Community integration after traumatic brain injury: A systematic review of the clinical implications of measurement and service provision for older adults

Linda Ritchie, Valerie A. Wright-St Clair, Justin Keogh, Marion Gray

Research output: Contribution to journalReview articleResearchpeer-review

24 Citations (Scopus)

Abstract

Objective: To explore the scope, reliability, and validity of community integration measures for older adults after traumatic brain injury (TBI). Data Sources: A search of peer-reviewed articles in English from 1990 to April 2011 was conducted using the EBSCO Health and Scopus databases. Search terms included were community integration, traumatic brain injury or TBI, 65 plus or older adults, and assessment. Study Selection: Forty-three eligible articles were identified, with 11 selected for full review using a standardized critical review method. Data Extraction: Common community integration measures were identified and ranked for relevance and psychometric properties. Of the 43 eligible articles, studies reporting community integration outcomes post-TBI were identified and critically reviewed. Older adults' community integration needs post-TBI from high quality studies were summarized. Data Synthesis: There is a relative lack of evidence pertaining to older adults post-TBI, but indicators are that older adults have poorer outcomes than their younger counterparts. The Community Integration Questionnaire (CIQ) is the most widely used community integration measurement tool used in research for people with TBI. Because of some limitations, many studies have used the CIQ in conjunction with other measures to better quantify and/or monitor changes in community integration. Conclusions: Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.

Original languageEnglish
Pages (from-to)163-174
Number of pages12
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number1
DOIs
Publication statusPublished - Jan 2014

Fingerprint

Community Integration
Practice Guidelines
Traumatic Brain Injury
Quality of Life
Process Assessment (Health Care)
Information Storage and Retrieval
Research
Psychometrics
Reproducibility of Results

Cite this

@article{048fc3365f2049249a68a3387fdedf03,
title = "Community integration after traumatic brain injury: A systematic review of the clinical implications of measurement and service provision for older adults",
abstract = "Objective: To explore the scope, reliability, and validity of community integration measures for older adults after traumatic brain injury (TBI). Data Sources: A search of peer-reviewed articles in English from 1990 to April 2011 was conducted using the EBSCO Health and Scopus databases. Search terms included were community integration, traumatic brain injury or TBI, 65 plus or older adults, and assessment. Study Selection: Forty-three eligible articles were identified, with 11 selected for full review using a standardized critical review method. Data Extraction: Common community integration measures were identified and ranked for relevance and psychometric properties. Of the 43 eligible articles, studies reporting community integration outcomes post-TBI were identified and critically reviewed. Older adults' community integration needs post-TBI from high quality studies were summarized. Data Synthesis: There is a relative lack of evidence pertaining to older adults post-TBI, but indicators are that older adults have poorer outcomes than their younger counterparts. The Community Integration Questionnaire (CIQ) is the most widely used community integration measurement tool used in research for people with TBI. Because of some limitations, many studies have used the CIQ in conjunction with other measures to better quantify and/or monitor changes in community integration. Conclusions: Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.",
author = "Linda Ritchie and {Wright-St Clair}, {Valerie A.} and Justin Keogh and Marion Gray",
year = "2014",
month = "1",
doi = "10.1016/j.apmr.2013.08.237",
language = "English",
volume = "95",
pages = "163--174",
journal = "Archives of physical medicine",
issn = "0003-9993",
publisher = "Elsevier",
number = "1",

}

Community integration after traumatic brain injury : A systematic review of the clinical implications of measurement and service provision for older adults. / Ritchie, Linda; Wright-St Clair, Valerie A.; Keogh, Justin; Gray, Marion.

In: Archives of Physical Medicine and Rehabilitation, Vol. 95, No. 1, 01.2014, p. 163-174.

Research output: Contribution to journalReview articleResearchpeer-review

TY - JOUR

T1 - Community integration after traumatic brain injury

T2 - A systematic review of the clinical implications of measurement and service provision for older adults

AU - Ritchie, Linda

AU - Wright-St Clair, Valerie A.

AU - Keogh, Justin

AU - Gray, Marion

PY - 2014/1

Y1 - 2014/1

N2 - Objective: To explore the scope, reliability, and validity of community integration measures for older adults after traumatic brain injury (TBI). Data Sources: A search of peer-reviewed articles in English from 1990 to April 2011 was conducted using the EBSCO Health and Scopus databases. Search terms included were community integration, traumatic brain injury or TBI, 65 plus or older adults, and assessment. Study Selection: Forty-three eligible articles were identified, with 11 selected for full review using a standardized critical review method. Data Extraction: Common community integration measures were identified and ranked for relevance and psychometric properties. Of the 43 eligible articles, studies reporting community integration outcomes post-TBI were identified and critically reviewed. Older adults' community integration needs post-TBI from high quality studies were summarized. Data Synthesis: There is a relative lack of evidence pertaining to older adults post-TBI, but indicators are that older adults have poorer outcomes than their younger counterparts. The Community Integration Questionnaire (CIQ) is the most widely used community integration measurement tool used in research for people with TBI. Because of some limitations, many studies have used the CIQ in conjunction with other measures to better quantify and/or monitor changes in community integration. Conclusions: Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.

AB - Objective: To explore the scope, reliability, and validity of community integration measures for older adults after traumatic brain injury (TBI). Data Sources: A search of peer-reviewed articles in English from 1990 to April 2011 was conducted using the EBSCO Health and Scopus databases. Search terms included were community integration, traumatic brain injury or TBI, 65 plus or older adults, and assessment. Study Selection: Forty-three eligible articles were identified, with 11 selected for full review using a standardized critical review method. Data Extraction: Common community integration measures were identified and ranked for relevance and psychometric properties. Of the 43 eligible articles, studies reporting community integration outcomes post-TBI were identified and critically reviewed. Older adults' community integration needs post-TBI from high quality studies were summarized. Data Synthesis: There is a relative lack of evidence pertaining to older adults post-TBI, but indicators are that older adults have poorer outcomes than their younger counterparts. The Community Integration Questionnaire (CIQ) is the most widely used community integration measurement tool used in research for people with TBI. Because of some limitations, many studies have used the CIQ in conjunction with other measures to better quantify and/or monitor changes in community integration. Conclusions: Enhancing integration of older adults after TBI into their community of choice, with particular emphasis on social integration and quality of life, should be a primary rehabilitation goal. However, more research is needed to inform best practice guidelines to meet the needs of this growing TBI population. It is recommended that subjective tools, such as quality of life measures, are used in conjunction with well-established community integration measures, such as the CIQ, during the assessment process.

UR - http://www.scopus.com/inward/record.url?scp=84891627697&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2013.08.237

DO - 10.1016/j.apmr.2013.08.237

M3 - Review article

VL - 95

SP - 163

EP - 174

JO - Archives of physical medicine

JF - Archives of physical medicine

SN - 0003-9993

IS - 1

ER -