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  1. Book: Developing and using evidence to improve rehabilitation practice

    Seel, Ronald T.

    (Archives of physical medicine and rehabilitation ; 93,8, Suppl. 2)

    2012  

    Author's details ACRM suppl. guest ed. Ronald T. Seel
    Series title Archives of physical medicine and rehabilitation ; 93,8, Suppl. 2
    Collection
    Language English
    Size S. S97 - S199 : Ill.
    Publisher Elsevier
    Publishing place New York, NY u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT017414500
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Organizational characteristics of Brain Injury Clubhouse Model programs.

    McKay, Colleen / Seel, Ronald T / Young, Jason / Johnson, Cindi

    Brain injury

    2022  Volume 36, Issue 2, Page(s) 221–231

    Abstract: Objective: We provide an overview of the Clubhouse Model and the history and development of Brain Injury Clubhouses. We describe organizational-level characteristics associated with eight Brain Injury Clubhouses to address gaps in the literature and ... ...

    Abstract Objective: We provide an overview of the Clubhouse Model and the history and development of Brain Injury Clubhouses. We describe organizational-level characteristics associated with eight Brain Injury Clubhouses to address gaps in the literature and inform future studies or program development.
    Methods: A electronic survey, the Clubhouse Profile Questionnaire (CPQ) was tailored for Brain Injury Clubhouses. The CPQ gathers program-level data that can be used to identify active ingredients of Clubhouses, understand best practices, examine, and evaluate program characteristics. The brain injury version of the CPQ was administered to a sample of eight Clubhouses affiliated with the International Brain Injury Clubhouse Association as part of a project designed to gather data on Clubhouse program characteristics and describe sociodemographic characteristics of people served by Brain Injury Clubhouses.
    Results: CPQ data from eight Brain Injury Clubhouses was analyzed. Brain Injury Clubhouse programs in this sample served approximately 17 members per day. There was wide variability in the size, funding and funding mechanisms, and length of operation of Brain Injury Clubhouses in this study.
    Conclusions: Findings suggest that Brain Injury Clubhouses offer a wide range of services and supports. Additional research on the impact of Brain Injury Clubhouses is needed.
    MeSH term(s) Brain Injuries ; Humans ; Mental Disorders ; Self-Help Groups/organization & administration ; Social Support ; Surveys and Questionnaires
    Language English
    Publishing date 2022-02-11
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2022.2033835
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Identifying factors associated with acute hospital discharge dispositions in patients with moderate-to-severe traumatic brain injury.

    Lu, Juan / Gormley, Mirinda / Donaldson, Alexis / Agyemang, Amma / Karmarkar, Amol / Seel, Ronald T

    Brain injury

    2022  Volume 36, Issue 3, Page(s) 383–392

    Abstract: Objective: Identify sociodemographic, injury, and hospital-level factors associated with acute hospital discharge dispositions following acute hospitalization for moderate-to-severe traumatic brain injury (TBI) in the United States.: Methods: The ... ...

    Abstract Objective: Identify sociodemographic, injury, and hospital-level factors associated with acute hospital discharge dispositions following acute hospitalization for moderate-to-severe traumatic brain injury (TBI) in the United States.
    Methods: The 2011-2014 National Trauma Data Bank data was used, including 466 acute care hospitals and 114,736 patients ≥16 years old who survived moderate-to-severe TBI. Outcome was acute hospital discharge dispositions: home with/without care (HC), skilled nursing home/other care facility (SNF/ICF) and inpatient rehabilitation/long-term care facility (IRF). Independent variables were patients' sociodemographic, injury, and hospital-level factors. Multilevel modeling was used to assess associations and compare likelihood of discharges.
    Results: Of all patients, 74.5%, 14.6% ,and 10.9% were discharged to HC, SNF/ICF ,and IRF, respectively. Intraclass correlation coefficients indicated that hospitals explained 14.3% and 14.8% of variations in probabilities of institution dispositions. Sociodemographic factors including older age, females, Non-Hispanic Whites, recipients of commercial insurance, and Medicare/Medicaid were significantly associated with higher institution discharges. Hospital-related factors including bed size, teaching status, trauma accreditations, and hospital locations were significantly associated with discharge dispositions.
    Conclusion: Identifying factors associated with discharge dispositions after acute hospitalization of TBI is pertinent to ensure quality of care and optimal patient outcomes. Further research into hospital-related variations in acute care discharge dispositions is recommended.
    MeSH term(s) Adolescent ; Adult ; Aged ; Brain Injuries, Traumatic/therapy ; Female ; Hospitals/statistics & numerical data ; Humans ; Male ; Patient Discharge ; Severity of Illness Index ; Sociodemographic Factors ; United States
    Language English
    Publishing date 2022-02-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2022.2034180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Technology and TBI: Perspectives of persons with TBI and their family caregivers on technology solutions to address health, wellness, and safety concerns.

    Oyesanya, Tolu O / Thompson, Nicole / Arulselvam, Karthik / Seel, Ronald T

    Assistive technology : the official journal of RESNA

    2019  Volume 33, Issue 4, Page(s) 190–200

    Abstract: Assistive technologies that are tailored to individuals' health, wellness, and safety concerns can help people with traumatic brain injury (TBI) and their family caregivers meet their goals. The purpose of this study was to investigate views of ... ...

    Abstract Assistive technologies that are tailored to individuals' health, wellness, and safety concerns can help people with traumatic brain injury (TBI) and their family caregivers meet their goals. The purpose of this study was to investigate views of technology in the context of managing one's everyday life from the perspectives of persons with TBI and their family caregivers. We conducted 27 in-person, semi-structured interviews with persons with TBI (n = 15) and family caregivers (n = 12) and used conventional content analysis to analyze our data. The major themes that emerged were: 1) views of technology, 2) influence of technology on daily life, 3) desired technology solutions to address health, wellness, and safety concerns, and 4) barriers to adopting technology solutions. To address ongoing concerns, persons with TBI and family caregivers expressed a desire to have a patient portal to share information and communicate with providers, motion sensing devices to provide guidance for mobility, on-demand access to in-home rehabilitation therapy, access to a "social gym" where the persons with TBI could virtually exercise and interact with others, and technologies that help with sleep and facilitate peer support. These findings provide direction for implementation, design, or adaptation of technologies to address the concerns of this population.
    MeSH term(s) Brain Injuries, Traumatic/rehabilitation ; Caregivers ; Humans ; Self-Help Devices ; Technology
    Language English
    Publishing date 2019-05-21
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1014913-2
    ISSN 1949-3614 ; 1040-0435
    ISSN (online) 1949-3614
    ISSN 1040-0435
    DOI 10.1080/10400435.2019.1612798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: An Umbrella Review of Self-Management Interventions for Health Conditions With Symptom Overlap With Traumatic Brain Injury.

    Sander, Angelle M / Pappadis, Monique R / Bushnik, Tamara / Chiaravalloti, Nancy D / Driver, Simon / Hanks, Robin / Lercher, Kirk / Neumann, Dawn / Rabinowitz, Amanda / Seel, Ronald T / Weber, Erica / Ralston, Rick K / Corrigan, John / Kroenke, Kurt / Hammond, Flora M

    The Journal of head trauma rehabilitation

    2024  Volume 39, Issue 2, Page(s) 140–151

    Abstract: Objective: To synthesize evidence for the effectiveness of self-management interventions for chronic health conditions that have symptom overlap with traumatic brain injury (TBI) in order to extract recommendations for self-management intervention in ... ...

    Abstract Objective: To synthesize evidence for the effectiveness of self-management interventions for chronic health conditions that have symptom overlap with traumatic brain injury (TBI) in order to extract recommendations for self-management intervention in persons with TBI.
    Design: An umbrella review of existing systematic reviews and/or meta-analyses of randomized controlled trials or nonrandomized studies targeting self-management of chronic conditions and specific outcomes relevant to persons with TBI.
    Method: A comprehensive literature search of 5 databases was conducted using PRISMA guidelines. Two independent reviewers conducted screening and data extraction using the Covidence web-based review platform. Quality assessment was conducted using criteria adapted from the Assessing the Methodological Quality of Systematic Reviews-2 (AMSTAR-2).
    Results: A total of 26 reviews met the inclusion criteria, covering a range of chronic conditions and a range of outcomes. Seven reviews were of moderate or high quality and focused on self-management in persons with stroke, chronic pain, and psychiatric disorders with psychotic features. Self-management interventions were found to have positive effects on quality of life, self-efficacy, hope, reduction of disability, pain, relapse and rehospitalization rates, psychiatric symptoms, and occupational and social functioning.
    Conclusions: Findings are encouraging with regard to the effectiveness of self-management interventions in patients with symptoms similar to those of TBI. However, reviews did not address adaptation of self-management interventions for those with cognitive deficits or for populations with greater vulnerabilities, such as low education and older adults. Adaptations for TBI and its intersection with these special groups may be needed.
    MeSH term(s) Aged ; Humans ; Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/therapy ; Chronic Disease ; Chronic Pain ; Quality of Life ; Self-Management
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000863
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Race and Age-Related PSA Testing Disparities in Spinal Cord Injured Men: Analysis of National Veterans Health Administration Data.

    Ghatas, Mina P / Tracey, Andrew T / Goetz, Lance L / Carter, William / Kodama, Sarah / Krzastek, Sarah C / Seel, Ronald T / Grob, Baruch M / Lavis, Timothy / Klausner, Adam P

    Federal practitioner : for the health care professionals of the VA, DoD, and PHS

    2023  Volume 40, Issue Suppl 3, Page(s) S50–S57

    Abstract: Background: Prostate-specific antigen (PSA) testing remains controversial due to the debate about overdetection and overtreatment. Given the lack of published data regarding PSA testing rates in the population with spinal cord injury (SCI) within the US ...

    Abstract Background: Prostate-specific antigen (PSA) testing remains controversial due to the debate about overdetection and overtreatment. Given the lack of published data regarding PSA testing rates in the population with spinal cord injury (SCI) within the US Department of Veterans Affairs (VA), there is concern for potential disparities and overtesting in this patient population. In this study, we sought to identify and evaluate national PSA testing rates in veterans with SCI.
    Methods: Using the VA Informatics and Computing Infrastructure Corporate Data Warehouse, we extracted PSA testing data for all individuals with a diagnosis of SCI. Testing rates were calculated, analyzed by race and age, and stratified according to published American Urological Association guideline groupings for PSA testing.
    Results: We identified 45,274 veterans at 129 VA medical centers with a diagnosis of SCI who had records of PSA testing in 2000 through 2017. Veterans who were only tested prior to SCI diagnosis were excluded. Final cohort data analysis included 37,243 veterans who cumulatively underwent 261,125 post-SCI PSA tests during the given time frame. Significant differences were found between African American veterans and other races veterans for all age groups (0.47 vs 0.46 tests per year, respectively, aged ≤ 39 years; 0.83 vs 0.77 tests per year, respectively, aged 40-54 years; 1.04 vs 1.00 tests per year, respectively, aged 55-69 years; and 1.08 vs 0.90 tests per year, respectively, aged ≥ 70 years;
    Conclusions: Significant differences exist in rates of PSA testing in persons with SCI based on age and race. High rates of testing were found in all age groups, especially for African American veterans aged ≥ 70 years.
    Language English
    Publishing date 2023-08-23
    Publishing country United States
    Document type Journal Article
    ISSN 1078-4497
    ISSN 1078-4497
    DOI 10.12788/fp.0392
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Pre- and in-hospital mortality for moderate-to-severe traumatic brain injuries: an analysis of the National Trauma Data Bank (2008-2014).

    Graves, Whitney C / Oyesanya, Tolu O / Gormley, Mirinda / Røe, Cecilie / Andelic, Nada / Seel, Ronald T / Lu, Juan

    Brain injury

    2021  Volume 35, Issue 3, Page(s) 265–274

    Abstract: ... ...

    Abstract Objectives
    MeSH term(s) Brain Injuries, Traumatic ; Databases, Factual ; Hospital Mortality ; Humans ; Injury Severity Score ; Odds Ratio ; Retrospective Studies ; Wounds, Penetrating
    Language English
    Publishing date 2021-02-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2021.1873419
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Long-term employment outcomes following moderate to severe traumatic brain injury: a systematic review and meta-analysis.

    Gormley, Mirinda / Devanaboyina, Monika / Andelic, Nada / Røe, Cecilie / Seel, Ronald T / Lu, Juan

    Brain injury

    2019  Volume 33, Issue 13-14, Page(s) 1567–1580

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/psychology ; Brain Injuries, Traumatic/therapy ; Cohort Studies ; Employment/psychology ; Employment/trends ; Humans ; Randomized Controlled Trials as Topic/methods ; Return to Work/psychology ; Return to Work/trends ; Severity of Illness Index ; Time Factors
    Language English
    Publishing date 2019-08-27
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2019.1658222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis.

    Oyesanya, Tolu O / Arulselvam, Karthik / Thompson, Nicole / Norelli, Jenna / Seel, Ronald T

    Disability and rehabilitation

    2019  Volume 43, Issue 5, Page(s) 685–695

    Abstract: Background: Persons with moderate-to-severe traumatic brain injury (TBI) face issues with health, wellness, and safety that affect their ability to independently manage their care, even for individuals who are ≥75% independent in activities of daily ... ...

    Abstract Background: Persons with moderate-to-severe traumatic brain injury (TBI) face issues with health, wellness, and safety that affect their ability to independently manage their care, even for individuals who are ≥75% independent in activities of daily living. These issues often lead to increased family involvement in managing the person's condition after discharge home.
    Purpose: We explored health, wellness, and safety concerns after discharge home from inpatient rehabilitation from the perspectives of persons with TBI who are ≥75% independent in activities of daily living and their family caregivers.
    Materials and methods: We interviewed 27 persons with TBI and family caregivers and used conventional content analysis to analyse the data.
    Results: Seven themes related to health, wellness, and safety encompassed participants' experience. Health themes included: (1) attempting to manage medications and (2) navigating mental health difficulties. Wellness themes included: (1) working to stay physically active, (2) dealing with sleep and sleeplessness, and (3) adjusting to changing social relationships. Safety themes were: (1) addressing mobility challenges and (2) compensating for complications with cognitive functioning.
    Conclusions: Findings can guide the development of tools, supports, and resources to promote health, wellness, and safety of persons with TBI as they recover after discharge home.Implications for rehabilitationFindings on numerous concerns related to health, wellness, and safety suggest the need for implementation or development and testing of tools, supports, and resources to promote health, wellness, and safety of persons with traumatic brain injury as they recover after discharge home.Our findings can be used to educate healthcare providers and increase awareness of the nuanced challenges patients and families face after discharge home.Findings can also be used by providers to educate patients and families on realistic expectations for life after discharge.
    MeSH term(s) Activities of Daily Living ; Brain Injuries, Traumatic ; Caregivers ; Health Promotion ; Humans ; Patient Discharge
    Language English
    Publishing date 2019-07-12
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2019.1638456
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Medical Symptom Validity Test Performance Following Moderate-Severe Traumatic Brain Injury: Expectations Based on Orientation Log Classification.

    Macciocchi, Stephen N / Seel, Ronald T / Yi, Angela / Small, Sarah

    Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists

    2017  Volume 32, Issue 3, Page(s) 339–348

    Abstract: Objective: This study examined performance on the Medical Symptom Validity test (MSVT) during acute rehabilitation for moderate-severe traumatic brain injury (TBI) stratified by Orientation Log (O-Log) scores.: Method: Participants were 77 ... ...

    Abstract Objective: This study examined performance on the Medical Symptom Validity test (MSVT) during acute rehabilitation for moderate-severe traumatic brain injury (TBI) stratified by Orientation Log (O-Log) scores.
    Method: Participants were 77 prospectively enrolled persons who sustained moderate-severe TBI and were acutely hospitalized secondary to the cognitive, medical and physical sequelae of their TBI. Participants were administered neuropsychological metrics, the O-Log and the MSVT a mean of 44 days post injury.
    Results: Significantly lower neurocognitive test scores were observed among participants who remained in post-traumatic amnesia (O-Log scores ranging from 20 to 24) versus those who were oriented (O-Log scores ranging from 25 to 30). MSVT performance was lower among participants who remained in post-traumatic amnesia. When participants O-Log scores were unimpaired (30), performance on the MSVT was also unimpaired on immediate recognition (IR) and delayed recognition (DR). A small percentage of participants performed below MSVT interpretive expectations on CNS. As O-Log scores decreased, MSVT performance also declined on some, but not all MSVT metrics. The sample as a whole performed at or above expectations on MSVT criterion B2 (IR) = 96.6%; (DR) = 94.8%; consistency (CNS) = 92.9%; paired associate (PA) = 86.4% and delayed free recall (FR) = 46.8%.
    Conclusions: MSVT performance stratified by O-Log scores provides basal expectation levels for persons with acute, moderate-severe impairment in cognitive skills secondary to TBI. Our data demonstrate that persons with significant neurocognitive impairment who are oriented generally perform at or above MSVT interpretive guidelines.
    MeSH term(s) Adult ; Amnesia/diagnosis ; Amnesia/etiology ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/rehabilitation ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/etiology ; Female ; Glasgow Coma Scale ; Humans ; Male ; Malingering/diagnosis ; Neuropsychological Tests/statistics & numerical data ; Orientation/physiology ; Young Adult
    Language English
    Publishing date 2017-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632972-x
    ISSN 1873-5843 ; 0887-6177
    ISSN (online) 1873-5843
    ISSN 0887-6177
    DOI 10.1093/arclin/acw112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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