow-up (T2). Results: Significant effects on the majority of outcome measures were present at T1. Employability significantly improved at T2 and living independently rose from 42% to over 70%. Participants working increased from 38% to 58% and the hours of work per week increased from 8 to 15. CONCLUSION: The Brain Integration Programme led to a sustained reduction in experienced problems and improved community integration. It is concluded that even participants with complex problems due to severe brain injury who got stuck in life could improve their social participation and emotional well-being through a residential community reintegration programme.
Authors:
G J Geurtsen; J D Martina; C M Van Heugten; A C H Geurts
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Brain injury : [BI]     Volume:  22     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-12-05     Revised Date:  2009-01-02    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  545-54     Citation Subset:  IM    
Affiliation:
Rehabilitation Centre Groot Klimmendaal, Arnhem, The Netherlands. g.geurtsen@grootklimmendaal.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Injuries / psychology,  rehabilitation*
Chronic Disease
Community Health Services / organization & administration*
Employment
Female
Humans
Male
Middle Aged
Neuropsychological Tests
Outcome Assessment (Health Care)
Program Evaluation*
Prospective Studies
Quality of Life
Social Adjustment*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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