Model System:


Reference Type:


Accession No.:



Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 1, 95, 1162-1173

Publication Website:


This systematic review examined evidence for the prognostic value of self-reported traits/problems/strengths and environmental barriers/facilitators of participation outcomes in people with traumatic brain injury (TBI). PubMed, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature databases were searched for articles published through August 15, 2013. Each of the 996 abstracts identified by the search and those failing to meet all inclusion criteria were excluded. Data were extracted from the 63 retained articles by 2 independent reviewers and study quality was determined using American Academy of Neurology (AAN) criteria. Conclusions regarding prognostic importance of self-report and environmental barrier/facilitator variables were made using AAN criteria. The highest level of available evidence regarding barrier/facilitator variables indicated that access to transportation, access to services, and participation in social interaction were possibly predictive of employment outcome. In contrast, living arrangements and social support were possibly not predictive of employment outcome. The evidence regarding self-report variables indicated that the number of postconcussive symptoms, fatigue, and physical competence were probably predictive of employment and need for supervision, whereas self-efficacy was probably not predictive of employment. Subjective well-being, pain, and social interaction were possibly predictive of employment, whereas coping style was possibly not predictive. Although additional investigation is needed, the findings suggest that self-report variables are likely to make important contributions to predicting participation outcomes. Future research should be guided by coherent conceptual models and use a consistent set of assessment instruments to facilitate comparisons between studies


Sherer, M, Davis, LC, Sander, AM, Caroselli, JS, Clark, AN, Pastorek, NJ

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