Research Reports - Functional outcomes of community-based brain injury rehabilitation clients

Brain Inj. 2014 Sep 2:1-8

Curran C(1), Dorstyn D, Polychronis C, Denson L

Abstract Background: Community-based rehabilitation can help to maximize function
following acquired brain injury (ABI); however, data on treatment outcome is
limited in quantity. Objective: To describe and evaluate client outcomes of an
outpatient programme for adults with moderate-to-severe traumatic and
non-traumatic ABI. Methods: Two phase design involving retrospective and
longitudinal study of programme completers with ABI (n = 47). Changes in
functioning were measured with the Mayo-Portland Inventory (MPAI-4), administered
pre- and immediately post-rehabilitation and at 3 years follow-up. Self-ratings
were supplemented with MPAI-4 data from significant others (n = 32) and staff
(n = 32). Results: Injured individuals and informants reported improved physical
and psychosocial functioning immediately following the completion of community
rehabilitation, with medium-to-large and significant treatment gains noted on the
MPAI-4 ability, adjustment and participation sub-scales (Cohen's d
range = 0.31-1.10). A deterioration in individuals' adjustment was further
reported at follow-up, although this was based on limited data. Issues with
longer-term rehabilitation service provision were additionally noted.
Conclusions: The data support the need for continuity of care, including ongoing
emotional support, to cater to the complex and dynamic needs of the ABI
population. However, these results need to be considered in the context of a
small sample size and quasi-experimental design.

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