Outcome evaluation and prediction in a comprehensive-integrated post-acute outpatient brain injury rehabilitation programme
Authors:
James F. Malec a;
Jeffrey S. Smigielski a;
Robert W. Depompolo a;
Jeffrey M. Thompson a
| Affiliation: | a Mayo Clinic and Foundation, Rochester, Minnesota, USA |
DOI:
10.3109/02699059309008153
Publication Frequency:
14 issues per year
Formats available:
PDF
(English)
View Article:
View Article (PDF)
Abstract
Outcomes for 29 individuals with brain injuries (BI) were examined following a comprehensive-integrated rehabilitation programme. From programme admission to completion, proportion living with no supervision increased from 59% to 93%; proportion in transitional or competitive work placements increased from 7% to 59%; unemployment decreased from 76% to 31%. Significant changes in behaviour and functional abilities and achievement of individual goals were also documented with the Portland Adaptability Inventory (PAI) and Goal Attainment Scaling. One year follow-up of 21 graduates indicated general maintenance of gains in independent living and work. At follow-up 86% were living without supervision; 48% were in competitive work; one in transitional work; and 29% unemployed. Although individuals entering treatment less than 1 year after injury showed greater gains than those injured more than 1 year prior to admission, both early and late intervention groups showed significant changes on outcome measures. More extensive disabilities as measured by the PAI had a negative impact on programme outcome. Except for reading ability, neuropsychological measures obtained prior to admission did not significantly predict outcome. Programme costs are reported. Results indicate that the group-oriented comprehensive-integrated approach to post-acute brain injury rehabilitation is effective and cost-effective, and recommend early intervention for optimal outcomes.
|
| view references (17) : view citations |


Download Citation

CiteULike
Del.icio.us
BibSonomy
Connotea