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Supervision Needs Following Veteran and Service Member Moderate to Severe Traumatic Brain Injury: A VA TBI Model Systems Study.
- Source :
- Journal of Head Trauma Rehabilitation; Jul/Aug2017, Vol. 32 Issue 4, p245-254, 10p
- Publication Year :
- 2017
-
Abstract
- Objective: To characterize supervision levels across residential settings at 1 year post-TBI and explore predictors of supervision in a Veteran and Service-member population. Setting: Five VA Polytrauma Rehabilitation Centers. Participants: A total of 302 individuals enrolled in the VA TBI Model Systems (TBIMS) research program. Design: Prospective, longitudinal, multisite. Main Measures: Primary residence and supervision levels measured via scores on the Supervision Rating Scale. For predictive modeling, scores were dichotomized into 2 groups: those that were fully independent/living alone or required only some supervision during the day (independent group, n = 195) and those that required overnight supervision, full-time indirect supervision, and full-time direct supervision (dependent group, n = 107). Results: Thirty-five percent were receiving supervision at 1 year post-TBI across residential settings and 28% were living in alternative settings. Multivariate modeling indicated that older age and longer posttraumatic amnesia (PTA) were predictive of having a need for supervision at 1 year postinjury. Conclusions: Supervision needs are long-term features of moderate and severe TBI. Results of this study lend support to the shift toward conceptualizing TBI as a chronic disease. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08859701
- Volume :
- 32
- Issue :
- 4
- Database :
- Supplemental Index
- Journal :
- Journal of Head Trauma Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 124549358
- Full Text :
- https://doi.org/10.1097/HTR.0000000000000317