OBJECTIVE: To investigate the relationship of preinjury caregiver and family functioning to community integration outcomes in persons with traumatic brain injury (TBI). DESIGN: Inception cohort. SETTING: Three TBI Model Systems inpatient rehabilitation facilities. PARTICIPANTS: Persons with TBI (N=141) and their caregivers admitted to inpatient rehabilitation and followed up at 1 to 2 years after injury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Community Integration Questionnaire and the Social and Occupation scales of the Craig Handicap Assessment and Reporting Technique. RESULTS: There were significant interactions of several preinjury caregiver and family variables with injury severity. For persons with complicated mild/moderate injury, better family functioning was associated with greater home integration, and less caregiver distress was associated with better social integration. For persons with severe injuries, greater caregiver perceived social support was associated with better outcomes in productivity and social integration. CONCLUSIONS: Preinjury caregiver and family characteristics interact with injury severity to affect outcomes in persons with injury. Research on outcomes should include measures of caregiver and family functioning. Early interventions targeted toward decreasing caregiver distress, increasing support, and improving family functioning may have a positive impact on later outcomes.
OBJECTIVE: To investigate the relationship of preinjury caregiver and family functioning to community integration outcomes in persons with traumatic brain injury (TBI). DESIGN: Inception cohort. SETTING: Three TBI Model Systems inpatient rehabilitation facilities. PARTICIPANTS: Persons with TBI (N=141) and their caregivers admitted to inpatient rehabilitation and followed up at 1 to 2 years after injury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Community Integration Questionnaire and the Social and Occupation scales of the Craig Handicap Assessment and Reporting Technique. RESULTS: There were significant interactions of several preinjury caregiver and family variables with injury severity. For persons with complicated mild/moderate injury, better family functioning was associated with greater home integration, and less caregiver distress was associated with better social integration. For persons with severe injuries, greater caregiver perceived social support was associated with better outcomes in productivity and social integration. CONCLUSIONS: Preinjury caregiver and family characteristics interact with injury severity to affect outcomes in persons with injury. Research on outcomes should include measures of caregiver and family functioning. Early interventions targeted toward decreasing caregiver distress, increasing support, and improving family functioning may have a positive impact on later outcomes.
Authors: Noelle E Carlozzi; Michael A Kallen; Phillip A Ianni; Angelle M Sander; Elizabeth A Hahn; Rael T Lange; Tracey A Brickell; Louis M French; Jennifer A Miner; Robin Hanks Journal: Arch Phys Med Rehabil Date: 2018-06-26 Impact factor: 3.966
Authors: Noelle E Carlozzi; Michael A Kallen; Robin Hanks; Elizabeth A Hahn; Tracey A Brickell; Rael T Lange; Louis M French; Anna L Kratz; David S Tulsky; David Cella; Jennifer A Miner; Phillip A Ianni; Angelle M Sander Journal: Arch Phys Med Rehabil Date: 2018-09-07 Impact factor: 3.966
Authors: Noelle E Carlozzi; Anna L Kratz; Angelle M Sander; Nancy D Chiaravalloti; Tracey A Brickell; Rael T Lange; Elizabeth A Hahn; Amy Austin; Jennifer A Miner; David S Tulsky Journal: Arch Phys Med Rehabil Date: 2014-09-17 Impact factor: 3.966
Authors: Noelle E Carlozzi; Rael T Lange; Nicholas R Boileau; Michael A Kallen; Angelle M Sander; Robin A Hanks; Risa Nakase-Richardson; David S Tulsky; Jill P Massengale; Louis M French; Tracey A Brickell Journal: Rehabil Psychol Date: 2019-12-16
Authors: Noelle E Carlozzi; Michael A Kallen; Robin Hanks; Anna L Kratz; Elizabeth A Hahn; Tracey A Brickell; Rael T Lange; Louis M French; Phillip A Ianni; Jennifer A Miner; Angelle M Sander Journal: Arch Phys Med Rehabil Date: 2018-07-31 Impact factor: 3.966
Authors: Noelle E Carlozzi; Rael T Lange; Louis M French; Angelle M Sander; Jenna Freedman; Tracey A Brickell Journal: J Head Trauma Rehabil Date: 2018 Sep/Oct Impact factor: 2.710
Authors: Angelle M Sander; Robin A Hanks; Phillip A Ianni; Nicholas R Boileau; Anna L Kratz; Elizabeth A Hahn; David S Tulsky; Noelle E Carlozzi Journal: Arch Phys Med Rehabil Date: 2018-10-23 Impact factor: 3.966
Authors: Noelle E Carlozzi; Michael A Kallen; Phillip A Ianni; Elizabeth A Hahn; Louis M French; Rael T Lange; Tracey A Brickell; Robin Hanks; Angelle M Sander Journal: Arch Phys Med Rehabil Date: 2018-08-25 Impact factor: 3.966
Authors: Noelle E Carlozzi; Rael T Lange; Louis M French; Angelle M Sander; Phillip A Ianni; David S Tulsky; Jennifer A Miner; Michael A Kallen; Tracey A Brickell Journal: Arch Phys Med Rehabil Date: 2018-06-30 Impact factor: 3.966
Authors: Katherine S McGilton; Abeer Omar; Steven S Stewart; Charlene H Chu; Meagan B Blodgett; Jennifer Bethell; Aileen M Davis Journal: J Appl Gerontol Date: 2019-11-15