TY - JOUR
PY - 2017//
TI - Patient navigation for traumatic brain injury promotes community re-integration and reduces re-hospitalizations
JO - Brain injury
A1 - Rosario, Emily R.
A1 - Espinoza, Laura
A1 - Kaplan, Stephanie
A1 - Khonsari, Sepehr
A1 - Thurndyke, Earl
A1 - Bustos, Melissa
A1 - Vickers, Kayla
A1 - Navarro, Brittney
A1 - Scudder, Bonnie
SP - 1340
EP - 1347
VL - 31
IS - 10
N2 - OBJECTIVE: To determine the effectiveness of a Navigation programme for patients with traumatic brain injury.
DESIGN: Prospective programme evaluation. SETTING: Inpatient rehabilitation facility and community settings. PARTICIPANTS: Eighteen individuals who suffered a traumatic brain injury (TBI), were between the ages of 16-70 years, and had a Rancho Score greater than IV. INTERVENTION: Patient navigation programme focused on identifying and addressing barriers to positive outcomes, including coordination of care and facilitating communication among the family and healthcare providers, psychosocial support, caregiver support, adherence to treatment, education, community resources and financial issues. MAIN OUTCOME MEASURES: Functional status, re-hospitalizations, falls, neurobehavioral symptom inventory, neuroendocrine status, activities of daily living, community integration and caregiver burden.
RESULTS: There was a significant reduction in re-hospitalization and fall rate when comparing individuals who received navigation services and those who did not. We also observed improved adherence treatment plans and a significant increase in community integration, independence level and functional abilities.
CONCLUSIONS: This study begins to highlight the effectiveness of a patient navigation programme for individuals with TBI. Future research with a larger sample will continue to help us refine patient navigation for chronic disabling conditions and determine its sustainability. Language: en
LA - en
SN - 0269-9052
UR - http://dx.doi.org/10.1080/02699052.2017.1325937
ID - ref1
ER -