Group therapy use and its impact on the outcomes of inpatient rehabilitation after traumatic brain injury: Data from traumatic brain injury-practice based evidence project
Model System:
TBIReference Type:
JournalAccession No.:
J72091Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
, 96, 8, Supplement 3, S282-S292Publication Website:
Abstract:
Study examined the amount and content of group therapies provided during inpatient rehabilitation for traumatic brain injury (TBI), and assessed the relationship of group therapy with patient, injury, and treatment factors and outcomes. Data were obtained from 2,130 patients admitted to 10 acute inpatient rehabilitation centers as part of a comparative effectiveness study in which patient characteristics, environmental factors, and interventions were evaluated to identify factors associated with key TBI inpatient rehabilitation outcomes. Outcomes examined included: proportion of sessions that were group therapy (2 patients were treated simultaneously by 1 clinician); proportion of patients receiving group therapy; type of activity performed and amount of time spent in group therapy, by discipline; rehabilitation length of stay; discharge location; and Functional Independence Measure (FIM) cognitive and motor scores at discharge. Results indicated 79 percent of the patients received at least 1 session of group therapy, with group therapy accounting for 13.7 percent of all therapy sessions and 15.8 percent of therapy hours. On average, patients spent 2.9 hours per week in group therapy. The greatest proportion of treatment time in group format was in therapeutic recreation (25.6 percent), followed by speech therapy (16.2 percent), occupational therapy (10.4 percent), psychology (8.1 percent), and physical therapy (7.9 percent). Group therapy time and type of treatment activities varied among admission FIM cognitive subgroups and treatment sites. Several factors appear to be predictive of receiving group therapy, with the treatment site being a major influence. However, group therapy as a whole offered little explanation of differences in the outcomes studied.
Author(s):
Hammond, Flora M., Barrett, Ryan, Dijkers, Marcel P., Zanca, Jeanne M., Horn, Susan D., Smout, Randall J., Guerrier, Tami, Hauser, Elizabeth, Dunning, Megan R.