
@article{ref1,
title="Family involvement in traumatic brain injury inpatient rehabilitation: a propensity score analysis of effects on outcomes during the first year after discharge",
journal="Archives of physical medicine and rehabilitation",
year="2019",
author="Bogner, Jennifer and Hade, Erinn M. and Peng, Juan and Beaulieu, Cynthia and Horn, Susan D. and Corrigan, John D. and Hammond, Flora M. and Dijkers, Marcel P. and Montgomery, Erin and Gilchrist, Kamie and Giuffrida, Clare and Lash, Aubrey and Timpson, Misti",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To evaluate the effect of family attendance at inpatient rehabilitation therapy sessions on traumatic brain injury (TBI) patient outcomes at discharge and up to 9 months post-discharge. <br><br>DESIGN: Propensity score methods are applied to the TBI-Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, longitudinal, observational data. SETTING: 9 inpatient rehabilitation centers in the US. PARTICIPANTS: Patients (n=1835) admitted for first inpatient rehabilitation after an index TBI INTERVENTION: Family attendance during therapy sessions. MAIN OUTCOME MEASURES: Participation Assessment for Recombined Tools-Objective-17 (Total scores and subdomain scores of Productivity, Out and About, and Social Relations), Functional Independence Measure, Satisfaction with Life Scale, and Patient Health Questionnaire-9. <br><br>RESULTS: Participants whose families were in attendance for at least 10% of the treatment time were more out and about in their communities at 3 and 9 months post-discharge than participants whose families attended treatment less than 10% of the time. While findings varied by propensity score method, improved functional independence in the cognitive area at 9 months was also associated with increased family attendance. <br><br>CONCLUSIONS: Family involvement during inpatient rehabilitation may improve community participation and cognitive functioning up to 9 months following discharge. Rehabilitation teams should engage patients' families in the rehabilitation process in order to maximize outcomes.<br><br>Copyright © 2019. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2019.04.008",
url="http://dx.doi.org/10.1016/j.apmr.2019.04.008"
}