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Frequency and quality of return to study following traumatic brain injury

WILLMOTT C; PONSFORD J; DOWNING M; CARTY M
J HEAD TRAUMA REHABIL , 2014, vol. 29, n° 3, p. 248-56
Doc n°: 169848
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1097/HTR.0000000000000014
Descripteurs : AJ33 - SEQUELLES DE TRAUMATISME CRANIEN - NEUROLOGIE INFANTILE, JJ2 - INTEGRATION - INCLUSION SCOLAIRE

OBJECTIVE: To examine the frequency and experience of return to secondary or
tertiary study over a 10-year period following traumatic brain injury (TBI).
PARTICIPANTS: A group of 295 students with moderate to severe TBI followed
prospectively. SETTING: Epworth HealthCare TBI outpatient rehabilitation program
follow-up clinic 1 to 10 years postinjury. MAIN OUTCOME MEASURES: Frequency of
return to study. Also, for a subset, changes in course enrollment, utilization of
additional educational supports, and experience of return to study postinjury.
RESULTS: Of those studying preinjury, 295 attended the follow-up clinic
appointments, with 167 (56%) having returned to study. Those who did not return
to study had significantly longer posttraumatic amnesia duration. The
cross-sectional follow-up revealed that 60.4% were studying at 1 year postinjury,
37.5% at 2 years postinjury, 50.0% at 3 years postinjury, 31.1% at 5 years
postinjury, and 2.0% at 10 years postinjury. Many had migrated into employment. A
subsample of 95 participants reported on their educational experience. Of those,
28.7% changed their course enrollment from full-time to part-time. While supports
such as tuition and special consideration were greatly increased postinjury,
students reported the proportion of subjects passed of 79.0%. However, they
experienced cognitive difficulties and fatigue and felt less satisfied with their
studies. CONCLUSIONS: Return to study was relatively successful; however, this
was associated with the experience of fatigue and need for far greater effort,
assistance and reduced study hours, and somewhat less overall satisfaction.

Langue : ANGLAIS

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