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Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0b013e318286545d
Original Articles

The Effect of Environmental Barriers on Community Integration for Individuals With Moderate to Severe Traumatic Brain Injury

Fleming, Jennifer PhD; Nalder, Emily PhD; Alves-Stein, Serena BOccThy(Hons); Cornwell, Petrea PhD

Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP

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Objective: To describe environmental barriers endorsed by individuals with traumatic brain injury during the first 6 months after discharge and determine their effect on community integration.

Design: Prospective longitudinal study with data collected at predischarge and at 1, 3, and 6 months postdischarge.

Participants: One hundred thirty-five individuals with a diagnosis of traumatic brain injury discharged from a large metropolitan hospital to a home/community environment.

Measures: Sydney Psychosocial Reintegration Scale; Craig Hospital Inventory of Environmental Factors; and Mayo-Portland Adaptability Inventory-4.

Results: Multiple regression analyses indicated that environmental barriers arising during the transition from hospital to home had a negative association with community integration outcomes. Physical barriers were most commonly endorsed, but attitudinal barriers were significantly correlated with relationship changes.

Conclusion: Environmental barriers should be addressed in rehabilitation and considered in policy development for people with traumatic brain injury. Future research on the measurement of environmental barriers is recommended.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


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