Article

Supervision needs typically increase following moderate-to-severe
traumatic brain injury (TBI). Research assessing the impact of TBI residential
rehabilitation programmes on supervision needs is limited. RESEARCH DESIGN:
Prospective cross-sectional study. METHODS AND PROCEDURES: Ninety-four
participants with moderate-to-severe TBI admitted to a post-acute brain injury
rehabilitation programme (PABIR) were administered the supervision rating scale
(SRS) at admission and at 1 month post-discharge. To account for spontaneous
neurological recovery, patients were separated into those who were less than 1
year (L1Y, n = 55) or greater than 1 year (G1Y, n = 39) post-injury. EXPERIMENTAL
INTERVENTION: None. MAIN OUTCOMES AND RESULTS: A mixed factorial design yielded a
significant interaction (F(1, 92) = 18.2; p < 0.0001) with post-hoc results
revealing that the L1Y group improved more dramatically in terms of supervision
needs than the G1Y group. Using reliable change methodologies, 52.7% of the L1Y
demonstrated decreasing scores on the SRS vs 20.5% of the G1Y group. CONCLUSIONS:
Decreases in supervision needs following PABIR can be found, even after
accounting for the impact of spontaneous neurological recovery both at the group
and individual level.

Langue : ANGLAIS