학술논문

The BETTER Traumatic Brain Injury Transitional Care Intervention: A Feasibility Study.
Document Type
Article
Source
Western Journal of Nursing Research. Oct2023, Vol. 45 Issue 10, p902-912. 11p.
Subject
*BRAIN injury treatment
*PILOT projects
*CAREGIVERS
*ANALYSIS of variance
*TRANSITIONAL care
*CONVALESCENCE
*RESEARCH methodology
*FAMILIES
*RESEARCH funding
*DESCRIPTIVE statistics
*QUALITY of life
*BRAIN injuries
*PATIENT education
*PSYCHOLOGICAL adaptation
*LONGITUDINAL method
*ADULTS
Language
ISSN
0193-9459
Abstract
This study aimed to investigate the feasibility, acceptability, and clinical outcome measures of BETTER (B rain Injury E ducation, T raining, and T herapy to E nhance R ecovery), a culturally tailored traumatic brain injury (TBI) transitional care intervention, among diverse younger adult patients with TBI (age 18-64) and their caregivers. Trained clinical interventionists addressed patient/family needs; established goals; coordinated post-hospital care and resources; and provided patient/family training on self- and family-management coping skills. Fifteen dyads enrolled (N = 31, 15 patients, 16 caregivers). All completed baseline data; 74.2% (n = 23; 10 patients, 13 caregivers) completed 8-week data; 83.8% (n = 26; 13 each) completed 16-week data. Approximately 38% (n = 12, 3 patients, 9 caregivers) completed acceptability data, showing positive experiences (mea n = 9.25, range 0-10; SD = 2.01). Overall and mental quality of life (QOL) scores did not differ over time but physical QOL scores did improve over time (baseline: 30.3, 8 weeks: 46.5, 16 weeks: 61.6; p = 0.0056), which was considered to be a suitable outcome measure for a future trial. BETTER is a promising intervention with implications to improve TBI care standards. Research is needed to determine efficacy in a randomized trial. [ABSTRACT FROM AUTHOR]