Article

OBJECTIVE: To explore the scope, reliability, and validity of community
integration measures for older adults after traumatic brain injury (TBI). DATA
SOURCES: A search of peer-reviewed articles in English from 1990 to April 2011
was conducted using the EBSCO Health and Scopus databases. Search terms included
were community integration, traumatic brain injury or TBI, 65 plus or older
adults, and assessment. STUDY SELECTION: Forty-three eligible articles were
identified, with 11 selected for full review using a standardized critical review
method. DATA EXTRACTION: Common community integration measures were identified
and ranked for relevance and psychometric properties. Of the 43 eligible
articles, studies reporting community integration outcomes post-TBI were
identified and critically reviewed. Older adults' community integration needs
post-TBI from high quality studies were summarized. DATA SYNTHESIS: There is a
relative lack of evidence pertaining to older adults post-TBI, but indicators are
that older adults have poorer outcomes than their younger counterparts. The
Community Integration Questionnaire (CIQ) is the most widely used community
integration measurement tool used in research for people with TBI. Because of
some limitations, many studies have used the CIQ in conjunction with other
measures to better quantify and/or monitor changes in community integration.
CONCLUSIONS: Enhancing integration of older adults after TBI into their community
of choice, with particular emphasis on social integration and quality of life,
should be a primary rehabilitation goal. However, more research is needed to
inform best practice guidelines to meet the needs of this growing TBI population.
It is recommended that subjective tools, such as quality of life measures, are
used in conjunction with well-established community integration measures, such as
the CIQ, during the assessment process.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS