Three-Year Follow-Up Results of a Residential Community Reintegration Program for Patients With Chronic Acquired Brain Injury

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• 作者：Gert J. Geurtsen ; MSc ; PhD^a ; ^b ; ^{herendubbel@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Caroline M. van Heugten ; MSc ; PhD^c ; Juan D. Martina ; MD^a ; Antonius C. Rietveld ; MSc ; PhD^e ; ^f ; Ron Meijer ; MD ; PhD^a ; ^d ; ^e ; Alexander C. Geurts ; MD ; PhD^d ; ^e
• 关键词：Brain injuries ; chronic ; Employment ; Quality of life ; Rehabilitation ; Residential treatment ; Treatment outcome
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2012
• 出版时间：May 2012
• 年：2012
• 卷：93
• 期：5
• 页码：908-911
• 全文大小：173 K

文摘

Geurtsen GJ, van Heugten CM, Martina JD, Rietveld AC, Meijer R, Geurts AC. Three-year follow-up results of a residential community reintegration program for patients with chronic acquired brain injury.

bsSec_2">Objective

To evaluate outcomes of a residential community reintegration program 3 years after treatment on independent living, societal participation, emotional well-being, and quality of life in patients with chronic acquired brain injury and psychosocial problems hampering societal participation.

bsSec_3">Design

A follow-up assessment 3 years after treatment was compared with the 1-year follow-up assessment in a prospective cohort study.

bsSec_4">Setting

A tertiary rehabilitation center for acquired brain injury.

bsSec_5">Participants

Of the 67 patients assessed at the 1-year follow-up, 63 subjects (94%; 42 men; mean age at admission to treatment 24.7y; mean time postonset 5.1y) were available at the 3-year follow-up and taken into account in the analyses.

bsSec_6">Intervention

A structured residential treatment program directed at improving independence in domestic life, work, leisure time, and social interactions.

bsSec_7">Main Outcome Measures

Community Integration Questionnaire, Employability Rating Scale, living situation, school, work situation, work hours, Center for Epidemiological Studies-Depression scale, and the World Health Organization Quality of Life Scale Abbreviated (5 scales).

bsSec_8">Results

There were no significant differences for any of the outcome measures between the 1-year and 3-year follow-up assessment.

bsSec_9">Conclusions

These results indicate that the established significant and clinically relevant improvements after a residential community reintegration program remain stable in the long term.