Projects of the TBINDC Registry by Researchers Last Name
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8 projects available at this time for Lisa Rapport, Ph.D.
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| 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 details |
| 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 |
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| Investigators: | Vangel S, Rapport L, Hanks R, Black K | view full details |
| 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 details |
| Lead Center: | Rehabilitation Institute of Michigan | |
| Family Members' and Caregivers' Emotional Well Being | ||
| Abstract: Objectives for this collaborative project include: (1) to examine the frequency and magnitude of emotional distress and depressive symptoms and the level of life satisfaction of family members and non-family caregivers as compared to clinical and non-clinical populations, and (2) to identify the relationships between caregivers' well-being and survivors' injury severity and level of functioning. Six TBI Model System centers are collecting data from family members, significant others, and friends of individuals in the National Database at either 1, 2, or 5 year follow-up. Data is collected from each caregiver only once. Measures include the Neurobehavioral Functioning Inventory (NFI) Depression subscale, the Brief Symptom Inventory-18... more | ||
| Investigators: | Kreutzer J, Marwitz J, Rapport L, Koviak C, Hammond F, Morita C, Hart T, Selleck E, Glenn M, Harrison-Felix C | view full details |
| Lead Center: | Virginia Commonwealth University/Medical College of Virginia | |
| Collaborating Centers: | Spaulding Rehabilitation Hospital, Rehabilitation Institute of Michigan, Carolinas Rehabilitation, Moss Rehabilitation Research Institute, Craig Hospital | |
| Social support moderates caregiver life satisfaction following traumatic brain injury. | ||
| Abstract: Social support is an important determinant of adjustment following traumatic brain injury (TBI) sustained by a family member. The present study examined the extent to which social support moderates the influence of characteristics of the person with injury on caregiver subjective well-being. Sixty pairs of individuals who had sustained a moderate to severe TBI and their caregivers (N=120) participated. Years postinjury ranged from 0.3 to 9.9 ( M=4.8, SD=2.6). Cognitive, functional, and neurobehavioral functioning of participants with TBI were assessed using neuropsychological tests and rating scales. Caregiver life satisfaction and perceived social support were assessed using self-report questionnaires. Results indicated that time since... more | ||
| Investigators: | Ergh T, Hanks R, Rapport L, Coleman R | view full details |
| Lead Center: | Rehabilitation Institute of Michigan | |
| Predictors of Family Functioning and Distress Among Caregivers of Patients with TBI | ||
| Abstract: The extent to which patient and caregiver characteristics predicted caregiver psychological distress was examined among 60 pairs of former patients who had sustained a moderate to severe traumatic brain injury (TBI) and their caregivers (N = 120). Time since injury ranged from 4 months to 10 years. The former patients' current neurobehavioral and affective functioning, alcohol use, awareness of deficit, and time since injury, and the caregivers' perceived social support were entered into a standard multiple regression with caregiver psychological distress as the outcome. Results revealed that the predictor model accounted for 34% of the variance in caregiver distress. Neurobehavioral and affective functioning of the patient was the best... more | ||
| Investigators: | Ergh T, Coleman R, Rapport L, Hanks R | view full details |
| Lead Center: | Rehabilitation Institute of Michigan | |
| Determinants of Driving Status Following Brain Injury | ||
| Abstract: Requirements to safely operate a motor vehicle require a complex interaction of skills (including motor skills, perceptual abilities, and cognitive abilities). TBI patients have a lower rate of relicensure than other impaired groups. Neuropsychological batteries used in the assessment of driving have not focused on higher order cognitive abilities (i.e., executive functioning). 71 adults who sustained moderate to severe brain injuries and their significant others (N = 142) where administered a Neuropsychological test battery, as well as the Patient Competency Rating Scale which was administered to the patient and the caregiver. Contrary to the skepticism regarding the utility of neuropsychological performance in the prediction of driving... more | ||
| Investigators: | Coleman R, Ergh T, Rapport L, Hanks R, Millis S, Ricker J, Koviak C | view full details |
| Lead Center: | Rehabilitation Institute of Michigan | |
| Collaborating Centers: | Kessler Medical Rehabilitation Research and Education Corporation | |
| 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 details |
| Lead Center: | Rehabilitation Institute of Michigan | |
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8 projects available at this time for Lisa Rapport, Ph.D.
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