Title: Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals - ScienceDirect
Headings: Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals
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Archives of Physical Medicine and Rehabilitation
Articles
Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals ☆, ☆☆, ★
Abstract
Keywords
Methods
Procedures
Outcome measures
FIM instrument
Functional assessment measure
Disability rating scale
Rancho los amigos scale of cognitive functioning
Glasgow outcome scale
Community integration questionnaire
Revised craig handicap assessment and reporting technique
Patient competency rating scale
Supervision rating scale
Neurobehavioral functioning inventory
Analysis
Results
Demographics of sample
Scale means
Ceiling effects
Correlational relationships between scales
Discussion
Limitations
Conclusion
Acknowledgements
References

Content: The clinician is now documenting both the short- and long-term effects of treatment not only for clinical purposes, but also for program evaluation, marketing, and accreditation. In the managed health care environment, functional assessment of patients in the rehabilitation setting may become the only means of justifying treatment effectiveness and, consequently, payment for rehabilitation. 1, 2
Today's movement toward offering programs that provide a continuum of care from injury through community integration presents quandaries for measuring function appropriate to the phase of recovery. 3, 4, 5 In addition to their being less sensitive as individuals return to the community, 5, 6 traditional inpatient measures may not be measuring the important functional goals for extended care. The measurement tools described and compared in the present study span assessment of activity and participation, which were formerly described as disability and handicap in the original International Classification of Impairment, Disability, and Handicap model.7 Activities are defined as physical and mental functions that are part of everyday routines: learning and understanding, communication, movement, activities of daily living (ADLs), personal care, and interpersonal (social) behaviors. Participation is defined as the nature and extent of a person's involvement in life situations. This definition includes a wide range of concepts from housework to employment, education, and leisure. 7 Participation encompasses the individual's role in the family and community, which is a focus point of nonresidential rehabilitation and long-term follow-up programs. The task of clinicians is to measure important functional performance of clients that will have significant implications for real life, while avoiding burdening the rehabilitation staff with extensive, redundant, or meaningless rating responsibilities.