Comparison of informational and educational resource provision for individuals living with traumatic brain injury based on language, nativity, and neighborhood
Publications
Model System:
TBI
Reference Type:
Journal article
Accession No.:
J90552
Journal:
Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):
, , ,
Publication Website:
Abstract:
Study examined a resource provision program for individuals living with moderate-to-severe traumatic brain injury (TBI), using a comparison of the resources provided across social differences of language, nativity, and neighborhood. The Rusk Rehabilitation TBI Model System (RRTBIMS) collects data longitudinally on individuals from their associated private and public hospitals, located in New York City. Data were collected alongside the year 1 and year 2 interviews with 143 individuals with TBI, or their family member, who agreed to participate in the RRTBIMS studies. Variables examined were language, place of birth, residence classification as medically underserved area/population, and resource categories. Related-samples nonparametric analyses were performed via Cochran’s Q test to assess whether the relative frequency of resource provision differed across the variables of language, nativity, and neighborhood. Results indicate that United States-born persons with TBI and those living in medically underserved communities are provided more resources than those who are born outside the United States or reside in communities identified as adequately medically served. Language was not found to be a factor. Lessons learned from this research support the development of this resource provision program, as well as guide future programs addressing the gaps in health information resources for groups negatively impacted by social determinants of health (SDoH). An approach with immigrant participants should take steps to elicit questions and requests or offer resources explicitly. The authors recommend research examining what interpreter strategies are most effective and research on SDoH in relation to the dynamic interaction of variables in the neighborhood setting.
