Profiling early outcomes during the transition from hospital to home after brain injury.

Abstract:

PRIMARY OBJECTIVE:To profile early outcomes during the transition from hospital to home for individuals with acquired brain injury (ABI) and their family caregivers. RESEARCH DESIGN:Prospective longitudinal study with data collected at three time points: pre-discharge and 1- and 3-months post-discharge. METHODS AND PROCEDURES:Participants included 26 individuals with ABI and 26 family caregivers, who were assessed on measures of global functioning, psychosocial reintegration, health-related quality-of-life and emotional well-being. Changes in outcomes over time and group comparisons were examined using repeated measures ANOVAs with relevant post-hoc analyses. RESULTS:Participants typically demonstrated improved global functioning and psychosocial reintegration during the transition period, with closer alignment of perspectives (i.e. comparisons between self-ratings of participants with ABI and ratings of family caregivers) at 3-months post-discharge on the occupational activities and living skills domains. Additionally, levels of depression and stress reported by participants with ABI were observed to increase over time. CONCLUSIONS:Collectively, the results highlight the critical nature of the transition phase for psychosocial reintegration and emotional adjustment and support the need for holistic approaches to transition-specific interventions.

journal_name

Brain Inj

journal_title

Brain injury

authors

Turner B,Fleming J,Cornwell P,Haines T,Ownsworth T

doi

10.1080/02699050802635257

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

51-60

issue

1

eissn

0269-9052

issn

1362-301X

pii

908196306

journal_volume

23

pub_type

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