Group Therapy Use and Its Impact on the Outcomes of Inpatient Rehabilitation After Traumatic Brain Injury: Data From Traumatic Brain Injury–Practice Based Evidence Project

Flora Hammond, Ryan Barrett, Marcel P. Dijkers, Jeanne M. Zanca, Susan D. Horn, Randall J. Smout, Tami Guerrier, Elizabeth Hauser, Megan R. Dunning

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives To describe the amount and content of group therapies provided during inpatient rehabilitation for traumatic brain injury (TBI), and to assess the relations of group therapy with patient, injury, and treatment factors and outcomes. Design Prospective observational cohort. Setting Inpatient rehabilitation. Participants Consecutive admissions (N=2130) for initial TBI rehabilitation at 10 inpatient rehabilitation facilities (9 in the United States, 1 in Canada) from October 2008 to September 2011. Interventions Not applicable. Main Outcome Measures Proportion of sessions that were group therapy (≥2 patients were treated simultaneously by ≥1 clinician); proportion of patients receiving group therapy; type of activity performed and amount of time spent in group therapy, by discipline; rehabilitation length of stay; discharge location; and FIM cognitive and motor scores at discharge. Results Of the patients, 79% received at least 1 session of group therapy, with group therapy accounting for 13.7% of all therapy sessions and 15.8% of therapy hours. On average, patients spent 2.9h/wk in group therapy. The greatest proportion of treatment time in group format was in therapeutic recreation (25.6%), followed by speech therapy (16.2%), occupational therapy (10.4%), psychology (8.1%), and physical therapy (7.9%). Group therapy time and type of treatment activities varied among admission FIM cognitive subgroups and treatment sites. Several factors appear to be predictive of receiving group therapy, with the treatment site being a major influence. However, group therapy as a whole offered little explanation of differences in the outcomes studied. Conclusions Group therapy is commonly used in TBI rehabilitation, to varying degrees among disciplines, sites, and cognitive impairment subgroups. Various therapeutic activities take place in group therapy, indicating its perceived value in addressing many domains of functioning. Variation in outcomes is not explained well by overall percentage of therapy time delivered in groups.

Original languageEnglish (US)
Pages (from-to)S282-S292.e5
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number8
DOIs
StatePublished - Aug 1 2015

Fingerprint

Group Psychotherapy
Inpatients
Brain
Rehabilitation
Therapeutics
Traumatic Brain Injury
Speech Therapy
Recreation
Occupational Therapy
Canada
Length of Stay
Outcome Assessment (Health Care)
Psychology

Keywords

  • Brain injuries
  • Health services
  • Health services research
  • Occupational therapy
  • Physical therapy specialty
  • Psychology
  • Recreation therapy
  • Rehabilitation
  • Speech therapy
  • Therapeutics

ASJC Scopus subject areas

  • Medicine(all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Group Therapy Use and Its Impact on the Outcomes of Inpatient Rehabilitation After Traumatic Brain Injury : Data From Traumatic Brain Injury–Practice Based Evidence Project. / Hammond, Flora; Barrett, Ryan; Dijkers, Marcel P.; Zanca, Jeanne M.; Horn, Susan D.; Smout, Randall J.; Guerrier, Tami; Hauser, Elizabeth; Dunning, Megan R.

In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 8, 01.08.2015, p. S282-S292.e5.

Research output: Contribution to journalArticle

Hammond, Flora ; Barrett, Ryan ; Dijkers, Marcel P. ; Zanca, Jeanne M. ; Horn, Susan D. ; Smout, Randall J. ; Guerrier, Tami ; Hauser, Elizabeth ; Dunning, Megan R. / Group Therapy Use and Its Impact on the Outcomes of Inpatient Rehabilitation After Traumatic Brain Injury : Data From Traumatic Brain Injury–Practice Based Evidence Project. In: Archives of Physical Medicine and Rehabilitation. 2015 ; Vol. 96, No. 8. pp. S282-S292.e5.
@article{239aee82ed094029ad4e6ae5ce194b4e,
title = "Group Therapy Use and Its Impact on the Outcomes of Inpatient Rehabilitation After Traumatic Brain Injury: Data From Traumatic Brain Injury–Practice Based Evidence Project",
abstract = "Objectives To describe the amount and content of group therapies provided during inpatient rehabilitation for traumatic brain injury (TBI), and to assess the relations of group therapy with patient, injury, and treatment factors and outcomes. Design Prospective observational cohort. Setting Inpatient rehabilitation. Participants Consecutive admissions (N=2130) for initial TBI rehabilitation at 10 inpatient rehabilitation facilities (9 in the United States, 1 in Canada) from October 2008 to September 2011. Interventions Not applicable. Main Outcome Measures Proportion of sessions that were group therapy (≥2 patients were treated simultaneously by ≥1 clinician); proportion of patients receiving group therapy; type of activity performed and amount of time spent in group therapy, by discipline; rehabilitation length of stay; discharge location; and FIM cognitive and motor scores at discharge. Results Of the patients, 79{\%} received at least 1 session of group therapy, with group therapy accounting for 13.7{\%} of all therapy sessions and 15.8{\%} of therapy hours. On average, patients spent 2.9h/wk in group therapy. The greatest proportion of treatment time in group format was in therapeutic recreation (25.6{\%}), followed by speech therapy (16.2{\%}), occupational therapy (10.4{\%}), psychology (8.1{\%}), and physical therapy (7.9{\%}). Group therapy time and type of treatment activities varied among admission FIM cognitive subgroups and treatment sites. Several factors appear to be predictive of receiving group therapy, with the treatment site being a major influence. However, group therapy as a whole offered little explanation of differences in the outcomes studied. Conclusions Group therapy is commonly used in TBI rehabilitation, to varying degrees among disciplines, sites, and cognitive impairment subgroups. Various therapeutic activities take place in group therapy, indicating its perceived value in addressing many domains of functioning. Variation in outcomes is not explained well by overall percentage of therapy time delivered in groups.",
keywords = "Brain injuries, Health services, Health services research, Occupational therapy, Physical therapy specialty, Psychology, Recreation therapy, Rehabilitation, Speech therapy, Therapeutics",
author = "Flora Hammond and Ryan Barrett and Dijkers, {Marcel P.} and Zanca, {Jeanne M.} and Horn, {Susan D.} and Smout, {Randall J.} and Tami Guerrier and Elizabeth Hauser and Dunning, {Megan R.}",
year = "2015",
month = "8",
day = "1",
doi = "10.1016/j.apmr.2014.11.029",
language = "English (US)",
volume = "96",
pages = "S282--S292.e5",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "8",

}

TY - JOUR

T1 - Group Therapy Use and Its Impact on the Outcomes of Inpatient Rehabilitation After Traumatic Brain Injury

T2 - Data From Traumatic Brain Injury–Practice Based Evidence Project

AU - Hammond, Flora

AU - Barrett, Ryan

AU - Dijkers, Marcel P.

AU - Zanca, Jeanne M.

AU - Horn, Susan D.

AU - Smout, Randall J.

AU - Guerrier, Tami

AU - Hauser, Elizabeth

AU - Dunning, Megan R.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Objectives To describe the amount and content of group therapies provided during inpatient rehabilitation for traumatic brain injury (TBI), and to assess the relations of group therapy with patient, injury, and treatment factors and outcomes. Design Prospective observational cohort. Setting Inpatient rehabilitation. Participants Consecutive admissions (N=2130) for initial TBI rehabilitation at 10 inpatient rehabilitation facilities (9 in the United States, 1 in Canada) from October 2008 to September 2011. Interventions Not applicable. Main Outcome Measures Proportion of sessions that were group therapy (≥2 patients were treated simultaneously by ≥1 clinician); proportion of patients receiving group therapy; type of activity performed and amount of time spent in group therapy, by discipline; rehabilitation length of stay; discharge location; and FIM cognitive and motor scores at discharge. Results Of the patients, 79% received at least 1 session of group therapy, with group therapy accounting for 13.7% of all therapy sessions and 15.8% of therapy hours. On average, patients spent 2.9h/wk in group therapy. The greatest proportion of treatment time in group format was in therapeutic recreation (25.6%), followed by speech therapy (16.2%), occupational therapy (10.4%), psychology (8.1%), and physical therapy (7.9%). Group therapy time and type of treatment activities varied among admission FIM cognitive subgroups and treatment sites. Several factors appear to be predictive of receiving group therapy, with the treatment site being a major influence. However, group therapy as a whole offered little explanation of differences in the outcomes studied. Conclusions Group therapy is commonly used in TBI rehabilitation, to varying degrees among disciplines, sites, and cognitive impairment subgroups. Various therapeutic activities take place in group therapy, indicating its perceived value in addressing many domains of functioning. Variation in outcomes is not explained well by overall percentage of therapy time delivered in groups.

AB - Objectives To describe the amount and content of group therapies provided during inpatient rehabilitation for traumatic brain injury (TBI), and to assess the relations of group therapy with patient, injury, and treatment factors and outcomes. Design Prospective observational cohort. Setting Inpatient rehabilitation. Participants Consecutive admissions (N=2130) for initial TBI rehabilitation at 10 inpatient rehabilitation facilities (9 in the United States, 1 in Canada) from October 2008 to September 2011. Interventions Not applicable. Main Outcome Measures Proportion of sessions that were group therapy (≥2 patients were treated simultaneously by ≥1 clinician); proportion of patients receiving group therapy; type of activity performed and amount of time spent in group therapy, by discipline; rehabilitation length of stay; discharge location; and FIM cognitive and motor scores at discharge. Results Of the patients, 79% received at least 1 session of group therapy, with group therapy accounting for 13.7% of all therapy sessions and 15.8% of therapy hours. On average, patients spent 2.9h/wk in group therapy. The greatest proportion of treatment time in group format was in therapeutic recreation (25.6%), followed by speech therapy (16.2%), occupational therapy (10.4%), psychology (8.1%), and physical therapy (7.9%). Group therapy time and type of treatment activities varied among admission FIM cognitive subgroups and treatment sites. Several factors appear to be predictive of receiving group therapy, with the treatment site being a major influence. However, group therapy as a whole offered little explanation of differences in the outcomes studied. Conclusions Group therapy is commonly used in TBI rehabilitation, to varying degrees among disciplines, sites, and cognitive impairment subgroups. Various therapeutic activities take place in group therapy, indicating its perceived value in addressing many domains of functioning. Variation in outcomes is not explained well by overall percentage of therapy time delivered in groups.

KW - Brain injuries

KW - Health services

KW - Health services research

KW - Occupational therapy

KW - Physical therapy specialty

KW - Psychology

KW - Recreation therapy

KW - Rehabilitation

KW - Speech therapy

KW - Therapeutics

UR - http://www.scopus.com/inward/record.url?scp=84984923605&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84984923605&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2014.11.029

DO - 10.1016/j.apmr.2014.11.029

M3 - Article

C2 - 26212404

AN - SCOPUS:84984923605

VL - 96

SP - S282-S292.e5

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 8

ER -