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Study investigated whether a structured aerobic exercise regimen would decrease the severity of depressive symptoms in people with traumatic brain injury (TBI) who reported at least mild depression severity at baseline. Subjects with a history of a prior TBI (6 months to 5 years post-injury) were randomly assigned to ...

Article discusses the insider-outsider distinction in the context of people with disabilities. Insiders to disability are likely to have different subjective responses to life situations than do those who experience disability as onlookers. The importance of including the insider’s perspective is discussed with respect to assessing participation in terms ...

This article summarizes discussions and recommendations made by participants at the International Symposium on Measurement of Participation in Rehabilitation Research. Participants spent many hours over 2 days in small group breakout sessions and large group discussion identifying and describing conceptual and psychometric issues related to participation measurement. Breakout groups ...

Study identified factors that predict acute hospital discharge disposition after moderate to severe traumatic brain injury (TBI). Secondary analysis was conducted of archival data for adults hospitalized with moderate to severe TBI included in 3 large existing datasets: (1) Centers for Disease Control and Prevention Central Nervous System Injury ...

Article reviews the many roles that cognitive rehabilitation plays in impacting the lives of people with traumatic brain injury (TBI). These roles include: restoration of function, compensation for impaired abilities, increase awareness, improve mood and regulate emotions, return to work, community integration, and prevention of self-injurious and antisocial behavior. ...

Article describes the development and preliminary testing of a new measure, the Participation Assessment with Recombined Tools-Objective (PART-O). Development of the Part-O was based on items from 3 participation instruments: (1) Community Integration Questionnaire version 2; (2) Participation Objective, Participation Subjective; and (3) Craig Handicap Assessment and Reporting Technique. ...

Article describes the development of a prediction rule for identifying patients at risk for extended rehabilitation length of stay (LOS) after traumatic brain injury (TBI) using demographic and injury characteristics. Extended rehabilitation LOS was defined as 67 days or longer. Data were obtained from 7,284 TBI survivors enrolled in ...

Employment outcomes of racial and ethnic minority groups with traumatic brain injury (TBI) have not been thoroughly examined in the research literature beyond five years. The objective of this study was to examine differences in employment outcomes 10 years after TBI among racial and ethnic minorities. Using a multi-center, ...

This critical review of the literature examines marriage after traumatic brain injury. Studies reporting information on marital stability rates and studies examining the quality of marriages through the assessment of at least 1 relational domain are discussed. Available findings are presented along with information on methodological limitations and knowledge ...

Study compared caregivers’ and patients’ helpfulness and goal attainment ratings of the Brain Injury Family Intervention (BIFI), and qualitatively evaluated their perceptions of the most important things learned. Seventy-six caregivers and 76 patients with acquired brain injury participated in the BIFI, a structured family intervention program which includes educational, ...

Study identified predictors of family caregiver life satisfaction at one and two years after traumatic brain injury (TBI). Participants were 336 family members caring for patients with TBI participating in the National Institute on Disability and Rehabilitation Research (NIDRR) TBI Model Systems of Care (TBIMS). Demographic, medical, psychosocial, and ...

Study compared the predictive ability of a new traumatic brain injury (TBI) severity classification model of post-traumatic amnesia (PTA) duration anchored to late productivity outcome (Mississippi intervals), with that of the criterion standard Russell intervals. The study population included 3,846 TBI Model System participants with known or imputed PTA ...

Study assessed the relationship between post-traumatic amnesia (PTA) duration and probability thresholds for Glasgow Outcome Scale (GOS) levels. GOS is an ordinal scale designed to measure global outcome after traumatic brain injury (TBI)with categories of: Death, Persistent Vegetative State, Severe Disability, Moderate Disability, and Good Recovery. Data were prospectively ...

Article presents the results of a systematic review of behavioral assessment scales for disorders of consciousness (DOC). The study evaluated the extent that each DOC scale: (1) has content that differentiates vegetative state, minimally conscious state (MCS), and emergence from MCS; (2) produces reliable ratings between examiners and over ...

Study examined whether caregiver/family status can predict the well-being of individuals with brain injury and whether perceived social support to caregivers moderates their well-being. Participants were 109 pairs of adults, consisting of a caregiver and an individual with traumatic brain injury (TBI). Participants completed the following outcome measures: Brief ...

Study investigated the ability of the Wechsler Memory Scale, 4th Edition (WMS-IV) and the Advanced Clinical Solutions (ACS) package to distinguish poor performance due to intentional response bias among simulators of traumatic brain injury (TBI) from poor performance due to real TBI. Forty-five survivors of moderate to severe TBI ...

Study examined whether change in cognitive performance at three time-points (inpatient rehabilitation, 1-year, and 2-year follow-up) following moderate-to-severe traumatic brain injury (TBI) could be used to predict functional outcome measures collected at 2-year follow-up. Participants underwent neuropsychological testing and assessment of functional outcomes during their rehabilitation stay and were ...

Study investigated how specifically defined elements of religion and spirituality belief systems affect rehabilitation outcomes after traumatic brain injury (TBI). Religious and spiritual characteristics were measured with the Spiritual Well-Being Scale, a self-report measure that assesses 2 dimensions: a direct personal relationship with God referred to as religious well-being, ...