Supervision Needs Following Veteran and Service Member Moderate to Severe Traumatic Brain Injury: A VA TBI Model Systems Study

The Journal of Head Trauma Rehabilitation
Erin K BaileyXinyu Tang

Abstract

To characterize supervision levels across residential settings at 1 year post-TBI and explore predictors of supervision in a Veteran and Service-member population. Five VA Polytrauma Rehabilitation Centers. A total of 302 individuals enrolled in the VA TBI Model Systems (TBIMS) research program. Prospective, longitudinal, multisite. Primary residence and supervision levels measured via scores on the Supervision Rating Scale. For predictive modeling, scores were dichotomized into 2 groups: those that were fully independent/living alone or required only some supervision during the day (independent group, n = 195) and those that required overnight supervision, full-time indirect supervision, and full-time direct supervision (dependent group, n = 107). Thirty-five percent were receiving supervision at 1 year post-TBI across residential settings and 28% were living in alternative settings. Multivariate modeling indicated that older age and longer posttraumatic amnesia (PTA) were predictive of having a need for supervision at 1 year postinjury. Supervision needs are long-term features of moderate and severe TBI. Results of this study lend support to the shift toward conceptualizing TBI as a chronic disease.

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Citations

Jun 25, 2020·Brain Injury : [BI]·Robyn L TateIan D Cameron
Jul 6, 2017·The Journal of Head Trauma Rehabilitation·Risa Nakase-Richardson, Lillian Stevens
Jul 4, 2018·Archives of Physical Medicine and Rehabilitation·Noelle E CarlozziAngelle M Sander

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.