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Article describes the process of engaging and partnering with patient stakeholders in a six-year study to modify an evidence-based healthy lifestyle program for individuals with acquired brain injury (ABI), including traumatic brain injury (TBI) and cerebrovascular accident/stroke (CVA). The Diabetes Prevention Program Group Lifestyle Balance (DPP-GLB) adaptation process involved three ...

Study developed a measure of global functioning after moderate-to-severe traumatic brain injury (TBI) with similar measurement precision but a longer measurement range than the Functional Independence Measure (FIM). The study was conducted in 2 phases by 6 centers participating in the TBI Model Systems program. Phase 1 involved retrospective analysis ...

Study assessed the feasibility of examining the effects of tree canopy coverage (TCC), an environmental variable, on mental health after traumatic brain injury (TBI). A secondary data analysis was conducted using information from the TBI Model System on mental health after moderate-to-severe TBI. Mental health was measured using the Generalized ...

Study examined the effectiveness of the Therapeutic Couples Intervention (TCI) on caregiver needs and burden after brain injury. Seventy-five Individuals with brain injury and their intimate partners/caregivers participated in a 2-arm, parallel, randomized trial with a waitlist control. The TCI consisted of five 2-hour sessions, with a sixth optional session ...

Study identified trends in demographics, particularly age, as well as medical characteristics of patients admitted to medical rehabilitation facilities after sustaining a traumatic brain injury (TBI). Data from the Uniform Data System for Medical Rehabilitation were analyzed for 233,843 patients admitted to 1,290 medical rehabilitation facilities after sustaining a TBI ...

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 ...

Study determined the incidence and predictors of comorbid cerebrovascular injuries in patients with moderate-to-severe traumatic brain injury (TBI) and investigated whether it influences rehabilitation outcomes. Data on new traumatic cerebral artery injury (TCAI) lesions of head/neck and new cerebral infarcts (CIs) were abstracted from neuroimaging reports and clinical notes of ...

Study examined the membership of patients with traumatic brain injury (TBI) in various “vulnerable group” clusters (e.g., homeless, unemployed, racial/ethnic minority) by using statistically robust clusters obtained from patient-level data obtained from inpatient visits. Data were obtained from 148 adult patients receiving acute TBI inpatient care. Demographic and psychosocial information, ...

Study examined the incidence of cognitive dependence in 226 adult inpatients with moderate-to-severe traumatic brain injury (TBI) who were physically independent at discharge from acute rehabilitation. Cognitive and physical independence were assessed using the Functional Independence Measure (FIM). Patient sex, age, race and ethnicity, discharge destination, care plan (i.e., discharge ...

Study determined the degree of cognitive impairment, presence of clinical symptoms and functional disability at the time of emergence from the minimally conscious state (MCS) in patients with and without traumatic brain injury (TBI). Emergence from the MCS is associated with symptoms including disorientation, memory and attention impairment, restlessness, and ...

Study assessed the relationship of acute complications, preexisting chronic diseases, and substance abuse with clinical and functional outcomes among older adults with moderate-to-severe traumatic brain injury (TBI). Participants were 2,134 adults aged 50 years and older, with moderate-to-severe TBI, who were enrolled in the TBI Model Systems database. Data collected ...

Study examined the comorbidity of headache and depression after mild traumatic brain injury (mTBI). The prevalence of headache and depression early after mTBI and at 1 year postinjury as well as the relationship between the two were evaluated. Data were collected from 212 participants with mTBI who were admitted to ...

Study compared the effects of an adapted Screening, Education, and Brief Intervention (Adapted SBI) with those of Screening and Education with Attention Control (SEA) for reducing alcohol misuse following traumatic brain injury (TBI). Adapted SBI is a brief intervention for alcohol misuse that includes screening, education, motivational interviewing, and accommodations ...

Study assessed the diagnostic sensitivity and specificity and comparative effectiveness of traditional sleep apnea screening tools in traumatic brain injury (TBI) neurorehabilitation admissions. Potential participants were enrolled in 6 TBI Model System Inpatient Rehabilitation Centers. Between May 2017 and February 2019, 449 of 896 screened were eligible for the trial ...

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 ...

Study assessed the factor structure of the Traumatic Brain Injury-Quality of Life (TBI-QOL) measurement system. Twenty TBI-QOL item banks were administered to a sample of 504 community-dwelling adults with TBI as part of a study of TBI classification. A subsample of 200 participants was randomly selected for exploratory factor analyses, ...

Study examined the convergent validity of the Brief Test of Adult Cognition by Telephone (BTACT) by determining correlation with established neuropsychological tests, administered an average of 4.4 days apart, in an inpatient traumatic brain injury (TBI) population. Fifty-five patients receiving inpatient rehabilitation for new-onset TBI completed the following measures: BTACT, ...

Study examined the cost benefit of 4 different approaches to screening for sleep apnea from the payor’s perspective in people with moderate-to-severe traumatic brain injury (TBI) receiving inpatient rehabilitation. The first approach evaluates the initial use of portable diagnostic testing prior to laboratory-quality assessment for all those who test negative. ...

Article briefly reviews a study in which researchers performed task-based electroencephalography (EEG) in patients with disorders of consciousness in the intensive care unit and found that covert consciousness detected by EEG is associated with better long-term outcomes. The diagnostic and prognostic uncertainty raised by these findings lead to pressing ethical ...