Factors affecting participation after traumatic brain injury
2013 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, Vol. 45, no 8, 765-770 p.Article in journal (Refereed) Published
OBJECTIVE: The aim of this work was to explore the extent to which social, cognitive, emotional and physical aspects influence participation after a traumatic brain injury (TBI).
DESIGN/SUBJECTS: An explorative study of the patient perspective of participation 4 years after TBI. The cohort consisted of all patients (age range 18-65 years), presenting in 1999-2000, admitted to the hospital (n = 129). Sixty-three patients responded; 46 males and 17 females, mean age 41 (range 19-60) years.
METHODS: Four years after the injury, the European Brain Injury Questionnaire (EBIQ), EuroQol-5D, Swedish Stroke Register Questionnaire and Impact on Participation and Autonomy (IPA) questionnaire were sent to the sample. Data were analysed with logistic regression.
RESULTS: On the EBIQ, 40% of the sample reported problems in most questions. According to IPA, between 20% and 40% did not perceive that they had a good participation. The analyses gave 5 predictors reflecting emotional and social aspects, which could explain up to 70% of the variation in participation.
CONCLUSION: It is not easy to find single predictors, as there seems to be a close interaction between several aspects. Motor deficits appear to have smaller significance for participation in this late state, while emotional and social factors play a major role.
Place, publisher, year, edition, pages
2013. Vol. 45, no 8, 765-770 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:esh:diva-2541DOI: 10.2340/16501977-1184PubMedID: 24002312OAI: oai:DiVA.org:esh-2541DiVA: diva2:684121