scholarly journals Post-Acute Traumatic Brain Injury Rehabilitation Treatment Variables: A Mixed Methods Study

2017 ◽  
Vol 2 (3) ◽  
pp. 209-213 ◽  
Author(s):  
Victoria Hardin ◽  
Cynthia O’Donoghue ◽  
Cara Meixner ◽  
Frank Lewis ◽  
Gordon Horn ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Mixed Methods Study ◽  
Injury Rehabilitation ◽  
Rehabilitation Treatment ◽  
Acute Traumatic Brain Injury

Social participation and quality-of-life of patients with traumatic brain injury living in the community: A mixed methods study

Brain Injury ◽  
2016 ◽  
Vol 30 (13-14) ◽  
pp. 1590-1598 ◽  
Author(s):  
Kaoruko Takada ◽  
Hironobu Sashika ◽  
Hidetaka Wakabayashi ◽  
Yoshio Hirayasu
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Social Participation ◽  
Mixed Methods Study

scholarly journals A mixed-methods needs assessment of traumatic brain injury care in a low- and middle-income country setting: building neurocritical care capacity at two major hospitals in Cambodia

2019 ◽  
pp. 1-7 ◽  
Author(s):  
Ariana S. Barkley ◽  
Laura J. Spece ◽  
Lia M. Barros ◽  
Robert H. Bonow ◽  
Ali Ravanpay ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mixed Methods ◽  
Brain Injury ◽  
Neurocritical Care ◽  
Capacity Development ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
World Health ◽  
Middle Income ◽  
Low And Middle Income

OBJECTIVEThe high global burden of traumatic brain injury (TBI) disproportionately affects low- and middle-income countries (LMICs). These settings also have the greatest disparity in the availability of surgical care in general and neurosurgical care in particular. Recent focus has been placed on alleviating this surgical disparity. However, most capacity assessments are purely quantitative, and few focus on concomitantly assessing the complex healthcare system needs required to care for these patients. The objective of the present study was to use both quantitative and qualitative assessment data to establish a comprehensive approach to inform capacity-development initiatives for TBI care at two hospitals in an LMIC, Cambodia.METHODSThis mixed-methods study used 3 quantitative assessment tools: the World Health Organization Personnel, Infrastructure, Procedures, Equipment, Supplies (WHO PIPES) checklist, the neurosurgery-specific PIPES (NeuroPIPES) checklist, and the Neurocritical Care (NCC) checklist at two hospitals in Phnom Penh, Cambodia. Descriptive statistics were obtained for quantitative results. Qualitative semistructured interviews of physicians, nurses, and healthcare administrators were conducted by a single interviewer. Responses were analyzed using a thematic content analysis approach and coded to allow categorization under the PIPES framework.RESULTSOf 35 healthcare providers approached, 29 (82.9%) participated in the surveys, including 19 physicians (65.5%) and 10 nurses (34.5%). The majority had fewer than 5 years of experience (51.7%), were male (n = 26, 89.7%), and were younger than 40 years of age (n = 25, 86.2%). For both hospitals, WHO PIPES scores were lowest in the equipment category. However, using the NCC checklist, both hospitals scored higher in equipment (81.2% and 62.7%) and infrastructure (78.6% and 69.6%; hospital 1 and 2, respectively) categories and lowest in the training/continuing education category (41.7% and 33.3%, hospital 1 and 2, respectively). Using the PIPES framework, analysis of the qualitative data obtained from interviews revealed a need for continuing educational initiatives for staff, increased surgical and critical care supplies and equipment, and infrastructure development. The analysis further elucidated barriers to care, such as challenges with time availability for experienced providers to educate incoming healthcare professionals, issues surrounding prehospital care, maintenance of donated supplies, and patient poverty.CONCLUSIONSThis mixed-methods study identified areas in supplies, equipment, and educational/training initiatives as areas for capacity development for TBI care in an LMIC such as Cambodia. This first application of the NCC checklist in an LMIC setting demonstrated limitations in its use in this setting. Concomitant qualitative assessments provided insight into barriers otherwise undetected in quantitative assessments.

Does history of substance use disorder predict acute traumatic brain injury rehabilitation outcomes?

2016 ◽  
Vol 38 (4) ◽  
pp. 371-383 ◽  
Author(s):  
Janet P. Niemeier ◽  
Shelley L. Leininger ◽  
Marybeth P. Whitney ◽  
Mark A. Newman ◽  
Mark A. Hirsch ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Substance Use ◽  
Brain Injury ◽  
Substance Use Disorder ◽  
Injury Rehabilitation ◽  
Rehabilitation Outcomes ◽  
History Of ◽  
Acute Traumatic Brain Injury

scholarly journals Cluster Analysis of Vulnerable Groups in Acute Traumatic Brain Injury Rehabilitation

2018 ◽  
Vol 99 (11) ◽  
pp. 2365-2369 ◽  
Author(s):  
N. Erkut Kucukboyaci ◽  
Coralynn Long ◽  
Michelle Smith ◽  
Joseph F. Rath ◽  
Tamara Bushnik
Keyword(s):  
Traumatic Brain Injury ◽  
Cluster Analysis ◽  
Brain Injury ◽  
Vulnerable Groups ◽  
Injury Rehabilitation ◽  
Acute Traumatic Brain Injury

Sleep and Pain in Acute Traumatic Brain Injury Rehabilitation

2017 ◽  
Vol 98 (10) ◽  
pp. e109-e110
Author(s):  
Jason Miller ◽  
Rosemary Dubiel ◽  
Monica Bennett ◽  
Simon Driver ◽  
Cynthia Dunklin ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Injury Rehabilitation ◽  
Acute Traumatic Brain Injury

Post-Acute Traumatic Brain Injury Rehabilitation: Effects on Outcome Measures and Life Care Costs

2015 ◽  
Vol 32 (10) ◽  
pp. 704-711 ◽  
Author(s):  
Grace S. Griesbach ◽  
Lisa A. Kreber ◽  
David Harrington ◽  
Mark J. Ashley
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Outcome Measures ◽  
Life Care ◽  
Injury Rehabilitation ◽  
Acute Traumatic Brain Injury ◽  
Care Costs
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