Modeling the prospective relationships of impairment, injury severity, and participation to quality of life following traumatic brain injury.
Identifying reliable predictors of positive adjustment following traumatic brain injury (TBI) remains an important area of inquiry. Unfortunately, much of available research examines direct relationships between predictor variables and outcomes without attending to the contextual relationships that...
| Published in: | BioMed Research International Vol. 2013; pp. 102570 - 102571 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Published: |
Wiley-Blackwell
2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104111749&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104111749 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146133 FT2T jtl: BioMed Research International issn: 23146133 maglogo: N pubinfo: dt: 2013 vid: 2013 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104111749 2012362699 NLM24199186 PMC3807828 104111749 ppf: 102570 ppct: 1 formats: fmt: @attributes: type: P tig: atl: Modeling the prospective relationships of impairment, injury severity, and participation to quality of life following traumatic brain injury. aug: au: Kalpinski, Ryan J Williamson, Meredith L C Elliott, Timothy R Berry, Jack W Underhill, Andrea T Fine, Philip R affil: Department of Educational Psychology, 4225 TAMU, Texas A&M University, College Station, TX 77845-4225, USA. sug: subj: Brain Injuries Pathology Brain Injuries Physiopathology Models, Biological Quality of Life Trauma Severity Indices Adult Female Male Motor Activity Adult: 19-44 years Female Male ab: Identifying reliable predictors of positive adjustment following traumatic brain injury (TBI) remains an important area of inquiry. Unfortunately, much of available research examines direct relationships between predictor variables and outcomes without attending to the contextual relationships that can exist between predictor variables. Relying on theoretical models of well-being, we examined a theoretical model of adjustment in which the capacity to engage in intentional activities would be prospectively associated with greater participation, which in turn would predict subsequent life satisfaction and perceived health assessed at a later time. Structural equation modeling of data collected from 312 individuals (226 men, 86 women) with TBI revealed that two elements of participation--mobility and occupational activities--mediated the prospective influence of functional independence and injury severity to optimal adjustment 60 months following medical discharge for TBI. The model accounted for 21% of the variance in life satisfaction and 23% of the variance in self-rated health. Results indicate that the effects of functional independence and injury severity to optimal adjustment over time may be best understood in the context of participation in meaningful, productive activities. Implications for theoretical models of well-being and for clinical interventions that promote adjustmentafter TBI are discussed. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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