Changes in social participation between 1 and 2 years following moderate-severe traumatic brain injury
Publications
Model System:
TBI
Reference Type:
Journal article
Accession No.:
J89672
Journal:
Frontiers in Rehabilitation Sciences
Year, Volume, Issue, Page(s):
, 3, 945699,
Publication Website:
Abstract:
Study examined patterns of change in social participation in people with moderate-severe traumatic brain injury (msTBI) between 1 and 2 years after injury and identified predictors of observed change. Participants were 375 participants with msTBI enrolled in a single TBI Model System rehabilitation center. The dependent variable in a linear regression was a reliable change score for the Social Relations subscale of the Participation Assessment with Recombined Tools-Objective, administered at 1- and 2-year follow-ups. Predictors of change included demographics, injury severity, social and functional status at Year 1, and changes in function and life circumstances between years 1 and 2. Social participation status did not change substantially for three-quarters of the sample, while approximately equal proportions of the remainder improved or declined. Improvement was predicted by private vs. public insurance and decline was predicted by a reduction in the Functional Independence Measure from year 1 to year 2. Marginal predictors included education (higher levels predicted improvement) and year 1 marital status (single status predicted decline).
