Characteristics of successful and unsuccessful completers of 3 postacute brain injury rehabilitation pathways

James F. Malec, Lisa Degiorgio

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

Objective: To determine whether successful participants along different postacute brain injury rehabilitation pathways differ on demographic, injury-related, disability, and outcome variables. Design: Secondary analysis of pre- and posttreatment, and 1-year follow-up data obtained in a previous study of specialized vocational services (SVS) for persons with brain injury. Setting: Outpatient brain injury rehabilitation clinic. Participants: One hundred fourteen persons with acquired brain injury. Interventions: Participants in 3 distinct rehabilitation pathways were studied: SVS only; SVS and a 3-h/wk community reintegration outpatient group; and SVS and 6-h/d comprehensive day treatment (CDT). Main Outcome Measures: Mayo-Portland Adaptability Inventory (MPAI); Vocational Independence Scale; and "success," as defined by community-based employment (CBE) at 1-year follow-up. Results: The percentage (77%-85%) of participants in CBE at 1-year follow-up did not differ among the 3 pathways. CDT participants had more limited educational backgrounds, were less recently injured, and showed greater disability and more impaired self-awareness than those receiving limited intervention (ie, SVS or community reintegration outpatient group). MPAI scores for limited-intervention participants who were unsuccessful were similar in level to successful participants in CDT. Logistic regression models were developed to predict the probability of success with limited intervention and CDT. Conclusion: Different rehabilitation pathways result in CBE for a large percentage of persons with brain injury if the intensity of service is appropriately matched to the severity of the disability, the time since injury, and other participant characteristics.

Original languageEnglish (US)
Pages (from-to)1759-1764
Number of pages6
JournalArchives of physical medicine and rehabilitation
Volume83
Issue number12
DOIs
StatePublished - Dec 1 2002

Keywords

  • Brain injuries
  • Methods
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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