Study protocol for a multicenter investigation of reablement in Norway

Abstract

Objective: The aim of this study was to examine community integration by the Community Integration Questionnaire (CIQ) 2 years after injury in a divided TBI sample of moderately and severely injured patients. The second aim was to identify social-demographic, injury-related and rehabilitation associated predictors of CIQ. Design: A cohort study. Setting: Outpatient follow-up. Participants: Fifty-seven patients with moderate (n¼21) or severe (n¼36) TBI were examined with the Community Integration Questionnaire (CIQ) at 2 years after injury. Possible predictors were analysed in a regression model using CIQ total score at 2 years as the outcome measure. Main outcome measures: The Community Integration Questionnaire. Results: At 2 years follow-up, there was significant difference between the moderately and severely injured patients in the productivity scores (p50.003), while difference in the total CIQ scores approached the significance level (p¼0.074). Significant predictors of a higher CIQ score were living with a spouse, higher Glasgow Coma Scale (GCS) in the acute phase, shorter Post- Traumatic Amnesia (PTA), longer rehabilitation stay (LOS) and use of rehabilitation service. Use of rehabilitation service (B¼7.766) and living with a spouse (B¼4.251) had the largest influence. This means that living with a spouse, better score on the GCS scale, shorter PTA, longer LOS and use of rehabilitation service after discharge equated to better community integration 2 years after TBI Conclusions: Two years after TBI the moderately injured patients have a higher productivity level than the severely injured patients. Marital status, injury severity and rehabilitation after injury were associated with community integration 2 years after TBI