Article

OBJECTIVE: To evaluate outcomes of home- and community-based postacute brain
injury rehabilitation (PABIR). DESIGN: Retrospective analysis of program
evaluation data for treatment completers and noncompleters. SETTING: Home- and
community-based PABIR conducted in 7 geographically distinct U.S. cities.
PARTICIPANTS: Patients (N=489) with traumatic brain injury who completed the
prescribed course of rehabilitation (completed-course-of-treatment [CCT] group)
compared with 114 who were discharged precipitously before program completion
(precipitous-discharge [PD] group). INTERVENTION: PABIR delivered in home and
community settings by certified professional staff on an individualized basis.
MAIN OUTCOME MEASURES: Mayo-Portland Adaptability Inventory (MPAI-4) completed by
means of professional consensus on admission and at discharge; MPAI-4
Participation Index at 3- and 12-month follow-up through telephone contact.
RESULTS: Analysis of covariance (CCT vs PD group as between-subjects variable,
admission MPAI-4 score as covariate) showed significant differences between
groups at discharge on the full MPAI-4 (F=82.25; P<.001), Ability Index (F=50.24;
P<.001), Adjustment Index (F=81.20; P<.001), and Participation Index (F=59.48;
P<.001). A large portion of the sample was lost to follow-up; however, available
data showed that group differences remained statistically significant at
follow-up. CONCLUSIONS: Results provided evidence of the effectiveness of home-
and community-based PABIR and that treatment effects were maintained at
follow-up.
CI - Copyright (c) 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS