Assessing Change in Participation in Clinical Evaluations of Deployed Veterans with Medically Unexplained Symptoms.
Many deployed veterans experience issues reintegrating into civilian life. Addressing this in a clinical setting can prove challenging; however, assessing participation , defined as involvement in a life situation by the World Health Organization's International Classification of Functioning, Disabi...
| Publicado en: | Health & Social Work Vol. 47; no. 4; pp. 253 - 262 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Nov2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=159922776&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 159922776 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03607283 HSW jtl: Health & Social Work issn: 03607283 maglogo: N pubinfo: dt: Nov2022 vid: 47 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 159922776 10.1093/hsw/hlac024 ppf: 253 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P size: 444KB tig: atl: Assessing Change in Participation in Clinical Evaluations of Deployed Veterans with Medically Unexplained Symptoms. aug: au: Nadkarni, Shree Ecker, Anthony H Waid-Ebbs, Julia Kay Pickett, Lisa C Ray, Kathleen Chandler, Helena K McAndrew, Lisa M Helmer, Drew A affil: BS, is a medical student, Rutgers New Jersey Medical School , Newark, NJ, USA PhD, is research health scientist, VA South Central Mental Illness Research , Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Psychiatry and Behavioral Sciences, Houston, TX, USA PhD, is a health science specialist, Malcom Randall Veterans Affairs Medical Center , Gainesville, FL, USA LCSW, is War Related Illness and Injury Study Center (WRIISC) social work coordinator, VA NJ Healthcare System, East Orange, NJ, USA PhD, is director of MSW program, Ramapo College , Mahwah, NJ, USA PhD, is director of research, WRIISC, VA New Jersey Healthcare System , East Orange, NJ, USA MD, MS, is Deputy Director of the Center for Innovations in Quality, Effectiveness and Safety , Michael E. DeBakey VA Medical Center, and professor of medicine, Baylor College of Medicine, both in Houston, TX, USA su: New Jersey Social participation Retrospective studies Health status indicators Social security Veterans Rehabilitation Social case work Computer adaptive testing Armed Forces in foreign countries Multiple regression analysis Acquisition of data Regression analysis T-test (Statistics) Medically unexplained symptoms Independent living Medical records Chi-squared test Descriptive statistics Statistical models Brain injuries Data analysis software sug: subj: Social participation Retrospective studies Health status indicators Social security Veterans Rehabilitation Social case work New Jersey Administration of Veterans' Affairs Computer adaptive testing Armed Forces in foreign countries Multiple regression analysis Acquisition of data Regression analysis T-test (Statistics) Medically unexplained symptoms Independent living Medical records Chi-squared test Descriptive statistics Statistical models Brain injuries Data analysis software keyword: medically unexplained symptoms participation postdeployment health veterans medically unexplained symptoms participation postdeployment health veterans ab: Many deployed veterans experience issues reintegrating into civilian life. Addressing this in a clinical setting can prove challenging; however, assessing participation , defined as involvement in a life situation by the World Health Organization's International Classification of Functioning, Disability and Health , may be helpful. The Community Reintegration of Injured Service Members–Computer Adaptive Test (CRIS-CAT) is a measure of participation developed and validated in veteran populations. The War Related and Illness and Injury Study Center, which provides comprehensive evaluations to veterans with medically unexplained deployment-related concerns, used the CRIS-CAT as part of their social work evaluations during these visits and follow-up telephone calls. This retrospective review of clinical data examines the link between participation as assessed by the CRIS-CAT and factors that are mutable (such as relationships with others) and immutable (personal characteristics) as assessed in the social work evaluation over 12 months. The findings indicate that these veteran patients did not experience change in their participation as measured by the CRIS-CAT. Multivariable regression models demonstrated relationships only between change in CRIS-CAT scales and baseline scores and race. Article concludes by discussing lessons learned from this evaluation of the utility of the CRIS-CAT in clinical care and in longitudinal evaluation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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