Prediction of long-term occupational performance outcomes for adults after moderate to severe traumatic brain injury |
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Authors: | Devitt R Colantonio A Dawson D Teare G Ratcliff G Chase S |
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Institution: |
a Arthritis Community Research and Evaluation Unit, Toronto, Canada
b University of Toronto, Graduate Department of Rehabilitation Science, Toronto, Canada
c Toronto Rehabilitation Institute, Toronto, Canada
d Kunin-Lunenfeld Applied Research Unit, Baycrest Centre for Geriatric Care, Toronto, Canada
e HealthSouth Harmarville Rehabilitation Center, Pittsburgh, PA, USA
f Working Order, Pittsburgh, PA, USA |
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Abstract: | Purpose.?To examine predictors of long-term occupational performance outcomes for adults after moderate to severe traumatic brain injury (TBI).
Method.?This study involved analysis of data from a retrospective cohort of adults (N = 306) with moderate to severe TBI discharged from a Pennsylvania rehabilitation treatment facility. Extensive pre-injury sociodemographic, injury-severity, post-injury personal (cognitive, physical, affective), post-injury environmental (social, institutional, physical), and post-injury occupational performance (participation in self-care, productivity, leisure activities) data were gathered from hospital records and using in-person interviews. Interviews occurred at a mean time of 14 (range, 7-24) years post-injury. Hierarchical multiple regression analysis was used to investigate determinants of long-term occupational performance outcomes.
Results.?Pre-injury behavioural problems, male gender, post-injury cognitive and physical deficits, and lack of access to transportation were significant independent predictors of worse occupational performance outcomes.
Conclusions.?The study supports the use of a comprehensive model for long-term outcomes after TBI where pre-injury characteristics and post-injury cognitive and physical characteristics account for the greatest proportion of explained variance. |
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Keywords: | Traumatic brain injury ageing occupational performance long-term outcomes prediction |
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