@article{ref1,
title="Traumatic brain injury state planning grant: preparing for change in a rural state",
journal="Brain injury",
year="2007",
author="Spearman, Russell C. and Stamm, B. Hudnall and Tivis, Laura J.",
volume="21",
number="8",
pages="837-849",
abstract="PURPOSE: The overarching purpose of this work was to generate a framework on which to build a traumatic brain injury (TBI) system-support action plan for individuals with a TBI living in a rural state. METHODS: Four research questions were posed aimed at describing rural service/support needs and service satisfaction among persons with a TBI, as well as rural service/support availability as defined by providers. One hundred and ninety-four providers/agencies and 250 individuals/family members completed one of two versions (provider/agency, individual/family member) of a Needs and Resources Assessment. RESULTS: Data analyses indicated that the majority of individual respondents lived at an impoverished income level and lived with a TBI for approximately 12 years. Quality of life was perceived as significantly lower after the TBI than before. Employment decreased significantly following a TBI. Reasons for unemployment included a perceived inability to work, problems regarding proper accommodation and/or perceptions regarding being chosen as suitable job candidates. CONCLUSIONS: Provider data confirmed that many important services are rarely available or specific to TBIs. Basic assistance with employment, cognitive training and occupational therapy were among those most needed. Paradoxically, a high proportion of individuals reported feeling satisfied with most services. Applications of these data along with recommendations for other rural states are described.<p /><p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699050701426857",
url="http://dx.doi.org/10.1080/02699050701426857"
}