Angelle M Sander1, Jessica M Ketchum, Anthony H Lequerica, Monique R Pappadis, Tamara Bushnik, Flora M Hammond, Mitch Sevigny. 1. Department of Physical Medicine & Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, Texas (Dr Sander); Brain Injury Research Center, TIRR Memorial Herman, Houston, Texas (Drs Sander and Pappadis); Research Department, Craig Hospital, Englewood, Colorado (Dr Ketchum and Mr Sevigny); Kessler Foundation, East Hanover, New Jersey, and Department of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark, New Jersey (Dr Lequerica); Division of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch at Galveston, Galveston, Texas (Dr Pappadis); Rusk Rehabilitation and NYU Langone Health, New York, New York (Dr Bushnik); and Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, Indiana (Dr Hammond).
Abstract
OBJECTIVE: To examine the relationship between primary language and participation outcomes in English- and Spanish-speaking persons with complicated mild to severe traumatic brain injury (TBI) at 1 year post-injury. SETTING: Community following discharge from inpatient rehabilitation. PARTICIPANTS: A total of 998 Hispanic participants with outcomes available at year 1 follow-up; 492 (49%) indicated English as their primary language and 506 (51%) indicated Spanish as their primary language. DESIGN: Prospective, multicenter, cross-sectional, observational cohort study. MAIN MEASURES: Community participation at 1 year post-injury was assessed by 3 domains of the Participation Assessment with Recombined Tools-Objective (PART-O): Out and About, Productivity, and Social Relations. RESULTS: Unadjusted group comparisons showed better participation outcomes for English versus Spanish speakers for all PART-O domains and for the Balanced Total score. After controlling for relevant covariates, English-speaking participants had significantly better PART-O Balanced Total scores and better scores on the Social Relations domain, although effect sizes were small. CONCLUSIONS: Hispanic persons with TBI whose primary language is Spanish may require greater assistance integrating socially back into their communities after TBI. However, potential cultural differences in value placed on various social activities must be considered. Potential cultural bias inherent in existing measures of participation should be investigated in future studies.
OBJECTIVE: To examine the relationship between primary language and participation outcomes in English- and Spanish-speaking persons with complicated mild to severe traumatic brain injury (TBI) at 1 year post-injury. SETTING: Community following discharge from inpatient rehabilitation. PARTICIPANTS: A total of 998 Hispanic participants with outcomes available at year 1 follow-up; 492 (49%) indicated English as their primary language and 506 (51%) indicated Spanish as their primary language. DESIGN: Prospective, multicenter, cross-sectional, observational cohort study. MAIN MEASURES: Community participation at 1 year post-injury was assessed by 3 domains of the Participation Assessment with Recombined Tools-Objective (PART-O): Out and About, Productivity, and Social Relations. RESULTS: Unadjusted group comparisons showed better participation outcomes for English versus Spanish speakers for all PART-O domains and for the Balanced Total score. After controlling for relevant covariates, English-speaking participants had significantly better PART-O Balanced Total scores and better scores on the Social Relations domain, although effect sizes were small. CONCLUSIONS: Hispanic persons with TBI whose primary language is Spanish may require greater assistance integrating socially back into their communities after TBI. However, potential cultural differences in value placed on various social activities must be considered. Potential cultural bias inherent in existing measures of participation should be investigated in future studies.
Authors: Denise Krch; Anthony Lequerica; Juan Carlos Arango-Lasprilla; Heather L Rogers; John DeLuca; Nancy D Chiaravalloti Journal: Clin Neuropsychol Date: 2015-07-15 Impact factor: 3.535
Authors: Gale G Whiteneck; Marcel P Dijkers; Allen W Heinemann; Jennifer A Bogner; Tamara Bushnik; Keith D Cicerone; John D Corrigan; Tessa Hart; James F Malec; Scott R Millis Journal: Arch Phys Med Rehabil Date: 2011-03-02 Impact factor: 3.966
Authors: Anthony H Lequerica; Amanda Botticello; John OʼNeill; Jean Lengenfelder; Denise Krch; Nancy D Chiaravalloti; Angelle M Sander; Tamara Bushnik; Jessica M Ketchum; Flora M Hammond; Kristen Dams-OʼConnor; Elizabeth Felix; Doug Johnson-Greene Journal: J Head Trauma Rehabil Date: 2019 Jan/Feb Impact factor: 2.710
Authors: Lindsay D Nelson; Nancy R Temkin; Sureyya Dikmen; Jason Barber; Joseph T Giacino; Esther Yuh; Harvey S Levin; Michael A McCrea; Murray B Stein; Pratik Mukherjee; David O Okonkwo; Claudia S Robertson; Ramon Diaz-Arrastia; Geoffrey T Manley; Opeolu Adeoye; Neeraj Badjatia; Kim Boase; Yelena Bodien; M Ross Bullock; Randall Chesnut; John D Corrigan; Karen Crawford; Ann-Christine Duhaime; Richard Ellenbogen; V Ramana Feeser; Adam Ferguson; Brandon Foreman; Raquel Gardner; Etienne Gaudette; Luis Gonzalez; Shankar Gopinath; Rao Gullapalli; J Claude Hemphill; Gillian Hotz; Sonia Jain; Frederick Korley; Joel Kramer; Natalie Kreitzer; Chris Lindsell; Joan Machamer; Christopher Madden; Alastair Martin; Thomas McAllister; Randall Merchant; Florence Noel; Eva Palacios; Daniel Perl; Ava Puccio; Miri Rabinowitz; Jonathan Rosand; Angelle Sander; Gabriela Satris; David Schnyer; Seth Seabury; Mark Sherer; Sabrina Taylor; Arthur Toga; Alex Valadka; Mary J Vassar; Paul Vespa; Kevin Wang; John K Yue; Ross Zafonte Journal: JAMA Neurol Date: 2019-09-01 Impact factor: 18.302