Publications by authors named "Dreer L"
Objective: To examine the relationship between body mass index (BMI), newly developed sleep disorders and functional outcome after moderate-to-severe traumatic brain injury (msTBI).
Methods: Retrospective data from the TBI Model Systems National Database was analyzed, focusing on the independent association between BMI, sleep disorder diagnosis, and functional outcome as measured by the Extended Glasgow Outcome Scale (GOSE) at 1-year post-injury. Linear and logistic regression were used.
Objective: To describe the self-reported needs of family caregivers of service members and veterans (SMVs) with traumatic brain injury (TBI) at 10 to 15 years post-injury and to identify unique predictors of unmet family needs.
Setting: Five Department of Veterans Affairs Polytrauma Rehabilitation Centers.
Participants: A total of 209 family caregivers of SMVs with TBI from the VA TBI Model Systems national database who completed a 10- or 15-year follow-up assessment.
Objective: To examine risk factors associated with homeboundness 1-year after traumatic brain injury (TBI) and to explore associations between homebound status and risk of future mortality and nursing home entry.
Design: Secondary analysis of a longitudinal prospective cohort study.
Setting: TBI Model Systems centers.
Article Synopsis
- This study aimed to explore how cognitive changes following inpatient rehabilitation impact participation and life satisfaction one year later for individuals with traumatic brain injury (TBI).
- The analysis included 499 participants from a larger dataset, focusing on their performance in cognitive assessments (BTACT) at discharge and one year post-injury.
- Results indicated that while changes in episodic memory were linked to better participation and life satisfaction outcomes, changes in executive function did not show a significant association once controlled for other factors.
Objective: To characterize health literacy among individuals with traumatic brain injury (TBI) at least a year postinjury and to explore its relationship to sociodemographic variables, injury severity, and cognition.
Setting: Community following discharge from inpatient rehabilitation.
Participants: In total, 205 individuals with complicated mild to severe TBI who completed follow-up as part of a national longitudinal study of TBI and completed a web-based health literacy measure.
Objective: To examine the associations between health literacy and health outcomes among individuals with traumatic brain injury (TBI) at least a year post-injury.
Setting: Community following discharge from inpatient rehabilitation.
Participants: A total of 205 individuals with complicated mild to severe TBI who completed a TBI Model Systems National Database follow-up interview and a web-based health literacy measure.
Purpose/objective: Examine contributors to resilience among caregivers of individuals who have sustained a moderate-to-severe traumatic brain injury (TBI), with the goal of identifying important targets for an intervention to improve caregiver resilience as well as outcomes for people with TBI.
Research Method/design: Participants were adult caregivers ( = 176) and individuals with TBI who required inpatient rehabilitation at six TBI Model System sites. Measures included the Connor-Davidson Resilience Scale-10, Family Needs Questionnaire, Zarit Burden Interview, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7.
Objective: Hydrocephalus is inherently unpredictable. Most parents whose child is diagnosed with hydrocephalus do not anticipate the diagnosis, nor can anyone predict if or when a child's shunt will fail and require emergency surgery. Previous research has shown that children with hydrocephalus and their caregivers experience significant posttraumatic stress symptoms secondary to the diagnosis.
View Article and Find Full Text PDFObjective: Examine considerations and perceived barriers to return to driving, and their association with psychosocial outcomes among adults with traumatic brain injury (TBI) who were not driving.
Methods: 174 adults with moderate-to-severe TBI enrolled in the TBI Model System participated in this cross-sectional study. All participants were drivers prior to their TBI.
Objective: Determine anxiety trajectories and predictors up to 10 years posttraumatic brain injury (TBI).
Design: Prospective longitudinal, observational study.
Setting: Inpatient rehabilitation centers.
Objective: To identify early predictors of US high school and college graduation after moderate-to-severe traumatic brain injury (TBI).
Setting: Inpatient rehabilitation and community.
Participants: TBI Model Systems participants, aged 16 to 24 years, enrolled as high school or college students at time of injury.
Family Needs After Traumatic Brain Injury: A VA TBI Model Systems Study.
J Head Trauma Rehabil
November 2022
Objective: To describe the self-reported needs of family caregivers of service members and veterans (SMVs) who sustained a traumatic brain injury (TBI) and to identify predictors of the unmet family caregiver needs.
Setting: Five Department of Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRCs).
Participants: Family caregivers of SMVs enrolled in the VA PRC TBI Model Systems (TBIMS) national database who were within their first 5 years post-TBI ( n = 427).
Objective: To examine motor vehicle crash frequency and risk factors following moderate-to-severe traumatic brain injury (TBI).
Setting: Eight TBI Model Systems sites. Participants: Adults ( N = 438) with TBI who required inpatient acute rehabilitation.
Objective: To evaluate the impact of COVID-19 pandemic exposure on changes in alcohol use and mood from years 1 to 2 after traumatic brain injury (TBI).
Methods: We used a difference-in-difference (DiD) study design to analyze data from 1,059 individuals with moderate-to-severe TBI enrolled in the TBI Model Systems (TBIMS) National Database. We defined COVID-19 pandemic exposure as participants who received their year 1 post-injury interviews prior to January 1, 2020, and their year 2 interview between April 1, 2020 and January 15, 2021.
The purpose of this study was to develop a model describing the process of how older adults with age-related macular degeneration develop physical activity self-efficacy. The primary aim of this research was to determine how adults with age-related macular degeneration living in a southeastern metropolitan area develop physical activity self-efficacy. Sixteen older adults with age-related macular degeneration participated in face-to-face interviews and observations of their regular physical activity.
View Article and Find Full Text PDFArticle Synopsis
- The study analyzed driving behaviors of 438 adults who had moderate-to-severe traumatic brain injuries (TBIs) and had returned to driving after rehabilitation.
- Most participants drove daily, but 41% drove less than before their injury, with driving patterns influenced by factors like employment, income, sex, where they lived, and time since injury, rather than the injury's severity.
- Confidence in driving was generally high, correlating with the belief that TBI did not affect driving ability; however, those with lower confidence or who felt their ability diminished showed more cautious driving behaviors, indicating a need for careful evaluation of driving skills during recovery.
Understanding the effects of age on longitudinal traumatic brain injury (TBI) outcomes requires attention to both chronic and evolving TBI effects and age-related changes in health and function. The present study examines the independent and interactive effects of aging and chronicity on functional outcomes after TBI. We leveraged a well-defined cohort of individuals who sustained a moderate/severe TBI and received acute inpatient rehabilitation at specialized centers with high follow up rate as part of their involvement in the TBI Model Systems longitudinal study.
View Article and Find Full Text PDFObjective: To identify predictors of driving status in service members and veterans 1 year following a traumatic brain injury (TBI).
Setting: The 5 Department of Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRCs).
Participants: A total of 471 service members and veterans (128 with mild/complicated mild TBI and 343 with moderate/severe TBI) who received TBI-focused inpatient rehabilitation at one of the VA PRCs and who participated in a 1-year postinjury follow-up assessment.
Objective: Describe who is able to return to driving (RTD) after moderate-to-severe traumatic brain injury (TBI), when this occurs, who maintains that activity, and the association with outcome.
Design: Cross-sectional descriptive study.
Setting: Eight follow-up sites of the TBI Model Systems (TBIMS) program.
Objective: To examine racial/ethnic disparities in community participation among veterans and active duty service members with traumatic brain injury (TBI).
Setting: Five Department of Veterans Affairs (VA) TBI Model Systems (TBIMS) Polytrauma Rehabilitation Centers (PRCs). Participants: Three hundred forty-two community-dwelling adults (251 White, 34 Black, and 57 Hispanic) with TBI enrolled in the VA TBIMS National Database who completed a 1-year follow-up interview.
Objective: Hydrocephalus is a disorder of cerebrospinal fluid dynamics, traditionally treated by placement of a ventricular shunt. Shunts are effective but imperfect as they fail in an unpredictable pattern, and the patient's well-being is dependent on adequate shunt function. The omnipresent threat of shunt failure along with the potential need for invasive investigations can be stressful for patients and caregivers.
View Article and Find Full Text PDFObjective: Childhood hydrocephalus is a common chronic medical condition. However, little is known about the burden of headache and psychological comorbidities in children living with hydrocephalus. The purpose of this study was to determine the prevalence and severity of these conditions among the pediatric hydrocephalus population.
View Article and Find Full Text PDFObjective: Hydrocephalus is a chronic medical condition that has a significant impact on children and their caregivers. The objective of this study was to measure the quality of life (QOL) of children with hydrocephalus, as assessed by both caregivers and patients.
Methods: Pediatric patients with hydrocephalus and their caregivers were enrolled during routine neurosurgery clinic visits.
Objective: To examine the association between social Internet use and real-world societal participation in survivors of moderate-severe traumatic brain injury.
Design: Prospective cross-sectional observational study.
Setting: Ten Traumatic Brain Injury Model Systems Centers.