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Auteur Tessa Hart |
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trié(s) par (Pertinence décroissant(e), Titre croissant(e)) Faire une suggestion Affiner la rechercheBrain Injury Functional Outcome Measure (BI-FOM): A Single Instrument Capturing the Range of Recovery in Moderate-Severe Traumatic Brain Injury / John Whyte in Archives of Physical Medicine and Rehabilitation, Vol. 102, n° 1 (2021)
Titre : Brain Injury Functional Outcome Measure (BI-FOM): A Single Instrument Capturing the Range of Recovery in Moderate-Severe Traumatic Brain Injury Type de document : Article Auteurs : John Whyte ; Joseph T. Giacino ; Allen W. Heinemann ; Yelena G. Bodien ; Tessa Hart ; Mark Sherer ; Gale G. Whiteneck ; David Mellick ; Flora M. Hammond ; Patrick Semik ; Amy Rosenbaum ; Risa Nakase-Richardson Année de publication : 2021 Article en page(s) : p. 87-96 Note générale : https://doi.org/10.1016/j.apmr.2020.09.377 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Lésions encéphaliques ; RéadaptationRésumé : Objective
To develop a measure of global functioning after moderate-severe TBI with similar measurement precision but a longer measurement range than the FIM.
Design
Phase 1: retrospective analysis of 5 data sets containing FIM, Disability Rating Scale, and other assessment items to identify candidate items for extending the measurement range of the FIM; Phase 2: prospective administration of 49 candidate items from phase 1, with Rasch analysis to identify a unidimensional scale with an extended range.
Setting
Six TBI Model System rehabilitation hospitals.
Participants
Individuals (N=184) with moderate-severe injury recruited during inpatient rehabilitation or at 1-year telephone follow-up.
Interventions
Participants were administered the 49 assessment items in person or via telephone.
Main Outcome Measures
Item response theory parameters: item monotonicity, infit/outfit statistics, and Factor 1 variance.
Results
After collapsing misordered rating categories and removing misfitting items, we derived the Brain Injury Functional Outcome Measure (BI-FOM), a 31-item assessment instrument with high reliability, greatly extended measurement range, and improved unidimensionality compared with the FIM.
Conclusions
The BI-FOM improves global measurement of function after moderate-severe brain injury. Its high precision, relative lack of floor and ceiling effects, and feasibility for telephone follow-up, if replicated in an independent sample, are substantial advantages.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=264117
in Archives of Physical Medicine and Rehabilitation > Vol. 102, n° 1 (2021) . - p. 87-96[article]
Titre : Functional Recovery After Severe Traumatic Brain Injury: An Individual Growth Curve Approach Type de document : Article Auteurs : Tessa Hart ; Allan J. Kozlowski ; John Whyte Article en page(s) : p. 2103-2110 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Résumé : Objective
To examine person, injury, and treatment characteristics associated with recovery trajectories of people with severe traumatic brain injury (TBI) during inpatient rehabilitation.
Design
Observational prospective longitudinal study.
Setting
TBI rehabilitation units.
Participants
Adults (N=206) with severe nonpenetrating TBI admitted directly to inpatient rehabilitation from acute care. Participants were excluded for prior disability and intentional etiology of injury.
Interventions
Naturally occurring treatments delivered within comprehensive multidisciplinary teams were recorded daily in 15-minute units provided to patients and family members, separately.
Main Outcome Measures
Motor and cognitive FIM were measured on admission, discharge, and every 2 weeks in between and were analyzed with individual growth curve methodology.
Results
Inpatient recovery was best modeled with linear, cubic, and quadratic components: relatively steep recovery was followed by deceleration of improvement, which attenuated prior to discharge. Slower recovery was associated with older age, longer coma, and interruptions to rehabilitation. Patients admitted at lower functional levels received more treatment, and more treatment was associated with slower recovery, presumably because treatment was allocated according to need. Therefore, effects of treatment on outcome could not be disentangled from effects of case mix factors.
Conclusions
FIM gain during inpatient recovery from severe TBI is not a linear process. In observational studies, the specific effects of treatment on rehabilitation outcomes are difficult to separate from case mix factors that are associated with both outcome and allocation of treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118678
in Archives of Physical Medicine and Rehabilitation > 2014/11 (2014) . - p. 2103-2110[article]
Titre : How Do Intensity and Duration of Rehabilitation Services Affect Outcomes From Severe Traumatic Brain Injury? A Natural Experiment Comparing Health Care Delivery Systems in 2 Developed Nations Type de document : Article Auteurs : Tessa Hart ; John Whyte ; Ingrid Poulsen Article en page(s) : pp. 2045–2053 Note générale : https://doi.org/10.1016/j.apmr.2016.07.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Recherche sur les services de santé ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Health services research Treatment outcome Résultat thérapeutique Résumé : Objective
To determine the effects of inpatient and outpatient treatment intensity on functional and emotional well-being outcomes at 1 year after severe traumatic brain injury (TBI).
Design
Prospective, quasiexperimental study comparing outcomes in a U.S. TBI treatment center with those in a Denmark (DK) center providing significantly greater intensity and duration of rehabilitation.
Setting
Inpatient and outpatient TBI rehabilitation.
Participants
Persons with severe TBI (N=274).
Interventions
Inpatient rehabilitation interventions were counted daily by discipline. Outpatient treatments were estimated per discipline using a structured interview administered to patients, caregivers, or both, at 12 months.
Main Outcome Measures
FIM, Glasgow Outcome Scale–Extended, Disability Rating Scale, Participation Assessment with Recombined Tools–Objective, Perceived Quality of Life, Medical Outcomes Study 12-Item Short-Form Health Survey, Brief Symptom Inventory–18-item version.
Results
Despite identical inclusion criteria, patient severity on admission was greater at the DK site. After adjustment for patient/injury characteristics, there were no site differences in either functional or emotional outcome at 12 months. Significantly more inpatient plus outpatient treatment was administered to DK patients than to those in the U.S. For functional but not emotional treatments, more severely impaired patients received higher doses. One-year outcomes were predicted by admission severity, age, employment, and other baseline characteristics.
Conclusions
Contrary to expectation, DK patients who received significantly more rehabilitation services during the year after severe TBI did not differ in outcome from their less intensively treated U.S. counterparts, after adjusting for initial severity. The negative association of functional treatment dose with extent of early disability suggests that dose was driven by unmeasured factors reflecting need for services. Improved measures of injury-related factors driving treatment allocation are needed to model the independent effects of treatment on outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117878
in Archives of Physical Medicine and Rehabilitation > 2016/12 (2016) . - pp. 2045–2053[article]
Titre : Major and minor depression after traumatic brain injury Type de document : Article Auteurs : Tessa Hart ; L. Brenner ; A. Clark ; J. Bogner Article en page(s) : 1211/1219 Langues : Français (fre) Descripteurs : HE Vinci
Cerveau ; Crâne ; Dépression ; Réinsertion sociale ; TraumatismeDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=116901
in Archives of Physical Medicine and Rehabilitation > 2011/8 (2011) . - 1211/1219[article]
Titre : Prevalence, Risk Factors, and Correlates of Anxiety at 1 Year After Moderate to Severe Traumatic Brain Injury Type de document : Article Auteurs : Tessa Hart ; Jesse R. Fann ; Inna Chervoneva Article en page(s) : pp. 701–707 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Qualité de vie ; Rééducation et réadaptationMots-clés : Anxiety Brain injuries Lésions encéphaliques Quality of Life Résumé : Objective
To determine at 1 year after moderate to severe traumatic brain injury the (1) rate of clinically significant anxiety; (2) rates of specific symptoms of anxiety; (3) risk factors for anxiety; and (4) associations of anxiety with other 1-year outcomes, including participation and quality of life.
Design
Prospective longitudinal observational study.
Setting
Inpatient rehabilitation centers, with data capture at injury and 1-year follow-up.
Participants
Persons with moderate to severe traumatic brain injury who were enrolled in the Traumatic Brain Injury Model Systems database (N=1838).
Interventions
Not applicable.
Main Outcome Measures
The 7-item Generalized Anxiety Disorder Scale, Patient Health Questionnaire (9-item screen for depression), FIM, Participation Assessment with Recombined Tools-Objective, and Satisfaction with Life Scale.
Results
Clinically significant anxiety was reported by 21% of the participants. Of these, >80% reported interference with daily activities, with the most common symptoms being excessive worry and irritability. A common pattern was comorbid anxiety and depression, with smaller proportions reporting either disorder alone. Anxiety had large effect sizes with respect to life satisfaction and cognitive disability and medium to small effect sizes relative to societal participation and self-care. Middle age, black race, lower socioeconomic status, preinjury mental health treatment, and at least 1 traumatic brain injury prior to the index injury were all risk factors for later anxiety.
Conclusions
Anxiety should be screened, fully evaluated, and treated after moderate to severe traumatic brain injury. Worry and irritability might be treated with pharmacologic agents or relatively simple behavioral interventions, which should be further researched in this population.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118065
in Archives of Physical Medicine and Rehabilitation > 2016/5 (2016) . - pp. 701–707[article]PermalinkPermalinkPermalink
