A Scoping Review of Predictors of Community Integration Following Traumatic Brain Injury

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.

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P88 Paroxysmal sympathetic storm and the role of beta-blockers in traumatic brain injury: a scoping review protocol

BJS Open ◽

10.1093/bjsopen/zrab032.087 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

Stéphane Nguembu ◽

Marco Meloni ◽

Geneviève Endalle ◽

Hugues Dokponou ◽

Olaoluwa Ezekiel Dada ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Length Of Stay ◽

Glasgow Coma Scale ◽

Scoping Review ◽

Beta Blockers ◽

Clinical Signs ◽

Sympathetic Hyperactivity ◽

Paroxysmal Sympathetic Hyperactivity

Abstract Introduction Most cases of paroxysmal sympathetic hyperactivity (PSH) result from traumatic brain injury (TBI). Little is known about its pathophysiology and treatment, and several neuroprotective drugs are used including beta-blockers. The aim of our study is to collate existing evidence of the role of beta-blockers in the treatment of PSH. Method We will search MEDLINE, Web of Science, EMBASE, Cochrane, and Google Scholar. The search terms used will cover the following terms: “paroxysmal sympathetic hyperactivity”, “traumatic brain injury” and “beta-blockers.”: No language or geographical restrictions will be applied. Two independent co-authors will screen the titles and abstracts of each article following predefined inclusion and exclusion criteria. If there is a conflict the two reviewers will find a consensus and if they cannot a third co-author will decide. Using a pre-designed and pre-piloted data extraction form, data from each included citation will be collected (authors identification, study type, TBI severity, type of beta-blockers used, dosage of the drug, clinical signs of PSH, Glasgow Coma Scale, Glasgow Outcome Scale, mortality, morbidity and length of stay). Simple descriptive data analyses will be performed and the results will be presented both in a narrative and tabular form. Results The effectiveness of beta-blockers in post-TBI PHS will be evaluated through clinical signs of PHS(increased heart rate, respiratory rate, temperature, blood pressure, and sweating), Glasgow Coma Scale, and Glasgow Outcome Scale. mortality, morbidity and length of stay. Conclusion At the end of this scoping review we will design a systematic review with metaanalysis if there are a reasonable number of studies otherwise we will design a randomized controlled trial.

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Representation in rehabilitation research of adults with traumatic brain injury and depression: A scoping review

Brain Injury ◽

10.1080/02699052.2021.1894481 ◽

2021 ◽

pp. 1-10

Author(s):

Adora Chui ◽

Samantha Seaton ◽

Bonnie Kirsh ◽

Deirdre R. Dawson ◽

Heather Colquhoun

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Scoping Review ◽

Rehabilitation Research

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Measuring the Long-Term Outcomes of Traumatic Brain Injury: A Review of the Community Integration Questionnaire

Journal of Head Trauma Rehabilitation ◽

10.1097/00001199-199712000-00007 ◽

1997 ◽

Vol 12 (6) ◽

pp. 74-91 ◽

Cited By ~ 77

Author(s):

Marcel Dijkers

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Community Integration ◽

Long Term Outcomes

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Integrated Care Pathways for Black Persons with Traumatic Brain Injury: A Critical Transdisciplinary Scoping Review

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2020.10.095 ◽

2020 ◽

Vol 101 (12) ◽

pp. e156-e157

Author(s):

Samira Omar ◽

LLana James ◽

Angela Colantonio ◽

Stephanie Nixon

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Integrated Care ◽

Scoping Review ◽

Care Pathways ◽

Integrated Care Pathways

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Community Integration in Traumatic Brain Injury: The Contributing Factor of Affect Recognition Deficits

Journal of the International Neuropsychological Society ◽

10.1017/s1355617719000559 ◽

2019 ◽

Vol 25 (08) ◽

pp. 890-895 ◽

Cited By ~ 6

Author(s):

Allison S. Binder ◽

Katie Lancaster ◽

Jean Lengenfelder ◽

Nancy D. Chiaravalloti ◽

Helen M. Genova

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Cognitive Deficits ◽

Social Cognitive ◽

Community Integration ◽

Well Being ◽

Affect Recognition ◽

Dynamic Task ◽

Inference Test ◽

Social Cognitive Deficits

AbstractObjective: Individuals with traumatic brain injury (TBI) can experience social isolation, which is damaging to well-being and counterproductive to successful rehabilitation. It has been proposed that social cognitive deficits that commonly result from TBI may contribute to weakened social integration. However, the consequences of specific social cognitive deficits in TBI are still being delineated. The current work sought to better characterize the relationship between community integration and facial affect recognition (FAR) in TBI. Participants and Methods: A total of 27 participants with moderate to severe TBI and 30 healthy controls (HCs) completed two tests of FAR, which employed either static photographic stimuli or dynamic video stimuli (The Awareness of Social Inference Test). The Community Integration Questionnaire was also administered to participants. Results: Participants with TBI were significantly impaired on both the static and dynamic FAR measures, yet the deficits were most pronounced within the dynamic task. Furthermore, participants with TBI reported lower community integration compared with HCs. FAR was positively associated with community integration in both groups, such that participants with proficient affect recognition skills were better integrated into their communities. Conclusions: FAR deficits may contribute to the lack of community integration often observed in TBI; thus, interventions designed to improve FAR may be beneficial to this population’s ability to successfully reintegrate into society.

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