Research Reports - Life habits performance of individuals with brain injury in different living environments

Brain Inj. 2013;27(2):135-44

Lamontagne ME, Poncet F, Careau E, Sirois MJ, Boucher N

Background: Little is known about variations in social participation among
individuals with traumatic brain injury (TBI) living in different environments.
Objective: To examine the social participation of individuals with
moderate-to-severe TBI across various living arrangements. Methods: One hundred
and thirty-six individuals with moderate-to-severe TBI, living either in natural
settings (e.g. home), intermediate settings (e.g. group homes or foster families)
or structured settings (e.g. nursing home or long-term care facilities) and
requiring daily assistance, were interviewed using the LIFE-H tool, which
measures the level of difficulty and the assistance required to carry out life
habits and resulting social participation. Participation in six categories of
life habits pertaining to Activities of Daily Living and five categories
pertaining to Social Roles were examined. Results: The level of difficulty and
the assistance required to carry out the life habits and the overall level of
social participation were associated with living arrangements. Participation
scores in Activities of Daily Living varied across living arrangements while
Social Roles scores did not. Conclusion: Living arrangements (such as
intermediate settings) may better support social participation in individuals
with TBI. There is a need to further study the issue of living arrangements as
they seem to facilitate the performance of life habits, which impacts the social
participation of individuals with TBI.

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