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A Review of Health-Related Quality of Life in Adult Traumatic Brain Injury Survivors in the Context of Combat Veterans

Daggett, Virginia; Bakas, Tamilyn; Habermann, Barbara

Journal of Neuroscience Nursing: April 2009 - Volume 41 - Issue 2 - p 59-71
doi: 10.1097/JNN.0b013e31819a7133

Health-related quality of life (HRQOL) research in traumatic brain injury (TBI) populations is beginning to emerge in the literature. Because rehabilitation and reintegration issues are complex with TBI, especially with new combat veterans, it is critical that future HRQOL research be designed to consider these issues. Utilizing explicit definitions and a conceptual model of HRQOL can provide researchers with a holistic base on which to build interventions for successful patient outcomes. The conceptual model of HRQOL of C.E. Ferrans, J.J. Zerwic, J.E. Wilbur, and J.L. Larson (2005) is an exemplar model that presents clear definitions and encompasses domains of HRQOL relevant to TBI survivors and their families. This review was organized utilizing the model of HRQOL of Ferrans et al. The objective of this review was to identify gaps in current knowledge of HRQOL and TBI. These findings were then used to develop recommendations for future research with combat veterans who have sustained a TBI.

Tamilyn Bakas, DNS RN FAHA FAAN, is an associate professor at Indiana University School of Nursing, Indianapolis, IN.

Barbara Habermann, PhD RN, is an associate professor at Indiana University School of Nursing, Indianapolis, IN.

Questions or comments about this article may be directed to Virginia Daggett, PhD(c) RN, at She is a co-implementation research coordinator at National VA Stroke QUERI, Health Services, Research & Development, Richard L. Roudebush VA Medical Center, Indianapolis, IN.

© 2009 American Association of Neuroscience Nurses