Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 1, 2012
   Pages 139 — 154

Abstract — Measurement of social participation outcomes in rehabilitation of veterans with traumatic brain injury

William Stiers, PhD;1* Noelle Carlozzi, PhD;2 Alison Cernich, PhD;3 Craig Velozo, PhD;4 Theresa Pape, DrPH;5 Tessa Hart, PhD;6 Suzy Gulliver, PhD;7 Margaret Rogers, PhD;8 Edgar Villarreal, MS;9 ??Shalanda Gordon, PhD;10 Wayne Gordon, PhD;11 Gale Whiteneck, PhD12
1Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD; 2Kessler Foundation Research Center, West Orange, NJ; and Department of Physical Medicine and Rehabilitation, New Jersey Medical School, University of Medicine & Dentistry of New Jersey, Newark, NJ; 3Neuropsychology, Department of Veterans Affairs (VA) Maryland Health Care System, Baltimore, MD; and Departments of Neurology and Psychiatry, University of Maryland School of Medicine, Baltimore, MD; 4North Florida/South Georgia Veterans Health System, Gainesville, FL; and Department of Occupational Therapy, University of Florida, Gainesville, FL; 5Edward Hines, Jr. VA Hospital, Hines, IL; and Feinberg School of Medicine, Northwestern University, Chicago, IL; 6Moss Rehabilitation Research Institute, Elkins Park, PA; and Department of Psychiatry, Einstein Medical Center, Einstein Healthcare Network, Philadelphia, PA; 7Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Health Care System, Waco VA Medical Center, Waco, TX; and College of Medicine, Texas A&M Health Science Center, Bryan, TX; 8American Speech-Language-Hearing Association, Rockville, MD; 9VA Eastern Colorado Health Care System, Denver, CO; 10Austin Outpatient Clinic, Central Texas Veterans Health Care System, Austin, TX; and St. Phillip–s College, San Antonio, TX; 11Department of Rehabilitation Medicine, Mt. Sanai School of Medicine, New York, NY; 12Craig Hospital, Englewood, CO

Abstract–Traumatic brain injury (TBI) is a significant concern in the veteran population, and the Department of Veteran Affairs (VA) has devoted substantial healthcare resources to the rehabilitation of veterans with TBI. Evaluating the outcomes of these rehabilitation activities requires measuring whether they meaningfully improve veterans– lives, especially with regard to community and vocational participation, which are strongly linked to perceived quality of life. In January 2010, the VA Rehabilitation Research and Development Service convened an invitational conference focused on outcome measurement in rehabilitation with a specific focus on veterans– community and vocational participation. This article reports on the working group, addressing the issues of conceptualizing and operationalizing such participation outcome measures for veterans with TBI; we discuss conceptual models of participation, review participation subdomains and their instruments of measurement, and identify current research issues and needs. Two avenues are identified for advancing participation measurement in veterans with TBI. First, we describe suggestions to facilitate the immediate implementation of participation measurement into TBI clinical practice and rehabilitation research within the VA healthcare system. Second, we describe recommendations for future VA research funding initiatives specific to improving the measurement of participation in veterans with TBI.

Key words: clinical practice, measurement, outcomes, participation, rehabilitation, research, social participation, traumatic brain injury, VA, veterans.

View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 1
This article and any supplementary material should be cited as follows:
Stiers W, Carlozzi N, Cernich A, Velozo C, Pape T, Hart T, Gulliver S, Rogers M, Villarreal E, Gordon S, Gordon W, Whiteneck G. Measurement of social participation outcomes in rehabilitation of veterans with traumatic brain injury. J Rehabil Res Dev. 2012;49(1):139–54.

Last Reviewed or Updated  Wednesday, February 15, 2012 2:22 PM

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