Identifying Environmental Factors That Influence the Outcomes of People With Traumatic Brain Injury

Whiteneck, Gale G.; Gerhart, Kenneth A.; Cusick, Christopher P.

doi:10.1097/00001199-200405000-00001

Cited by 147 publications

(98 citation statements)

References 25 publications

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“…According to Law et al, 4 environmental barriers can be defined as social, physical, and/or institutional. For those living with disabilities, previous research studies have shown people's attitudes or social exclusion, [4][5][6][7] inaccessibility, 4,6,8 and poorly coordinated policies and services 4,6,7 are recurrent themes in discussions focused on environmental barriers. For example, someone living with spinal cord injury (SCI), which is a severe disabling condition that may result in permanent sensory and motor loss and, oftentimes, the use of a wheelchair, requires a specific physical ramp to access buildings.…”

Section: Introductionmentioning

confidence: 99%

“…There has been an ongoing emphasis to not only identify environmental barriers but also examine their effects on outcomes of people living with a disability. Whiteneck et al 7 report several outcomes by describing people living with a disability who experience environmental barriers tend to be less satisfied with life, have minimal social participation, and have less productivity and mobility. The environmental barriers are significantly related to the satisfaction with life scale (SWLS) with a −0.39 Pearson correlation coefficient and to the Craig handicap assessment and reporting technique (CHART) with a −0.38 Pearson coefficient among persons with traumatic brain injury.…”

Section: Introductionmentioning

confidence: 99%

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Environmental barriers and subjective health among people with chronic spinal cord injury: A cohort study

Cao

Walker

Krause

2014

The Journal of Spinal Cord Medicine

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Objective: Although previous studies have found environmental barriers to be associated with social participation and life satisfaction after spinal cord injury (SCI), few studies exist reporting their effects on subjective health after SCI. Our purpose was to identify the prevalence of perceived environmental barriers and their effects on subjective health in persons with chronic SCI who completed two repeated measurements during a 5-year longitudinal study. Design: This is a prospective cohort study. Environmental barriers were measured at baseline by the Craig Hospital Inventory of Environmental Factors-Short Form. Subjective health was measured at baseline and 5-year follow-up by days of physical and mental health not good. Other control variables included sex, race, age at injury, years since injury, and injury severity at baseline. Setting: Data were collected at a specialty hospital and analyzed at a medical university in the Southeastern USA. Participants: A total of 1635 participants completed both baseline and follow-up surveys. Results: Twenty per cent of participants reported at least one policy barrier, 46% at least one physical and structural barrier, 22% at least one attitudinal and support barrier, 26% at least one barrier to services and assistance, and 13% at least one barrier at work or school. After controlling for sex, race, age at injury, years since injury, and injury severity, the physical and structural barriers, and services and assistance barriers measured at baseline significantly predicted subjective physical and mental health measured at follow-up. Conclusion: Environmental barriers are prevalent among people with chronic SCI. They are important predictors for future subjective health.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Environmental barriers and subjective health among people with chronic spinal cord injury: A cohort study

Cao

Walker

Krause

2014

The Journal of Spinal Cord Medicine

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“…Such scales and measures fail, however, to account for the heterogeneity of deficits and the variable outcomes seen with TBI that depend not only on the severity of the trauma, but the specific neuronal systems that are compromised, pre-morbid functioning, and the quality and intensity of post-injury support and rehabilitative care. Moderating factors affecting the severity of TBI include advancing age that is associated with increased mortality, especially after age 65 (Gomez et al, 2000;Susman et al, 2002), cognitive vulnerabilities and past history of depression and anxiety (Goldstein, Levin, Goldman, Clark, & Attonen, 2001), and environmental factors such as, marital or employment status prior to the injury (Whiteneck, Gerhart, & Cusick, 2004). Repeated traumatic brain injuries, even when mild, leave an individual neurobiologically compromised and vulnerable to a subsequent brain trauma (Gronwall & Wrightson, 1975;Salcido & Costich, 1992).…”

Section: Classification Schemes Of Tbimentioning

confidence: 99%

Call for an Integrative and Multi-Disciplinary Approach to Traumatic Brain Injury (TBI)

Mansour¹,

Lajiness-O’Neill²

2015

PSYCH

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Much has been gained in our understanding of the psychopathology, assessment, and treatment of TBI. Still lacking is the breadth and depth that an integrative and multi-disciplinary approach to TBI portends. While there is a greater awareness of a need for such a systems-based approach as evidenced by the number of professional organizations and government agencies recently advocating a need for standardization in the collection data in TBI, the application of multi-dimensional approach, and the development novel strategies to deliver prevention, assessment and treatment to large, diverse populations, we are still in the early stages in making this important shift. In the nearer term, there are clinical assessment and interventional programs that can be developed and empirically validated to bring us closer to this integrative, multi-disciplinary ideal. The following review calls for a universal diagnostic classification system for TBI, integration of pathophysiology and pharmacological and rehabilitative therapies, development of treatments addressing disorders comorbid with TBI, and the delivery of assessment and treatment services to large underserved populations.

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“…The record function was used to record short information, e.g. notes for purchase or ongoing telephone call (6,7), to be used as a reminder (10). For two participants their mobile phones were synchronized with their computer for planning and scheduling activities (2,8).…”

Section: Timely Performing Medication Appointments and Tasks By The mentioning

confidence: 99%

“…People with an acquired brain injury (ABI) can experience a wide range of difficulties with daily life tasks, such as self-care, productivity and leisure [1,2], as well as restrictions of participation and decreased quality of life [3][4][5][6][7]. A compensatory approach to reduce remaining disabilities are therefore commonly applied, in rehabilitation in general [4,8,9] as well in occupational therapy [10,11].…”

Section: Introductionmentioning

confidence: 99%

Improvements of task performance in daily life after acquired brain injury using commonly available everyday technology

Lindén¹,

Lexell²,

Lund³

2010

Disability and Rehabilitation: Assistive Technology

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Purpose: To investigate how individualized occupation-based interventions with commonly available everyday technology (ET) can compensate for perceived difficulties with daily life tasks after an aquired brain injury (ABI) and improve satisfaction with occupational performance. Method: This intervention study was designed as a multiple case study according to Yin. Ten men and women with an ABI (traumatic or non-traumatic) participated. Data were collected through interviews, observations and field notes before and after the intervention and at follow-up (on average 11 weeks afterwards). The interventions focused on enabling each participant's prioritized goals related to task performance in daily life. Results: All participants achieved all their goals by learning to use both new functions in their own familiar ET and new ET. The participants perceived difficulties in occupational performance decreased and their satisfaction with occupational performance increased with the use of ET. Conclusions: An individualised intervention process, involving the use of own familiar ET or ET off-the-shelf, has the potential to compensate for perceived difficulties following an ABI and improve satisfaction with occupational performance in daily life.Key words: activities of daily living; assistive technology; brain injury; occupational therapy; rehabilitation INTRODUCTIONPeople with an acquired brain injury (ABI) can experience a wide range of difficulties with daily life tasks, such as self-care, productivity and leisure [1,2], as well as restrictions of participation and decreased quality of life [3][4][5][6][7]. A compensatory approach to reduce remaining disabilities are therefore commonly applied, in rehabilitation in general [4,8,9] as well in occupational therapy [10,11]. In occupational therapy [11], adapted methods of doing, adaptive equipment and assistive technology (AT) are used to compensate for ineffective actions to improve the performance of daily life tasks that people with an ABI need and want to do to enhance their roles and participation in society.AT comprises low-tech (mechanical) and high-tech (electro-mechanical or computerized) devices [12] and is defind as "any item, piece of equipment, or product system, (acquired commercially off-the-shelf, modified, or customized), that is used to increase, maintain, or improve functional capabilities of individuals with disabilities" [13]. However, it can be difficult to differentiate AT from everyday technology (ET) objects [14], such as mobile phones and computers, that already exist in peoples' lives and may be used to reduce difficulties in occupational performance.In reviewing the literature about the use and efficency of AT or ET in the form of electronic aids in people with ABI, it was found that a variety of AT, such as palmtop computer, paging system, voice organizer, can reduce memory problems [9,[15][16][17][18][19]. To the best of our knowledge, only one study has used unmodified handheld computers off-the-shelf to compensate for disabilities ...

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Identifying Environmental Factors That Influence the Outcomes of People With Traumatic Brain Injury

Cited by 147 publications

References 25 publications

Environmental barriers and subjective health among people with chronic spinal cord injury: A cohort study

Environmental barriers and subjective health among people with chronic spinal cord injury: A cohort study

Call for an Integrative and Multi-Disciplinary Approach to Traumatic Brain Injury (TBI)

Improvements of task performance in daily life after acquired brain injury using commonly available everyday technology

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