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Zhao JL, Ma LD, Xiao X, Lin LJ, Xie H, Ng SSM, Chen PM. Community integration and its predictors in people with stroke: a multicenter longitudinal study. J Rehabil Med 2024; 56:jrm21372. [PMID: 38659375 PMCID: PMC11066660 DOI: 10.2340/jrm.v56.21372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 04/03/2024] [Indexed: 04/26/2024] Open
Abstract
OBJECTIVE To investigate the community integration of patients following stroke and determine the predictors of their level of community integration at 1-year follow-up. DESIGN A multicenter, longitudinal, and observational study. SUBJECTS Sixty-five inpatients (41 men) with a mean age of 56.9 (standard deviation = 17.0) years, who had their first stroke at least 1 month prior to this study were recruited from 4 rehabilitation inpatient wards in China. METHODS In the initial assessment, the participants were evaluated using the Community Integration Questionnaire, the Fugl-Meyer Assessment, the Berg Balance Scale, the Modified Barthel Index, the Mini Mental State Examination, and the Modified Ashworth Scale. In the follow-up assessments, which were conducted via telephone no less than 1 year after discharge, the participants were evaluated using the Community Integration Questionnaire and also assessed for other disease-related conditions. RESULTS The participants' scores on the Community Integration Questionnaire in the follow-up assessment were significantly greater than those at the initial assessment (p < 0.05). In addition, the participants' Community Integration Questionnaire scores in the follow-up assessment were significantly correlated with their ages, numbers of years of education, and Modified Barthel Index, Berg Balance Scale, Mini Mental State Examination scores in the initial assessment (p < 0.05), and marginally significantly correlated with their scores on Fugl-Meyer Assessment in the initial assessment (p = 0.058). The participants' ages, numbers of years of education, and Modified Barthel Index, Berg Balance Scale, Mini Mental State Examination, Fugl-Meyer Assessment of the lower extremity, and Fugl-Meyer Assessment scores in the initial assessment were predictive of their Community Integration Questionnaire scores at follow-up, with coefficients of determination ranging from 0.254 to 0.056 (p < 0.05). CONCLUSIONS The level of community integration of the participants was generally low, but it was greater at 1-year follow-up than it was initially. Balance function and daily living ability may be key predictors of community integration of patients following stroke.
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Affiliation(s)
- Jiang-Li Zhao
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
| | - Lian-Dong Ma
- Department of Acupuncture and Rehabilitation Medicine, The Second Traditional Chinese Medicine Hospital, Guangzhou, China
| | - Xiang Xiao
- Department of Rehabilitation Medicine, The Shenzhen Luohu Hospital Group Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, China
| | - Li-Jun Lin
- Department of Acupuncture and Rehabilitation Medicine, The Second Traditional Chinese Medicine Hospital, Guangzhou, China
| | - Hao Xie
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Shamay S M Ng
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China. shamay
| | - Pei-Ming Chen
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
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Rajaram SS, Reisher P, Garlinghouse M, Chiou KS. IPV survivors' and service providers' perspectives on brain injury screening/evaluation process and impact. Neuropsychol Rehabil 2024:1-23. [PMID: 38372576 DOI: 10.1080/09602011.2024.2314873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 11/13/2023] [Indexed: 02/20/2024]
Abstract
This study explores the perspectives of intimate partner violence (IPV) survivors and staff of brain injury (BI) screening, and the neuropsychological evaluation (NPE) process. We gathered qualitative data from 17 participants - 10 IPV survivors, at risk for a BI, who had received BI screening and a NPE and a total of 7 staff in IPV-serving organizations. Interviews were recorded, transcribed verbatim and analysed for key themes using thematic analysis. Survivors were over 18 years of age; the majority were between 19 and 45 years old, unemployed, unmarried, and had children. Survivors were angry, scared, and embarrassed to learn that they might have an IPV-related BI. They were thankful to have an explanation for some of their cognitive symptoms, which disrupted their daily activities, social relationships, and overall quality of life. Staff were pleased to be able to provide valuable information to their clients that could have a positive impact on their wellbeing. Overall, screening for a BI and participation in the NPE were well tolerated by IPV survivors with a possible BI. Inclusion of the perspectives of IPV survivors and support staff is an essential first step to better understanding their needs so interventions can be developed to aid their recovery.
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Affiliation(s)
- Shireen S Rajaram
- Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
| | - Peggy Reisher
- Brain Injury Alliance of Nebraska, Lincoln, Nebraska, USA
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Bould E, Callaway L, Brusco NK. 'Yes, I've got the job, but my challenge is keeping the job': an evaluation of a new pathway to open employment to meet the needs of people with acquired brain injury in Australia. BRAIN IMPAIR 2023; 24:395-411. [PMID: 38167184 DOI: 10.1017/brimp.2022.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND AND OBJECTIVES In Australia, people with disability continue to experience low employment rates (48%), compared to the national average (79%), and employment is even lower (30%) for people with acquired brain injury (ABI). This paper evaluates a pilot study of a new mainstream employment pathway following ABI, called Employment CoLab. METHOD Employment CoLab was piloted across multiple industries using a mix of reasonable employer adjustments, insurance-funded supports and/or access to capacity-building supports. Semi-structured interviews were undertaken with four stakeholders; (1) Employees with ABI (n = 5, age 31-49 years, time since injury M(R) = 11(4-26) years); (2) Employers/co-workers (n = 3); (3) Allied health professionals/vocational providers (n = 4); and (4) Injury insurance funders who hold portfolio responsibility for disability employment (n = 5). An explorative economic evaluation was also conducted to compare the cost to the funder for Employment CoLab compared to traditional employment pathways. RESULTS Employment CoLab offered a new approach for people with ABI to gain and sustain open employment. Four major themes were identified from participant interviews: valuing employment and diversity; barriers to mainstream employment; reflections on being employed; and being supported over time. The economic evaluation was unable to detect if the pathway was, or was not, less costly when compared to traditional employment pathways. CONCLUSIONS Employment CoLab is a person-centred collaborative approach which, together with effective social disability insurance approaches, has built new opportunities for inclusive mainstream economic participation following ABI.
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Affiliation(s)
- Em Bould
- Department of Occupational Therapy, Monash University, Melbourne, Australia
| | - Libby Callaway
- Rehabilitation, Ageing and Independent Living Research Centre, Department of Occupational Therapy, Monash University, Melbourne, Australia
| | - Natasha K Brusco
- Rehabilitation, Ageing and Independent Living Research Centre, Monash University, Melbourne, Australia
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Bould E, Callaway L, Warren N, Lalor A, Burke J. Pilot of a dog-walking program to foster and support community inclusion for people with cognitive disabilities. Disabil Rehabil 2023; 45:469-482. [PMID: 35142243 DOI: 10.1080/09638288.2022.2034993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
PURPOSE To evaluate a dog-walking program (called "Dog Buddies") designed to address the need for evidence-based programs that create opportunities for people with cognitive disabilities to be more socially included in mainstream society. The research question was: Does community dog walking foster social interaction for people with cognitive disabilities? MATERIALS AND METHODS Single-case experimental design was used with four individuals (three with intellectual disability; one with Acquired Brain Injury (ABI)) recruited via two disability service providers in Victoria. Target behaviours included frequency and nature of encounters between the person with disability and community members. Change was measured from baseline (five community meetings with a handler but no dog) to intervention period (five meetings minimum, with a handler and a dog). Semi-structured interviews, audio-recorded and transcribed verbatim, provided three participants' subjective experiences of the program. RESULTS Dog Buddies increased the frequency of encounters for all participants. The presence of the dog helped to foster convivial encounters, community members were found to be more welcoming, and some participants were recognised or acknowledged by name over time in the intervention phase. CONCLUSIONS The dog-walking program offered a simple means of influencing the frequency and depth of community-based social interactions for people with cognitive disabilities.IMPLICATIONS FOR REHABILITATIONThe co-presence of people with disabilities in the community with the general population does not ensure social interaction occurs.Both disability policy, and the programs or support that is provided to people with disabilities, needs to have a strong commitment to the inclusion of people with disabilities in mainstream communities.Dog Buddies is a promising example of a program where the presence of a pet dog has been demonstrated to support convivial, bi-directional encounters of people with cognitive disabilities and other community members.Dog-walking offers a simple means of influencing the frequency and depth of community-based social interactions for people with cognitive disabilities.
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Affiliation(s)
- Em Bould
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Australia
| | - Libby Callaway
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Frankston, Australia
| | - Narelle Warren
- Anthropology, School of Social Sciences, Monash University, Clayton, Australia
| | - Aislinn Lalor
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Frankston, Australia
| | - Joanne Burke
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Australia
- Education, Faculty of Education, Monash University, Clayton, Australia
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Panuccio F, Galeoto G, Valente D, Ioncoli M, Marquez MA, Tofani M, Berardi A. Psychometric properties of the Community Integration Questionnaire - Revised (CIQ-R) in an Italian population with spinal cord injury. Spinal Cord Ser Cases 2022; 8:18. [PMID: 35124691 PMCID: PMC8818046 DOI: 10.1038/s41394-022-00486-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 01/24/2022] [Accepted: 01/26/2022] [Indexed: 02/07/2023] Open
Abstract
STUDY DESIGN Psychometric study. OBJECTIVES The aim of this study was to evaluate the internal consistency and validity of the Community Integration Questionnaire - Revised (CIQ-R) in Italian individuals with spinal cord injury (SCI). SETTING Patients' associations, foundations, sport clubs, and federations in Italy. METHODS The psychometric properties were evaluated following international guidelines. Internal consistency was assessed using Cronbach's alpha (α) coefficient, and test-retest reliability was assessed using intraclass correlation coefficient (ICC); concurrent validity was assessed through Pearson's Correlation Coefficient with the Short Form-12 health survey (SF-12). RESULTS The test was administered to 80 people with SCI. Cronbach's α showed a value of 0.825 for the Home Integration subscale, while the other subscales and the total showed values <0.70. 30 of the 80 recruited individuals were submitted to test-retest, which showed ICC values ranging from 0.94 to 1. CIQ-R also showed a correlation between Physical Component Summary (PCS12) of the SF-12, and between Social Integration subscale's score and PCS12 and Mental Component Summary (MCS12). Correlations are also shown between Productivity subscale and PCS12 and MCS12, as well as between the total score and PCS12 and MCS12. CONCLUSION This study provided Italian clinicians and researchers with the first international outcome measure for measuring community integration. The validation of this measurement tool for people with SCI allows to compare outcomes of various studies. It is useful for testing the effectiveness of a treatment in various diseases and define which treatment is more effective than others.
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Affiliation(s)
| | - Giovanni Galeoto
- grid.7841.aDepartment of Human Neurosciences, Sapienza University of Rome, Viale dell’università 30, 00185 Rome, Italy ,IRCSS Neuromed, Via Atinense 18, Rome, 86077 Pozzilli (IS) Italy
| | - Donatella Valente
- grid.7841.aDepartment of Human Neurosciences, Sapienza University of Rome, Viale dell’università 30, 00185 Rome, Italy ,IRCSS Neuromed, Via Atinense 18, Rome, 86077 Pozzilli (IS) Italy
| | - Melissa Ioncoli
- grid.7841.aSapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
| | - Maria Auxiliadora Marquez
- grid.512367.4Universidad Fernando Pessoa-Canarias, Las Palmas, Spain ,grid.23520.360000 0000 8569 1592Health Sciences, University of Burgos, Burgos, Spain
| | - Marco Tofani
- grid.7841.aDepartment of Public Health and Infectious Disease, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
| | - Anna Berardi
- grid.7841.aDepartment of Human Neurosciences, Sapienza University of Rome, Viale dell’università 30, 00185 Rome, Italy
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Lama S, Damkliang J, Kitrungrote L. Community Integration After Traumatic Brain Injury and Related Factors: A Study in the Nepalese Context. SAGE Open Nurs 2020; 6:2377960820981788. [PMID: 33912666 PMCID: PMC8047939 DOI: 10.1177/2377960820981788] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 11/15/2020] [Accepted: 11/27/2020] [Indexed: 11/16/2022] Open
Abstract
Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson's correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.
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Affiliation(s)
- Sumana Lama
- Nursing Science Program in Adult and Gerontological Nursing (International Program), Prince of Songkla University, Hat Yai, Thailand
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7
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Crosscultural Validation of the Community Integration Questionnaire-Revised in an Italian Population. Occup Ther Int 2020; 2020:8916541. [PMID: 32934614 PMCID: PMC7481919 DOI: 10.1155/2020/8916541] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 07/10/2020] [Indexed: 12/14/2022] Open
Abstract
Objective The aims of this study are the translation, cultural adaptation, and validation of the Community Integration Questionnaire–Revised (CIQ-R) in Italian in a group of individuals with no clinical evidence of disability. Methods The test's internal consistency and validity were assessed by following international guidelines. The test's internal consistency was examined using Cronbach's alpha (α) coefficient. Pearson's correlation coefficient was calculated to assess the test's concurrent validity compared with the Short Form-12 (SF-12) health survey. Results The CIQ-R was administrated to 400 people with no clinical evidence of disease, impairment, or disability, aged between 18 and 64. Cronbach's α reported a value of 0.82 in the home integration subscale. The test also showed a good test-retest reliability, with an Intraclass Correlation Coefficient of 0.78, and a significant correlation between the total score of the CIQ-R and the Physical Component Summary (PCS) of the SF-12 (r = 0.118), between the “social integration” subscale's score and PCS12 (r = 0.121) and between the “Electronic Social Networking integration” subscale's score and PCS12 (r = 0.184), with p < 0.05. Conclusion This is the first study to report the results of the translation and validation of the CIQ-R in Italian. The CIQ-R is an important tool for Italian professionals and can be useful in both clinical practice and research for measuring the level of community integration among the healthy population.
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A co-design approach to examine and develop pathways to open employment for people with acquired brain injury. BRAIN IMPAIR 2020. [DOI: 10.1017/brimp.2020.9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractBackground and objectives:People with acquired brain injury (ABI) have traditionally experienced low employment rates, compared with the national average and others with disability in Australia. To positively impact mainstream economic participation following ABI, a co-design approach was used to investigate open employment pathways available and consider necessary pathway features to enable employment for people with ABI.Method:A qualitative focus group methodology was used with four groups: people with ABI; health professionals working with this group; employers providing work for people with ABI and social and injury insurers funding employment services. The project was delivered in two phases: (1) review existing work pathways in Australia and gather knowledge about enablers and barriers to employment following ABI and (2) use ABI lived experience, employers’ experience and allied health and social insurer expertise to develop a new pathway to mainstream employment.Results:Co-design helped to identify enablers and barriers to employment of people with ABI, as well as practical strategies to facilitate workplace diversity and inclusion. Enablers included replacing interviews with an onsite assessment to meet key staff and trial work tasks, employer education on ABI, the use of compensatory cognitive aides and graded on-the-job support. This guided the development of a new employment pathway, tailored for people with ABI, called ‘Employment CoLab’.Conclusions:The Employment CoLab pathway, when coupled with person-centred collaborative and effective social disability insurance approaches, offers opportunities to build inclusive, sustainable and scalable economic participation and mainstream wages for people with ABI.
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9
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Ibarra S, Parrott D, Waldman W, Hammond FM, Dillahunt-Aspillaga C, Trexler L. Provision of resource facilitation services for individuals with acquired brain injury across the United States: results of a 2018 resource facilitator provider survey. Brain Inj 2020; 34:732-740. [PMID: 32310672 DOI: 10.1080/02699052.2020.1749931] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Resource Facilitation is a lesser-known service line within the field of brain injury rehabilitation and has been described as similar to case management, care coordination, and neuronavigation. The purpose of this project was to evaluate current Resource Facilitation programs and provide a comprehensive summary of program characteristics to work toward a common definition of Resource Facilitation services and inform future program development and evaluation frameworks. MATERIALS AND METHODS An online survey was sent to all known Resource Facilitation programs in the US (N = 70). DATA COLLECTION Completed through Survey Monkey including information related to program history, structure, population served, and outcomes measurement. STATISTICALANALYSIS Descriptive statistical analyses were applied. RESULTS Twenty-four of the 70 programs completed the survey, resulting in a 34% completion rate. This snapshot of the current definitions and activities demonstrated high variability across programs regarding structure, funding, eligibility, and data collection. Only 33% of programs reported having a program evaluation system. CONCLUSIONS This project provided a comprehensive summary of Resource Facilitation program characteristics and associated outcome metrics. The findings may be used to begin the formulation of a common definition of Resource Facilitation services, a program evaluation framework, and aid in establishing a common data set across programs.
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Affiliation(s)
- Summer Ibarra
- Research, Training, and Outcomes Center, Rehabilitation Hospital of Indiana , Indianapolis, Indiana, USA.,Physical Medicine and Rehabilitation, Indiana University School of Medicine , Indianapolis, Indiana, USA
| | - Devan Parrott
- Research, Training, and Outcomes Center, Rehabilitation Hospital of Indiana , Indianapolis, Indiana, USA.,Physical Medicine and Rehabilitation, Indiana University School of Medicine , Indianapolis, Indiana, USA
| | - Wendy Waldman
- Research, Training, and Outcomes Center, Rehabilitation Hospital of Indiana , Indianapolis, Indiana, USA
| | - Flora M Hammond
- Research, Training, and Outcomes Center, Rehabilitation Hospital of Indiana , Indianapolis, Indiana, USA.,Physical Medicine and Rehabilitation, Indiana University School of Medicine , Indianapolis, Indiana, USA
| | | | - Lance Trexler
- Research, Training, and Outcomes Center, Rehabilitation Hospital of Indiana , Indianapolis, Indiana, USA.,Physical Medicine and Rehabilitation, Indiana University School of Medicine , Indianapolis, Indiana, USA
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Turcotte S, Beaudoin M, Vallée C, Vincent C, Routhier F. Psychometric properties of the Community Integration Questionnaire: a systematic review of five populations. Clin Rehabil 2019; 33:1775-1787. [PMID: 31397182 DOI: 10.1177/0269215519867998] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES This systematic review documents the content and the quality of the psychometric evidence concerning the utilization of the Community Integration Questionnaire for individuals living with a disability other than a traumatic brain injury. DATA SOURCES Medline, Embase, CINAHL, OTseeker and PsycINFO (searched from inception to June 2019). REVIEW METHODS Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for conducting and reporting this review. Studies that investigated at least one psychometric property of the Community Integration Questionnaire for individuals living with a disability other than traumatic brain injury were included. Data extraction and critical methodological appraisal of the articles (MacDermid checklist, COnsensus-based Standards for the selection of health Measurement INstruments checklist) were independently performed and validated by the first two authors. RESULTS Ten studies representing 3000 individuals met the inclusion criteria. Five populations were documented. There are positive and trustable data regarding internal consistency for adults living with multiple sclerosis, spinal cord injury or burns and in mixed samples (α = 0.71-0.84). Construct validity is fairly documented for adults living with multiple sclerosis or aphasia and in mixed samples. Test-retest reliably is acceptable for adults living with multiple sclerosis (intraclass correlation coefficient = 0.91-0.97) as well as responsiveness (area under the receiver operating characteristic curve = 0.81). Other psychometric properties could not be demonstrated sufficiently solid. CONCLUSION Many psychometric properties of the Community Integration Questionnaire are still poorly evaluated for adults living with a disability other than a traumatic brain injury. However, promising data have been documented in each population included in this review.
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Affiliation(s)
- Samuel Turcotte
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
- Université Laval, Québec City, QC, Canada
| | - Maude Beaudoin
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
- Université Laval, Québec City, QC, Canada
| | - Catherine Vallée
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
- Center for Research on Primary Care and Services, Université Laval, Québec City, QC, Canada
| | - Claude Vincent
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
- Université Laval, Québec City, QC, Canada
| | - François Routhier
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
- Université Laval, Québec City, QC, Canada
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Jamwal R, Enticott J, Farnworth L, Winkler D, Callaway L. The use of electronic assistive technology for social networking by people with disability living in shared supported accommodation. Disabil Rehabil Assist Technol 2019; 15:101-108. [PMID: 30663446 DOI: 10.1080/17483107.2018.1534998] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: This study aimed to examine use of electronic assistive technology for social networking by people with disability living in shared supported accommodation (SSA), and compare participants' Electronic Social Networking (ESN) integration with Australian ESN normative data.Method: Telephone surveys and the ESN subscale of the Community Integration Questionnaire-Revised (CIQ-R) were administered with SSA managers. Surveys gathered demographic data, and data on Internet access, technology use and ESN integration, of 91 people with disability who were identified technology users and living in SSA. Participant ESN data were then matched with existing CIQ-R ESN normative data (N = 359). Relative risk of reduced ESN integration was calculated.Results: This study identified that, despite access to mainstream technologies, people with disability living in SSA experience low ESN integration, and use ESN for social contact less than other Australians. This group were 210% more likely to report reduced ESN integration than the matched normative sample when key demographic variables were held constant.Conclusions: Factors related to disability, including high care and support needs and greater time spent completing essential activities of daily living (such as personal care), may explain the low electronic social networking integration for people with disability living in SSA identified in this study. Further research that examines factors that influence ESN access and use following disability is necessary to inform practice to bridge the digital divide that exists between this group and other Australians.
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Affiliation(s)
- Rebecca Jamwal
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, School of Primary Health Care, Monash University - Peninsula Campus, Frankston, Victoria, Australia.,Royal Talbot Rehabilitation Centre, Austin Health, Kew, Victoria Australia
| | - Joanne Enticott
- Southern Synergy, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia
| | - Louise Farnworth
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, School of Primary Health Care, Monash University - Peninsula Campus, Frankston, Victoria, Australia
| | - Di Winkler
- Summer Foundation Ltd, Blackburn, Victoria, Australia
| | - Libby Callaway
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, School of Primary Health Care, Monash University - Peninsula Campus, Frankston, Victoria, Australia.,Neuroskills Pty Ltd, Sandringham, Victoria, Australia
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Rehabilitation Trajectories and Outcomes in Individuals With Mild Traumatic Brain Injury and Psychiatric Histories: A TRACK-TBI Pilot Study. J Head Trauma Rehabil 2019; 34:36-44. [DOI: 10.1097/htr.0000000000000399] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Migliorini C, Callaway L, Moore S, Simpson GK. Family and TBI: an investigation using the Family Outcome Measure – FOM-40. Brain Inj 2018; 33:282-290. [DOI: 10.1080/02699052.2018.1553307] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | - Libby Callaway
- Department of Occupational Therapy, Monash University, Melbourne, Australia
- Neuroskills Pty Ltd, Sandringham, Australia
| | - Sophie Moore
- Department of Occupational Therapy, Monash University, Melbourne, Australia
| | - Grahame K Simpson
- Brain Injury Rehabilitation Research Group, Ingham Institute of Applied Medical Research, Sydney, Australia
- John Walsh Centre for Rehabilitation Research, Kolling Institute, University of Sydney, Sydney, Australia
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Tršinski D, Tadinac M, Bakran Ž, Klepo I. Utility of the Croatian translation of the community integration questionnaire-revised in a sample of adults with moderate to severe traumatic brain injury. Disabil Rehabil 2018; 41:1711-1718. [DOI: 10.1080/09638288.2018.1443349] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Dubravko Tršinski
- Department of Neurology, Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
| | - Meri Tadinac
- Department of Psychology, University of Zagreb Faculty of Humanities and Social Sciences, Zagreb, Croatia
| | - Žarko Bakran
- Department of Neurology, Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
| | - Ivana Klepo
- Department of Neurology, Hospital for Medical Rehabilitation, Krapinske Toplice, Croatia
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Hagger BF, Riley GA. The social consequences of stigma-related self-concealment after acquired brain injury. Neuropsychol Rehabil 2017; 29:1129-1148. [DOI: 10.1080/09602011.2017.1375416] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Gerard A. Riley
- School of Psychology, University of Birmingham, Birmingham, UK
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Shawyer F, Enticott JC, Block AA, Cheng IH, Meadows GN. The mental health status of refugees and asylum seekers attending a refugee health clinic including comparisons with a matched sample of Australian-born residents. BMC Psychiatry 2017; 17:76. [PMID: 28222713 PMCID: PMC5320723 DOI: 10.1186/s12888-017-1239-9] [Citation(s) in RCA: 73] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Accepted: 02/15/2017] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The aim of this study was to survey refugees and asylum-seekers attending a Refugee Health Service in Melbourne, Australia to estimate the prevalence of psychiatric disorders based on screening measures and with post-traumatic stress disorder (PTSD) specifically highlighted. A secondary aim was to compare the prevalence findings with Australian-born matched comparators from the 2007 National Survey of Mental Health and Well-Being. METHODS We conducted a cross-sectional survey of 135 refugees and asylum-seeker participants using instruments including Kessler-10 (K10) and PTSD-8 to obtain estimates of the prevalence of mental disorders. We also performed a comparative analysis using matched sets of one participant and four Australian-born residents, comparing prevalence results with conditional Poisson regression estimated risk ratios (RR). RESULTS The prevalence of mental illness as measured by K10 was 50.4%, while 22.9% and 31.3% of participants screened positive for PTSD symptoms in the previous month and lifetime, respectively. The matched analysis yielded a risk ratio of 3.16 [95% confidence interval (CI): 2.30, 4.34] for abnormal K10, 2.25 (95% CI: 1.53, 3.29) for PTSD-lifetime and 4.44 (95% CI: 2.64, 7.48) for PTSD-month. CONCLUSIONS This information on high absolute and relative risk of mental illness substantiate the increased need for mental health screening and care in this and potentially other refugee clinics and should be considered in relation to service planning. While the results cannot be generalised outside this setting, the method may be more broadly applicable, enabling the rapid collection of key information to support service planning for new waves of refugees and asylum-seekers. Matching data with existing national surveys is a useful way to estimate differences between groups at no additional cost, especially when the target group is comparatively small within a population.
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Affiliation(s)
- Frances Shawyer
- Southern Synergy, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3800 Australia
| | - Joanne C. Enticott
- Southern Synergy, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3800 Australia
- Royal District Nursing Service Institute, 31 Alma Rd, St Kilda, VIC Australia
| | - Andrew A. Block
- Special Medicine and Refugee Health & Wellbeing, Monash Health, Dandenong, VIC 3175 Australia
- Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3800 Australia
| | - I-Hao Cheng
- Southern Academic Primary Care Research Unit, Department of General Practice, Monash University, Notting Hill, VIC 3168 Australia
| | - Graham N. Meadows
- Southern Synergy, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3800 Australia
- Mental Health Program, Monash Health, Dandenong, VIC 3075 Australia
- Melbourne School of Population and Global Health, University of Melbourne, Parkville, VIC 3010 Australia
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Callaway L, Enticott J, Farnworth L, McDonald R, Migliorini C, Willer B. Community integration outcomes of people with spinal cord injury and multiple matched controls: A pilot study. Aust Occup Ther J 2016; 64:226-234. [DOI: 10.1111/1440-1630.12350] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/26/2016] [Indexed: 12/01/2022]
Affiliation(s)
- Libby Callaway
- Occupational Therapy Department; Monash University; Frankston Australia
| | - Joanne Enticott
- Department of Psychiatry; Southern Clinical School; Monash University; Australia
- Southern Synergy; Clayton Australia
| | - Louise Farnworth
- Occupational Therapy Department; Monash University; Frankston Australia
| | - Rachael McDonald
- Department of Health and Medical Sciences; Swinburne University of Technology; Hawthorn Australia
| | | | - Barry Willer
- Department of Psychiatry; State University of Buffalo; Buffalo New York USA
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