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Examining Driving and Participation 5 Years After Traumatic Brain Injury
- Source :
- OTJR: Occupation, Participation and Health. 38:143-150
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- Participation is often considered a primary goal of traumatic brain injury (TBI) rehabilitation, but little is known about the influence of driving on participation after TBI. The objective of this study was to examine the independent contribution of driving status to participation at 5 years post TBI, after controlling for demographic, psychosocial, and functional factors. Participants ( N = 2,456) were community-dwelling individuals with moderate to severe TBI, age 18 to 65 at time of injury, and enrolled in the TBI Model Systems (TBIMS) National Database (NDB). Hierarchical linear regressions for the dependent variable of participation at 5 years post TBI were performed. Findings showed that driving was a highly significant independent predictor of participation and was a stronger relative predictor of participation than FIM® Cognitive, FIM® Motor, and depression. The independent contribution of driving to participation suggests the need to develop evidenced-based occupational therapy assessments and interventions that facilitate safe engagement in the occupation of driving to address the long-term goal of improved participation.
- Subjects :
- Adult
Male
Occupational therapy
Automobile Driving
030506 rehabilitation
medicine.medical_specialty
Adolescent
Databases, Factual
Traumatic brain injury
medicine.medical_treatment
Psychological intervention
Young Adult
03 medical and health sciences
0302 clinical medicine
Occupational Therapy
Quality of life
Brain Injuries, Traumatic
Humans
Medicine
Longitudinal Studies
Prospective Studies
Depression (differential diagnoses)
Aged
Demography
Rehabilitation
business.industry
Cognition
Middle Aged
Social Participation
medicine.disease
United States
Female
0305 other medical science
business
Psychosocial
030217 neurology & neurosurgery
Clinical psychology
Subjects
Details
- ISSN :
- 19382383 and 15394492
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- OTJR: Occupation, Participation and Health
- Accession number :
- edsair.doi.dedup.....85e71dd1b8ac63a1210ccec9f459bf47