Journal:Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):17, 32, 4, 245-254
Study examined the level of supervision needed across residential settings at 1 year following traumatic brain injury (TBI) and explored predictors of supervision in a military service member and veteran population. Data were obtained from 302 participants with moderate-to-severe TBI enrolled in the Department of Veterans Affairs (VA) TBI Model Systems research program. Primary residence and supervision levels were measured via scores on the Supervision Rating Scale. For predictive modeling, scores were dichotomized into 2 groups: those that were fully independent/living alone or required only some supervision during the day (independent group) and those that required overnight supervision, full-time indirect supervision, and full-time direct supervision (dependent group). Thirty-five percent were receiving supervision at 1 year after TBI across residential settings and 28 percent were living in alternative settings. Multivariate modeling indicated that older age and longer posttraumatic amnesia were predictive of having a need for supervision at 1 year postinjury. Findings suggest that supervision needs are long-term features of moderate and severe TBI. The results of this study lend support to the shift toward conceptualizing TBI as a chronic disease.