Traumatic brain injury (TBI) clinical practice guidelines for pain management and rehabilitation support the use of nonpharmacologic complementary and integrative health (CIH) modalities, such as acupuncture for remediating pain. Barriers to delivering CIH modalities, such as acupuncture warrant examination. The objective of this study is to explore provider perspectives on challenges to accessing acupuncture treatment for chronic pain in persons with TBI and describe differences across health care settings.
View Article and Find Full Text PDFObjective: To examine the experience of menopause symptoms in women with traumatic brain injury (TBI).
Design: Cross-sectional descriptive study.
Setting: Five sites of the TBI Model Systems (TBIMS) program.
Some attorneys claim that to adequately cross examine neuropsychological experts, they require direct access to protected test information, rather than having test data analyzed by retained neuropsychological experts. The objective of this paper is to critically examine whether direct access to protected test materials by attorneys is indeed necessary, appropriate, and useful to the trier-of-fact. Examples are provided of the types of nonscientific misinformation that occur when attorneys, who lack adequate training in testing, attempt to independently interpret neurocognitive/psychological test data.
View Article and Find Full Text PDFObjective: Pupillometry provides information about physiological and psychological processes related to cognitive load, familiarity, and deception, and it is outside of conscious control. This study examined pupillary dilation patterns during a performance validity test (PVT) among adults with true and feigned impairment of traumatic brain injury (TBI).
Participants And Methods: Participants were 214 adults in three groups: adults with bona fide moderate to severe TBI (TBI; = 51), healthy comparisons instructed to perform their best (HC; = 72), and healthy adults instructed and incentivized to simulate cognitive impairment due to TBI (SIM; = 91).
J Head Trauma Rehabil
January 2024
Objective: The purpose of this article is to illustrate the process of stakeholder-engaged intervention mapping approach to identify implementation strategies to overcome data-driven prioritized barriers to receiving chronic pain services for persons with traumatic brain injury (TBI).
Setting: Community.
Participants: Healthcare providers (n = 63) with 2 or more years' experience treating persons with TBI, interviewed between October 2020 and November 2021 provided data for identification of barriers.