OBJECTIVES: To examine the efficacy of a peer-mentoring program for persons with traumatic brain injury (TBI) and their significant others, and to determine the relationship of this mentoring program to 3 main outcomes: (1) emotional well-being; (2) post-TBI quality of life; and (3) community integration. DESIGN: Randomized controlled trial. SETTING:Midwestern rehabilitation hospital. PARTICIPANTS: Persons with TBI (n=96) and significant others/caregivers (n=62). INTERVENTIONS:Persons with TBI and friends/caregivers who knew the person prior to their injury were randomly assigned to a treatment (mentored) or no-treatment (no mentoring) control group immediately prior to discharge from the rehabilitation unit and were mentored for up to 2 years. MAIN OUTCOME MEASURES: Peer Mentoring Questionnaire; Brief Symptom Inventory-18; Family Assessment Device; Coping Inventory for Stressful Situations; Short Michigan Alcohol Screening Test; Medical Outcomes Study 12-Item Short-Form Health Survey; and Community Integration Measure. RESULTS:Eighty-eight percent of individuals who were involved in the mentoring program reported positive experiences. t tests revealed that among persons with TBI, individuals who received mentoring had significantly better behavioral control and less chaos in the living environment (P=.04), lower alcohol use (P=.01), less emotion-focused (P=.04) and avoidance coping (P=.03), and good physical quality of life (P=.04) compared with those who did not receive mentoring. Among significant others, mentored individuals demonstrated greater community integration (P=.03) than the nonmentored control group. CONCLUSIONS: Mentoring can be an effective way to benefit mood and healthy coping after TBI, and it can help to prevent maladaptive behaviors, such as substance abuse and behavioral dyscontrol, in the living situation.
RCT Entities:
OBJECTIVES: To examine the efficacy of a peer-mentoring program for persons with traumatic brain injury (TBI) and their significant others, and to determine the relationship of this mentoring program to 3 main outcomes: (1) emotional well-being; (2) post-TBI quality of life; and (3) community integration. DESIGN: Randomized controlled trial. SETTING: Midwestern rehabilitation hospital. PARTICIPANTS: Persons with TBI (n=96) and significant others/caregivers (n=62). INTERVENTIONS:Persons with TBI and friends/caregivers who knew the person prior to their injury were randomly assigned to a treatment (mentored) or no-treatment (no mentoring) control group immediately prior to discharge from the rehabilitation unit and were mentored for up to 2 years. MAIN OUTCOME MEASURES: Peer Mentoring Questionnaire; Brief Symptom Inventory-18; Family Assessment Device; Coping Inventory for Stressful Situations; Short Michigan Alcohol Screening Test; Medical Outcomes Study 12-Item Short-Form Health Survey; and Community Integration Measure. RESULTS: Eighty-eight percent of individuals who were involved in the mentoring program reported positive experiences. t tests revealed that among persons with TBI, individuals who received mentoring had significantly better behavioral control and less chaos in the living environment (P=.04), lower alcohol use (P=.01), less emotion-focused (P=.04) and avoidance coping (P=.03), and good physical quality of life (P=.04) compared with those who did not receive mentoring. Among significant others, mentored individuals demonstrated greater community integration (P=.03) than the nonmentored control group. CONCLUSIONS: Mentoring can be an effective way to benefit mood and healthy coping after TBI, and it can help to prevent maladaptive behaviors, such as substance abuse and behavioral dyscontrol, in the living situation.
Authors: Megan E Shepherd-Banigan; Abigail Shapiro; Jennifer R McDuffie; Mira Brancu; Nina R Sperber; Courtney H Van Houtven; Andrzej S Kosinski; Neha N Mehta; Avishek Nagi; John W Williams Journal: J Gen Intern Med Date: 2018-05-07 Impact factor: 5.128
Authors: Andrea L Hartzler; Megan N Taylor; Albert Park; Troy Griffiths; Uba Backonja; David W McDonald; Sam Wahbeh; Cory Brown; Wanda Pratt Journal: J Am Med Inform Assoc Date: 2016-02-05 Impact factor: 4.497
Authors: Robin A Hanks; Nicholas R Boileau; Andria L Norman; Risa Nakase-Richardson; Kyr Hudson Mariouw; Noelle E Carlozzi Journal: Rehabil Psychol Date: 2020-01-09
Authors: Grace B McKee; Paul B Perrin; Yaneth Rodriguez Agudelo; Silvia Leonor Olivera Plaza; Maria Cristina Quijano-Martinez; Chimdindu Ohayagha; Duygu Kuzu; Annahir N Cariello; Juan Carlos Arango-Lasprilla Journal: Am J Phys Med Rehabil Date: 2020-11 Impact factor: 3.412
Authors: Paula Kersten; Christine Cummins; Nicola Kayes; Duncan Babbage; Hinemoa Elder; Allison Foster; Mark Weatherall; Richard John Siegert; Greta Smith; Kathryn McPherson Journal: BMJ Open Date: 2018-10-10 Impact factor: 2.692