| A prospective study to evaluate a residential community reintegration program for patients with chronic acquired brain injury. | |
| | |
MedLine Citation:
|
PMID: 21530716 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: To examine the effects of a residential community reintegration program 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 prospective cohort study with a 3-month waiting list control period and 1-year follow up. SETTING: A tertiary rehabilitation center for acquired brain injury. PARTICIPANTS: Patients (N=70) with acquired brain injury (46 men; mean age, 25.1y; mean time postonset, 5.2y; at follow up n=67). INTERVENTION: A structured residential treatment program was offered directed at improving independence in domestic life, work, leisure time, and social interactions. MAIN OUTCOME MEASURES: Community Integration Questionnaire (CIQ), Employability Rating Scale, living situation, school, work situation, work hours, Center for Epidemiological Studies Depression Scale, EuroQOL quality of life scale (2 scales), World Health Organization Quality of Life Scale Abbreviated (WHOQOL-BREF; 5 scales), and the Global Assessment of Functioning (GAF) scale. RESULTS: There was an overall significant time effect for all outcome measures (multiple analysis of variance T(2)=26.16; F(36,557) 134.9; P=.000). There was no spontaneous recovery during the waiting-list period. The effect sizes for the CIQ, Employability Rating Scale, work hours, and GAF were large (partial η(2)=0.25, 0.35, 0.22, and 0.72, respectively). The effect sizes were moderate for 7 of the 8 emotional well-being and quality of life (sub)scales (partial η(2)=0.11-0.20). The WHOQOL-BREF environment subscale showed a small effect size (partial η(2)=0.05). Living independently rose from 25.4% before treatment to 72.4% after treatment and was still 65.7% at follow up. CONCLUSIONS: This study shows that a residential community reintegration program leads to significant and relevant improvements of independent living, societal participation, emotional well-being, and quality of life in patients with chronic acquired brain injury and psychosocial problems hampering societal participation. |
| | |
Authors:
|
Gert J Geurtsen; Caroline M van Heugten; Juan D Martina; Antonius C Rietveld; Ron Meijer; Alexander C Geurts |
Related Documents
:
|
12171136 - Dynamic use of tactile afferent signals in control of dexterous manipulation. 19634306 - Selection in air traffic control: is nonradar training a predictor of radar performance? 8653816 - Knowledge, practices, and perceptions about malaria in rural communities of zimbabwe: r... 21493196 - Improving temporal bone dissection using self-directed virtual reality simulation: resu... 15896696 - Technology, work, and information flows: lessons from the implementation of a wireless ... 15100986 - A new set of bioinformatics tools for genome projects. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of physical medicine and rehabilitation Volume: 92 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-05-02 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
|
Languages: eng Pagination: 696-704 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department for Acquired Brain Injury, Rehabilitation Medical Center Groot Klimmendaal, Arnhem, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Association of antidepressant medication therapy with inpatient rehabilitation outcomes for stroke, ...
Next Document: Prevalence of 25-hydroxyvitamin d deficiency in the acute inpatient rehabilitation population and it...