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  • Publications

    A longitudinal study of major and minor depression following traumatic brain injury

    Study examined patterns of change and factors associated with change in both major depressive disorder (MDD) and minor depression between 1 and 2 years after traumatic brain injury (TBI). Participants were 1,089 people enrolled in the TBI Model Systems database, who completed the Patient Health Questionnaire-9 at 1- and ...
  • Publications

    Predictors of sexual functioning and satisfaction 1 year following traumatic brain injury: A TBI model systems multicenter study

    Study investigated predictors of sexual functioning 1 year following traumatic brain injury (TBI). A total of 255 people with TBI who had been treated at 1 of 6 TBI Model Systems inpatient rehabilitation units and were living in the community participated. Sexual functioning was assessed using the Derogatis Interview ...
  • Publications

    Changes in sexual functioning from 6 to 12 months following traumatic brain injury: A prospective TBI model system multicenter study

    Study investigated changes in sexual functioning and satisfaction with sexuality during the first year following moderate to severe traumatic brain injury (TBI). Participants were 182 patients (53 women and 129 men) with moderate to severe TBI who were admitted to 1 of 6 participating TBI Model System centers and ...
  • Publications

    Sexual functioning 1 year after traumatic brain injury: Findings from a prospective traumatic brain injury model systems collaborative study

    Study investigated the incidence and types of sexual difficulties in men and women with traumatic brain injury (TBI) 1 year after injury, as well as their comfort level in discussing problems with health care professionals. Participants were 223 people with TBI (165 men and 58 women) who had been ...
  • Publications

    Developing and evaluating prediction models in rehabilitation populations

    Article presents a 3-part framework for developing and validating prediction models in rehabilitation populations. The authors emphasize the inclusion of target user input in the process of prediction model development and results presentation, and discuss how study design and statistical decisions impact the internal and external validity of prediction ...
  • Publications

    Maximizing usability of evidence in rehabilitation practice: Tips for researchers

    This article serves as a guide for rehabilitation researchers regarding factors that contribute to translation of the evidence base in clinical practice, highlights some common problems encountered by clinicians when trying to implement evidence-based treatments, and provide tips that researchers can use to enhance the likelihood of their research ...
  • Publications

    Inpatient rehabilitation for traumatic brain injury: The influence of age on treatments and outcomes

    Study explored differences in characteristics, treatment provided, and short-term and medium-term outcomes among patients with traumatic brain injury (TBI) admitted to inpatient rehabilitation, categorized by age. Data on 1,419 patients admitted to 9 inpatient rehabilitation facilities after TBI were collected through: (1) abstraction from medical records, (2) point-of care ...
  • Publications

    Incremental validity of neuropsychological evaluations to computed tomography in predicting long-term outcomes after traumatic brain injury

    Study evaluated the incremental utility of neuropsychological tests to computed tomography (CT) in predicting the long-term outcomes of adults with traumatic brain injury (TBI). Participants were 288 adults with mild complicated, moderate, and severe TBI who completed neuropsychological testing during inpatient status in a TBI Model Systems rehabilitation hospital, ...
  • Publications

    Comorbid disease in persons with traumatic brain injury: Descriptive findings using the modified cumulative illness rating scale

    Study describes the overall health status and prevalence of medical comorbidities experienced by traumatic brain injury (TBI) patients 1 to 15 years after injury. Data were collected from 258 adults with TBI enrolled in the Southeastern Michigan Traumatic Brain Injury System, a part of the TBI Model Systems project. ...
  • Alan Jette

    Based out of Boston University, Dr. Jette uses an extensive background of research experience to ensure that all research conducted by Spaulding NERSCIC utilizes sound methodology, proper protocol, and effective implementation.
  • Publications

    Rasch analysis of the postconcussive symptom questionnaire: Measuring the core construct of brain injury symptomatology

    Study used Rasch analysis to assess the psychometric properties of the Postconcussive Symptom Questionnaire (PCSQ) and to derive a revised PCSQ to target the core construct of subjective symptoms reported by people with traumatic brain injury (TBI). The PCSQ is purported to measure psychological, cognitive, somatic, and infrequency (i.e., ...
  • Publications

    An introduction to applying individual growth curve models to evaluate change in rehabilitation: A national institute on disability and rehabilitation research traumatic brain injury model systems report

    This article describes and demonstrates the application of individual growth curve (IGC) analysis methods and highlights the benefits and appropriateness of this approach in modeling rehabilitation outcomes. The abundance of time-dependent information contained in the Spinal Cord Injury and the Traumatic Brain Injury Model Systems National Databases, and the ...
  • Publications

    Traumatic brain injury as a chronic health condition

    Article conceptualized traumatic brain injury (TBI) as a chronic health condition termed chronic brain injury (CBI) that can include escalating, deleterious effects on overall health and functioning. Growing evidence indicates that multiple types of brain injury, including TBI, are dynamic conditions that continue to change years after onset. For ...
  • Publications

    Risk factors for falls among older adults: A review of the literature

    Article reviews the relevant literature on the risk factors for falls in older adults, summarizing demographic and modifiable risk factors. The major risk factors identified are impaired balance and gait, polypharmacy, and history of previous falls. Other risk factors include advancing age, female gender, visual impairments, cognitive decline especially ...
  • Publications

    Risk for late-life re-injury, dementia and death among individuals with traumatic brain injury: A population-based study

    Study investigated whether a self-reported lifetime history traumatic brain injury (TBI) with loss of consciousness (LOC) is associated with increased risk for subsequent late-life re-injury, dementia, and death. There were 4,225 dementia-free individuals age 65 and older randomly selected and enrolled between 1994 and 2010; 606 (14 percent) participants ...
  • Publications

    Bi-factor analyses of the brief test of adult cognition by telephone

    Study identified appropriate factor structures for the Brief Test of Adult Cognition by Telephone (BTACT) to determine an appropriate method for applying modern psychometric approaches. Telephone cognitive batteries are useful for large-scale screening and epidemiological studies, but their brevity and lack of content depth may cause psychometric limitations that ...
  • Publications

    Visual impairments in the first year after traumatic brain injury

    Article reviews literature regarding individuals with traumatic brain injury (TBI) who have vision-related impairments up to one year after injury. Searches of Medline, Ovid, and PubMed were performed using terms including: traumatic brain injury, visual deficits after brain injury, vision and traumatic brain injury, and activities of daily living ...
  • Publications

    Mortality of elderly individuals with TBI in the first 5 years following injury

    Study identified the characteristics that distinguished elderly patients who died after the first year following traumatic brain injury (TBI) and those who continued to live, in order to get a better understanding of risk factors, and possibly identify preventable risk factors. A retrospective medical chart review was conducted of ...
  • Publications

    Feasibility of computerized brain plasticity-based cognitive training after traumatic brain injury

    Study investigated the feasibility and utility of using a computerized brain plasticity-based cognitive training (BPCT) program as an intervention for community-dwelling individuals with traumatic brain injury (TBI). Ten individuals with mild to severe TBI who were 6 months to 22 years postinjury were asked to use a computerized BPCT ...
  • Publications

    Psychosocial functioning in older adults with traumatic brain injury

    Article reviews the literature on psychosocial outcomes in older adults with traumatic brain injury (TBI) and identifies factors associated with positive outcomes in this population. A number of factors that impact psychosocial outcomes are discussed, including injury characteristics, individual characteristics, aging and cohort issues, and external environmental factors. There ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.