Unmet Service Needs of Persons With Traumatic Brain Injury

Pickelsimer, Elisabeth; Selassie, Anbesaw W.; Sample, Pat L.; Heinemann, Allen W.; Gu, Ja K.; Veldheer, Linda C.

doi:10.1097/00001199-200701000-00001

Cited by 120 publications

(105 citation statements)

References 45 publications

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“…Managing emotions and behaviors in this study was also consistent with previous studies that identified stress, emotional upsets, and moodiness as frequent needs and concerns of people with TBI [27][28]30,32,34]. Lefebvre et al was the only study mentioned previously that reported needs and concerns related to people with TBI's uncertainty about the future of their disabilities [28].…”

Section: Needs and Concernssupporting

confidence: 89%

“…Consistent with the current results, other studies have found that obtaining employment, improving job skills, and increasing educational qualifications were relevant needs and concerns reported by people with TBI [27,30,34]. Financial challenges, managing money, and paying bills are common needs and concerns reported in the literature of people with TBI [27,[29][30]32,35].…”

Section: Needs and Concernssupporting

confidence: 89%

“…Financial challenges, managing money, and paying bills are common needs and concerns reported in the literature of people with TBI [27,[29][30]32,35]. For example, people with TBI have reported the need for professional services to claim injury-related reimbursements and in-service training [29].…”

Section: Needs and Concernsmentioning

confidence: 99%

“…However, studies regarding needs and concerns post-TBI are limited to civilians with TBI and may not adequately represent the needs and concerns of Veterans with mTBI [27][28][29][30][31][32][33][34][35][36]. Civilians with TBI have identified needs and concerns in such areas as anger management; opportunities to socialize; and involvement in school, leisure, and volunteer activities [27][28][29][30][32][33][34]. Civilians with TBI have also reported the need for information about specific community resources related to, for example, adaptive and/or assistive devices, independent living skills, and environmental modifications [26][27][28][29]34].…”

Section: Introductionmentioning

confidence: 99%

“…Other needs include such areas as vocational rehabilitation, banking and legal assistance, TBI support groups [27,31,35], and access and transportation to these services [30,[35][36]. While some of these needs and concerns may be applicable to Veterans with mTBI, there may be additional needs and concerns specifically related to combat, such as PTSD, depressive symptoms, anxiety disorders, and additional physical injuries, all within the context of mTBI.…”

Section: Introductionmentioning

confidence: 99%

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Abstract-Traumatic brain injury (TBI) has emerged as a major cause of morbidity among U.S. servicemembers who have served in Iraq and Afghanistan. Even mild TBI (mTBI) can result in cognitive impairments that can affect the community reintegration of Veterans postdeployment. The purpose of this study was to explore the needs and concerns of combat Veterans with mTBI to provide support for an mTBI-specific conceptual model (Conceptual Model in the Context of mTBI) derived from Ferrans et al.'s health-related quality of life model and the TBI literature. Content analysis of qualitative interview data was conducted using a thematic matrix with a predetermined code list. Data saturation was achieved after interviews with eight male Veterans. Six key categories and predominant themes emerged: cognitive impairments, physical symptoms, emotions and behaviors, instrumental activities of daily living, interpersonal interactions, and community reintegration. Findings provide preliminary support for a new, context-specific conceptual model that has the potential to identify areas for future interventions to enhance community reintegration of combat Veterans with mTBI.

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