Projects of the TBINDC Registry by Researchers Last Name
Peer-Mentoring for Survivors of TBI and their Significant Others: A Model of Social Support
Abstract: This study is a randomized controlled trial of a peer-mentoring program for both survivors and their caregivers. The focus of this study is to determine the efficacy of a peer-mentoring program and to examine the relationship of this mentoring program to three main outcome areas: 1) knowledge and skills regarding access to resources and services; 2) quality of life; and 3) community integration. Moderators of successful peer-mentoring such as injury severity, co-morbid physical disease, education, neuropsychological status of the survivor, coping style, and personality/emotional factors will also be examined. A participatory action framework will be employed for the program, as well as for implementation, dissemination, and evaluation.... more
Investigators: Hanks R, Black K, Wertheimer J, Rapport L, Koviak C, Wood D view full
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Lead Center: Rehabilitation Institute of Michigan
Long-term Medical Care Utilization and Costs among Traumatic Brain Injury Survivors
Abstract: Examine billing patterns and predictors of health care utilization and costs associated with traumatic brain injury (TBI).

Design: Retrospective cohort study of health care billings.

Participants: 63 persons with TBI were followed over a 19-month period, in state-sponsored Medicaid pogram.

Main Outcome Measures: The relationship of indicators of injury severity and disability to such billings was investigated.

Results: Mean age at time of injury was 33 years. Mean highest Glasgow Coma Scale (GCS) rating immediately post brain injury was 8. A total of $795,635 was billed to Medicaid for 3,950 services and medications used. Motor deficits at discharge from inpatient rehabilitation (FIM Motor Score) showed inverse relationships... more
Investigators: Vangel S, Rapport L, Hanks R, Black K view full
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Lead Center: Rehabilitation Institute of Michigan
The Reciprocal Relationship of Survivor and Caregiver Emotional Adjustment: Implications for Community Reintegration.
Abstract: The purpose of this study is to identify characteristics of persons with brain injury and their caregivers associated with survivor distress and family dysfunction. We will investigate outcome within the framework of a traditional model, which views caregiver well-being as influenced by stresses associated with caring for a person with TBI, and within the framework of a dynamic systems model, in which the well-being of persons with TBI and their caregivers influence each other in a reciprocal manner. We will examine change in these processes as time from injury increases. A final objective is to identify areas for practical interventions designed to alleviate adverse outcomes experienced by all members of the family affected by TBI. In... more
Investigators: Hanks R, Rapport L, Vangel S, Black K view full
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Lead Center: Rehabilitation Institute of Michigan
Driving after Brain Injury: Barriers, Fitness to Drive, and Community Integration
Abstract: This study examines the resumption of driving a motor vehicle and the extent to which driving influences community integration following TBI. Barriers to resuming driving, the role of significant others, and the relative validities of different assessments of fitness to drive (neuropsychological, driving simulator, and on-road evaluations) will be examined.... more
Investigators: Rapport L, Coleman R, Hanks R, Black K view full
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Lead Center: Rehabilitation Institute of Michigan
Depression after traumatic brain injury: A NIDRR model systems multi-center investigation.
Abstract: Objective: To identify the frequency and manifestations of depression after traumatic brain injury (TBI) and the factors that contribute to developing this mood disorder.

Design: A prospective, nationwide, multicenter study; 17 centers supplied data from medical records and patient responses on a standardized criterion instrument.

Setting: Traumatic Brain Injury Model Systems programs.

Participants: A demographically diverse sample of 666 outpatients with TBI was evaluated 10 to 126 months after injury.

Main Outcome Measures: Depressive symptoms were characterized with the Neurobehavioral Functioning Inventory by using the Diagnostic and Statistical Manual of Mental Disorders (4th ed; DSM-IV) diagnostic framework. Analysis of... more
Investigators: Seel R, Kreutzer J, Rosenthal M, Hammond F, Corrigan J, Black K view full
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Lead Center: Virginia Commonwealth University/Medical College of Virginia
Collaborating Centers: Rehabilitation Institute of Michigan, Kessler Medical Rehabilitation Research and Education Corporation, Charlotte Institute of Rehabilitation, Ohio State University
Post-traumatic Depression as a Complication of Violence Induced TBI Versus Non-violence Induced TBI: Implications on treatment, interventions, cost, and long-term outcomes.
Abstract: Depression is a well-established complication of TBI, with reported incidence of less than 10% to 77%. However, previous studies have been limited by small, unrepresentative samples. This study investigates the incidence, time-course, outcome, and measurement of post-traumatic depression in those with TBI who survive and are admitted to acute inpatient rehabilitation.... more
Investigators: Hammond F, Babin P, Grattan K, Norton H, Johnston M, Miller M, Kreutzer J, Black K view full
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Lead Center: Charlotte Institute of Rehabilitation
Collaborating Centers: Rehabilitation Institute of Michigan, Kessler Medical Rehabilitation Research and Education Corporation, Emory University/Shepherd Center, Virginia Commonwealth University/Medical College of Virginia



National Traumatic Brain Injury Live Syllabus v2.00.00
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