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Titre : | Self-reported Participation Restrictions Among Male and Female Veterans With Traumatic Brain Injury in Veterans Health Administration Outpatient Polytrauma Programs (2020) |
Auteurs : | Alison M. Cogan ; Bridget M. Smith ; Theresa Louise Bender Pape ; Trudy Mallinson ; Blessen C. Eapen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 12, 2020) |
Article en page(s) : | p. 2071-2079 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.06.030 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anciens combattants ; Identité de genre ; Lésions traumatiques de l'encéphale ; Participation communautaire ; Polytraumatisme ; Réadaptation |
Résumé : |
Objectives
To identify areas of most restricted self-reported participation among veterans with traumatic brain injury (TBI), explore associations among participation restriction and clinical characteristics, and examine differences in participation restrictions by sex. Design Retrospective cross-sectional design. Setting National VA Polytrauma System of Care outpatient settings. Participants Veterans with a confirmed TBI event (N=6065). Interventions Not applicable. Main Outcome Measure(s) Mayo-Portland Participation Index (M2PI), a 5-point Likert-type scale with 8 items. Total score was converted to standardized T score for analysis. Results The sample consisted of 5679 male and 386 female veterans with ≥1 clinically confirmed TBI events (69% white; 74% with blast exposure). The M2PI items with greatest perceived restrictions were social contact, leisure, and initiation. There were no significant differences between men and women on M2PI standardized T scores. Wilcoxon rank-sum analyses showed significant differences by sex on 4 items: leisure, residence, employment, and financial management (all P<.01 in multinomial logistic regression on each item controlling for demographics injury characteristics and comorbidities female veterans had significantly greater relative risk part-time work unemployment the employment less impairment residence financial management item.> Conclusions There was no significant difference between men and women. Veterans on M2PI standardized T scores, which masks differences in response patterns to individual items. Clinical teams should be encouraged to discuss perceived restrictions with patients and target these areas in treatment planning. Future work is needed to investigate the psychometric properties of the M2PI by biological sex. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320305074#! |