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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 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 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 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 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 ...

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 tracked the behavioral and functional recovery of patients with prolonged traumatic disorders of consciousness (DoC) following discharge from the acute care setting. Standardized behavioral data were acquired from 95 patients in a minimally conscious (MCS) or vegetative state (VS) recruited from 11 clinic sites and randomly assigned to the ...

Article describes the methods and rationale for a randomized controlled trial for depression or anxiety after moderate to severe traumatic brain injury (TBI), including the interventions, measures, and data analytic plan. The study will test 2 treatments based on behavioral activation (BA), a promising model to promote both positive mood ...

Study compared barriers and facilitators to accessing healthcare services among service members and veterans (SMVs) stratified by traumatic brain injury (TBI) severity groups. Fifty-five SMVs (including 10 caregivers as proxies) ≥2 years post-TBI were recruited from five Veterans Affairs (VA) TBI Model Systems centers and grouped by TBI severity (mild/moderate, ...

Study assessed associations among commonly used self-report and clinical measures of balance in chronic traumatic brain injury (TBI). Fifty-nine individuals (64 percent male, mean age 48.2 years) ambulating independently within the home participated in testing. Outcome measures included the Activities-Specific Balance Confidence Scale (ABC), a self-reported balance impairment); the Community ...

Study evaluated the association among lifetime traumatic brain injury (TBI) exposure, opioid use, and pain in a nationally representative sample of 1,022 adults over age 50 who participated in the Health and Retirement Study (HRS). Lifetime TBI history was measured via the Ohio State University TBI Identification Method. Three alternate ...

Study examined longitudinal changes in ascending arousal network (AAN) connectivity during post-traumatic recovery of consciousness and identified AAN connections that may discriminate between patients with or without a chronic disorder of consciousness (DoC) after severe traumatic brain injury. Sixteen patients with acute traumatic coma and 16 matched healthy controls were ...

Study explored the presence of distinct anxiety trajectories across the first 10 years after traumatic brain injury (TBI), and identified demographic, preinjury, injury-related, and treatment factors associated with overall anxiety levels and class membership in different anxiety trajectory subgroups. Data were analyzed for 2,836 participants with moderate-to-severe TBI enrolled in ...

Study examined the presence of distinct anxiety trajectories across the first 10 years after traumatic brain injury (TBI) and identified demographic, preinjury, injury-related, and treatment factors associated with overall anxiety levels and class membership in different anxiety trajectory subgroups. Participants were enrolled in the TBI Model Systems National Database, were ...

Article provides general information about the Traumatic Brain Injury-Quality of Life (TBI-QOL) measurement system and introduces a special journal issue focused on this topic. Specific details on the development and calibration of the TBI-QOL Fatigue, Headache, Cognition (General Concerns and Executive Functioning), Communication, and Physical Functioning (Mobility and Upper Extremity) ...

Article describes an adaptive strategy for assigning wait times for participants randomized to the control group in waitlist control (WLC) trials. WLC clinical trials are popular among psychologists and rehabilitation specialists partly because all participants receive the intervention. In 2-arm WLC trials, individuals randomized to the treatment group receive immediate ...

Study examined the independent and interactive effects of aging and chronicity on functional outcomes after traumatic brain injury (TBI). Participants were 1,993 individuals who sustained a moderate/severe TBI and received acute inpatient rehabilitation at specialized centers with high follow-up as part of their involvement in the TBI Model Systems longitudinal ...

Article describes the protocol for a comparative effectiveness randomized controlled trial of intravesical Lactobacillus rhamnosus GG (LGG) versus saline bladder wash for self-management of urinary symptoms. Comparative effectiveness trial of self-administered LGG versus saline bladder wash among 120 participants with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction ...