Article

OBJECTIVE: To conduct a systematic review of the prognostic value of
self-reported traits/problems/strengths and environmental barriers/facilitators
for participation outcomes in persons with traumatic brain injury (TBI). DATA
SOURCES: Articles published through August 15, 2013, obtained by conducting
electronic searches of PubMed, PsycINFO, and Cumulative Index to Nursing and
Allied Health Literature databases and a review of reference lists of reviewed
articles. STUDY SELECTION: Reviewed articles were written in English and
presented findings on adult humans with TBI, participation outcomes, and >/= 1
self-reported trait/problem/strength (eg, depression, pain, coping style) and/or
>/= 1 environment barrier/facilitator (eg, social support, family functioning,
access to services). DATA EXTRACTION: Each of the 996 abstracts was examined by 2
reviewers, and those failing to meet all inclusion criteria were excluded. Data
were extracted from the 63 retained articles by 2 independent reviewers, who met
to resolve any differences in study quality rating or evidence recorded. Study
quality was determined using American Academy of Neurology (AAN) criteria. DATA
SYNTHESIS: Conclusions regarding prognostic importance of self-report and
environmental barrier/facilitator variables were made using AAN criteria.
Conclusions regarding barrier/facilitator variables indicated that access to
transportation, access to services, and participation in social interaction were
possibly predictive of employment outcome, whereas living arrangements and social
support were possibly not predictive of employment outcome. Conclusions regarding
self-report variables indicated that the number of postconcussive symptoms,
fatigue, and physical competence were probably predictive of employment and need
for supervision, whereas self-efficacy was probably not predictive of employment.
Subjective well-being, pain, and social interaction were possibly predictive of
employment, whereas coping style was possibly not predictive. CONCLUSIONS:
Although additional investigation is needed, self-report variables are likely to
make important contributions to predicting participation outcomes. Future
research should be guided by coherent conceptual models and use a consistent set
of assessment instruments to facilitate comparisons between studies.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS