Community Integration After Traumatic Brain Injury: A Systematic Review of the Clinical Implications of Measurement and Service Provision for Older Adults

Abstract

Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.

The Community Integration Questionnaire – Revised: Australian normative data and measurement of electronic social networking

“…The Community Integration Questionnaire (CIQ) (Willer et al, 1994) has become a widely used and comprehensive measure of community integration following ABI (Ritchie, Wright-St Clair, Keogh & Gray, 2014;Sander et al, 1999;Seale et al, 2002). The CIQ has been used extensively in occupational therapy research and practice (Burleigh et al, 1998;Huebner et al, 2003;Kim & Colantonio, 2010;Parveneh & Cocks, 2012;Sloan, Callaway, Winkler, McKinley & Ziino, 2012;Sloan, Winkler & Anson, 2007;Sloan et al, 2004Sloan et al, , 2009bWinkler, Farnworth, Sloan, Brown & Callaway, 2010a;Winkler, Sloan & Callaway, 2010b).…”

“…The use of the CIQ has also expanded to other population groups including people with physical disability (Hirsh, Braden, Craggs & Jensen, 2011), spinal cord injury (Gontovsky et al, 2009;Kratz, Chadd, Jensen, Kehn & Kroll, 2015), aphasia (Dalemans, de Witte, Beurskens, van den Heuvel & Wade, 2010), brain tumours (Kaplan, 2000), neurodegenerative conditions including Multiple Sclerosis (Negahban, Fattahizadeh, Salehi, Majdinasab & Mazaheri, 2013) and burn injuries (Esselman et al, 2001). It has also been used in studies tracking longitudinal outcomes and predicting health-related quality of life after brain injury (Forslund, Roe, Sigurdardottir & Andelic, 2013;Ritchie et al, 2014;Sloan et al, 2009a;Tate, Broe, Cameron, Hodgkinson & Soo, 2005;Winkler, Farnworth & Sloan, 2006a).…”

Physical Therapy Rehabilitation after Traumatic Brain Injury

“…After TBI, return of function is not restricted to physical reintegration but also includes reintegration in the social, emotional, community and vocational domains [5]. Evidence suggests that community integration should be the primary goal of rehabilitation for people after a TBI [10]. However, helping a person to return to maximum independence and participation in the community is an extremely difficult task and requires the dedicated involvement of the patient, treatment team and family [3,5].…”

“…However, we know very little about how variations on these characteristics may also influence the community integration [10]. Driving retraining and virtual reality training could be important resources in this process [3], but more research is needed to inform best practice guidelines to meet the needs of this growing TBI population [10].…”

Predictores de Calidad de Vida en pacientes con Daño Cerebral Adquirido: Déficit, Actividad y Participación

“…Incluso se ha convertido en el instrumento más utilizado a nivel internacional para valorar la integración en el hogar, integración social y productividad en el ámbito del daño cerebral adquirido (Kaplan, 2001;Ritchie, Wright-St Clair, Keogh, & Gray, 2014). Esta versión constaba de 15 ítems relacionados integración en el hogar, integración social y actividades productivas, pudiendo obtener a partir de la suma de todos los ítems una puntuación global de integración comunitaria.…”