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The effect of access to a designated interdisciplinary post-acute rehabilitation service on participant outcomes after brain injury.
Brain Injury ( IF 1.9 ) Pub Date : 2020-08-11 , DOI: 10.1080/02699052.2020.1802660
David N Borg 1, 2 , Mandy Nielsen 1, 2 , Areti Kennedy 1, 2 , Christopher Drovandi 3, 4 , Elizabeth Beadle 1, 2 , Jaycie K Bohan 1, 2, 5 , Kerrin Watter 1, 2 , Michele M Foster 1, 2 , Jennifer Fleming 5
Affiliation  

Objective

This study aimed to determine the influence of participation in a designated acquired brain injury (ABI) transitional rehabilitation service (ABI TRS) on outcome, in the context of a historical comparison group (HIST). Design: A cohort study, with retrospective comparison. Participants: 187 persons with ABI. Measures: The Depression, Anxiety and Stress Scale (DASS-21), Mayo-Portland Adaptability Index (MPAI-4) and Sydney Psychosocial and Reintegration Scale (SPRS) were completed at discharge and 3 months after discharge. Participation in the ABI TRS involved interdisciplinary rehabilitation, 2–4 times per week, for 3 months after hospital discharge. Results: There was evidence that at 3 months, participants with ABI TRS showed stabilized psychological wellbeing, and improvements in MPAI-4 ability and participation scores; in addition to improvements in SPRS occupational activity and living skills scores. Conclusion: A designated ABI TRS may improve the transition from hospital to home, and could form an important part of the brain injury rehabilitation continuum, between the inpatient and community setting.



中文翻译:

获得指定的跨学科急性后康复服务对脑损伤后参与者结局的影响。

目的

这项研究的目的是在历史比较组(HIST)的背景下,确定参与指定的获得性脑损伤(ABI)过渡康复服务(ABI TRS)对结局的影响。设计:队列研究,回顾性比较。参加人数:187人。措施:出院时及出院后3个月内完成抑郁,焦虑和压力量表(DASS-21),梅奥-波特兰适应性指数(MPAI-4)和悉尼心理社会与重返社会量表(SPRS)。出院后3个月,每周进行2-4次跨学科康复,参加ABI TRS。结果:有证据表明,在3个月时,ABI TRS的参与者表现出稳定的心理健康,并且MPAI-4能力和参与评分得到改善;除了改善SPRS的职业活动和生活技能得分。结论:指定的ABI TRS可以改善住院到社区之间从医院到家庭的过渡,并且可以构成脑损伤康复连续性的重要组成部分。

更新日期:2020-09-03
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