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Return to School Outcomes among Adults with TBI One Year After Rehabilitation Discharge: A TBIMS Study
Zaccheus James Ahonle1,2,3, Mark Tucker4, Charles Edmund Degeneffe4
1Department of Occupational Therapy, College of Public Health & Health Professions, University of Florida, Florida, US.
Objective:
To examine return to school outcomes 1 year after traumatic brain injury (TBI) rehabilitation discharge.
Design:
Longitudinal observational study using Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) data at 1-year post-TBI.
Setting:
Inpatient rehabilitation centers using follow-up telephone calls.
Individuals:
Individuals (n = 237) enrolled in the TBIMS-NDB since 2001 between the ages of 18 and 59 years who were engaged in postsecondary education (full or part-time) before recorded TBI.
Main Measures:
Return to school, categorized as in a postsecondary setting at first follow-up (reported hours in school greater than zero at one-year follow-up).
Results:
Using an alpha level of 0.05 binary logistic regression analysis identified four predictive variables. Significant predictors of return to school include being of lower age, possessing a higher level of functioning at discharge, reporting lower ratings of disability at discharge, and being able to use a vehicle independently for transportation.
Conclusion:
Pursuit of higher education is a viable means of community reintegration after TBI. Some individuals with TBI face a myriad of barriers and challenges when returning to school. Study findings may facilitate understanding of how TBI affects return to school and community reintegration outcomes.
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