The effect of environmental barriers on community integration for individuals with moderate to severe traumatic brain injury
Author(s)
Fleming, Jennifer
Nalder, Emily
Alves-Stein, Serena
Cornwell, Petrea
Griffith University Author(s)
Year published
2014
Metadata
Show full item recordAbstract
Objective: To describe environmental barriers endorsed by individuals with traumatic brain injury during the first 6 months after discharge and determine their effect on community integration. Design: Prospective longitudinal study with data collected at predischarge and at 1, 3, and 6 months postdischarge. Participants: One hundred thirty-five individuals with a diagnosis of traumatic brain injury discharged from a large metropolitan hospital to a home/community environment. Measures: Sydney Psychosocial Reintegration Scale; Craig Hospital Inventory of Environmental Factors; and Mayo-Portland Adaptability Inventory-4. ...
View more >Objective: To describe environmental barriers endorsed by individuals with traumatic brain injury during the first 6 months after discharge and determine their effect on community integration. Design: Prospective longitudinal study with data collected at predischarge and at 1, 3, and 6 months postdischarge. Participants: One hundred thirty-five individuals with a diagnosis of traumatic brain injury discharged from a large metropolitan hospital to a home/community environment. Measures: Sydney Psychosocial Reintegration Scale; Craig Hospital Inventory of Environmental Factors; and Mayo-Portland Adaptability Inventory-4. Results: Multiple regression analyses indicated that environmental barriers arising during the transition from hospital to home had a negative association with community integration outcomes. Physical barriers were most commonly endorsed, but attitudinal barriers were significantly correlated with relationship changes. Conclusion: Environmental barriers should be addressed in rehabilitation and considered in policy development for people with traumatic brain injury. Future research on the measurement of environmental barriers is recommended.
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View more >Objective: To describe environmental barriers endorsed by individuals with traumatic brain injury during the first 6 months after discharge and determine their effect on community integration. Design: Prospective longitudinal study with data collected at predischarge and at 1, 3, and 6 months postdischarge. Participants: One hundred thirty-five individuals with a diagnosis of traumatic brain injury discharged from a large metropolitan hospital to a home/community environment. Measures: Sydney Psychosocial Reintegration Scale; Craig Hospital Inventory of Environmental Factors; and Mayo-Portland Adaptability Inventory-4. Results: Multiple regression analyses indicated that environmental barriers arising during the transition from hospital to home had a negative association with community integration outcomes. Physical barriers were most commonly endorsed, but attitudinal barriers were significantly correlated with relationship changes. Conclusion: Environmental barriers should be addressed in rehabilitation and considered in policy development for people with traumatic brain injury. Future research on the measurement of environmental barriers is recommended.
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Journal Title
Journal of Head Trauma Rehabilitation
Volume
29
Issue
2
Subject
Biomedical and clinical sciences
Psychology