TBI Publications

Objective: Describe who is able to return to driving (RTD) after moderate-to-severe traumatic brain injury (TBI), when this occurs, who maintains that activity, and the association with outcome. Design: Cross-sectional descriptive study. Setting: Eight follow-up sites of the TBI Model Systems (TBIMS) program. Participants: 618 participants enrolled in the TBIMS and 88 caregivers ...

Objective: To examine motor vehicle crash frequency and risk factors following moderate-to-severe traumatic brain injury (TBI). Setting: Eight TBI Model Systems sites. Participants: Adults (N = 438) with TBI who required inpatient acute rehabilitation. Design: Cross-sectional, observational design. Main measures: Driving survey completed at phone follow-up 1 to 30 years after injury. Results: TBI ...

Objective: Describe driving patterns following moderate-to-severe traumatic brain injury (TBI). Participants: Adults (N = 438) with TBI that required inpatient acute rehabilitation who had resumed driving. Design: Cross-sectional, observational design. Setting: Eight TBI Model System sites. Main measures: A driving survey was completed at phone follow-up. Results: Most respondents reported driving daily, although 41% ...

The Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) is regularly used to measure spirituality and religiosity in U.S. Christian populations, although it has not been used for making comparisons with non-Western groups. This study compared BMMRS results for 109 individuals (60 in the U.S. and 49 in India) with traumatic brain ...

Objective: The addition of Sequencing to WAIS-IV Digit Span (DS) brought about new Reliable Digit Span (RDS) indices and an Age-Corrected Scaled Score that includes Sequencing trials. Reports have indicated that these new performance validity tests (PVTs) are superior to the traditional RDS; however, comparisons in the context of known ...

Objective: Pupil dilation patterns are outside of conscious control and provide information regarding neuropsychological processes related to deception, cognitive effort, and familiarity. This study examined the incremental utility of pupillometry on the Test of Memory Malingering (TOMM) in classifying individuals with verified traumatic brain injury (TBI), individuals simulating TBI, and ...

Objective: To examine changes in functional memory, problem solving, comprehension, expression, and social communication over the first 2 years posttraumatic brain injury (TBI) and the ability of each to predict return to work (RTW) outcomes at 1 year and 5 years postinjury. Design: Secondary analysis of data from a multicenter longitudinal ...

Objective: To examine the stability of marriage from the time of traumatic brain injury (TBI) to 10 years postinjury. Design: Retrospective cohort. Setting: TBI Model Systems centers. Participants: In total, 1423 participants in the TBI Model Systems National Database who experienced TBI 10 years prior and were married at the time of injury. Interventions: ...

This study aims to characterize the patterns of functional change experienced between 5 and 10 years after moderate-severe traumatic brain injury (TBI). The study included TBI Model Systems national database participants (N = 372) at six sites who experienced TBI, received inpatient rehabilitation, and were followed at 5 and 10 ...

Objective: Describe driving patterns following moderate-to-severe traumatic brain injury (TBI). Participants: Adults (N = 438) with TBI that required inpatient acute rehabilitation who had resumed driving. Design: Cross-sectional, observational design. Setting: Eight TBI Model System sites. Main measures: A driving survey was completed at phone follow-up. Results: Most respondents reported driving daily, although 41% ...

Objective: To examine changes in functional memory, problem solving, comprehension, expression, and social communication over the first 2 years posttraumatic brain injury (TBI) and the ability of each to predict return to work (RTW) outcomes at 1 year and 5 years postinjury. Design: Secondary analysis of data from a multicenter longitudinal ...

Objective: To describe the association between unmet rehabilitation needs and life satisfaction 5 years after traumatic brain injury (TBI). Design: Prospective observational cohort. Setting: Five Veterans Affairs (VA) Polytrauma Rehabilitation Centers. Participants: VA TBI Model Systems participants (N=301); 95% male; 77% white; average age, 39±14y). Interventions: Not applicable. Main outcome measures: Satisfaction With Life Scale ...

Objective: To examine the relationship between primary language and participation outcomes in English- and Spanish-speaking persons with complicated mild to severe traumatic brain injury (TBI) at 1 year post-injury. Setting: Community following discharge from inpatient rehabilitation. Participants: A total of 998 Hispanic participants with outcomes available at year 1 follow-up; 492 (49%) ...

Objective: Describe who returns to driving (RTD) after moderate-to-severe traumatic brain injury (TBI), when this occurs, who maintains that activity, and association with outcome. Design: Cross-sectional descriptive. Setting: Eight follow-up sites of the TBI Model System (TBI MS) program. Participants: 618 participants enrolled in the TBI MS and 88 caregivers. Intervention: None. Measurements: A survey ...

Importance: Traumatic brain injury (TBI) leads to 2.9 million visits to US emergency departments annually and frequently involves a disorder of consciousness (DOC). Early treatment, including withdrawal of life-sustaining therapies and rehabilitation, is often predicated on the assumed worse outcome of disrupted consciousness. Objective: To quantify the loss of consciousness, factors ...

Objective: To investigate the relationship of 2 health-related quality-of-life (QOL) item banks (Emotional Suppression and Caregiver Vigilance), developed for caregivers of service members/veterans with traumatic brain injury (TBI), to caregivers' positive and negative affect. Setting: Community. Participants: One hundred sixty-five caregivers of service members/veterans with TBI. Design: Retrospective database analysis. Main measures: TBI-CareQOL Emotional ...

Purpose/objective: Spiritual well-being has been associated with better quality of life outcomes in caregivers, but the associations among the care recipient's functional status, the caregiver's spiritual well-being, and the caregiver's health-related quality of life (HRQOL) is unknown. Research Method/Design: The study examined the Spiritual Well-Being Scale in caregivers of ...

Objective: This study compared traumatic brain injury (TBI) outcomes from 2 cohorts: the National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems (TBIMS) in the United States and Longitudinal Head Injury Outcome Study conducted in Victoria, Australia, by the Monash Epworth Rehabilitation Research Centre (MERRC). Design: ...

In response to the need to better define the natural history of emerging consciousness after traumatic brain injury and to better describe the characteristics of the condition commonly labeled posttraumatic amnesia, a case definition and diagnostic criteria for the posttraumatic confusional state (PTCS) were developed. This project was completed by ...