Graduation Year

2023

Document Type

Dissertation

Degree

Ph.D.

Degree Name

Doctor of Philosophy (Ph.D.)

Degree Granting Department

Child and Family Studies

Major Professor

Christina Dillahunt-Aspillaga, Ph.D.

Co-Major Professor

Tammy Jorgensen Smith, Ph.D.

Committee Member

Risa Richardson, Ph.D.

Committee Member

Tony Tan, Ph.D.

Committee Member

Chih Chin-Chou, Ph.D.

Keywords

Caregiver and Family Needs, Community Participation, Independence, Long-term Outcomes, Rehabilitation Outcomes

Abstract

The present study assessed the supervision needs, with the Supervision Rating Scale [SRS] (Boake, 1996) of Veterans and Service Members enrolled in the Veterans' Affairs (VA) Traumatic Brain Injury Model System (TBIMS) at 2- and 5-year follow-ups after moderate to severe traumatic brain injury (TBI). A cross sectional analysis was conducted at 2-year follow-up (N=428) where it was found that 35% of subjects still needed supervision. At 5-year follow-up (N=295) it was found that 32% of subjects needed supervision. Finally, a multilevel model of supervision (N=164) found that the relationship of supervision needs remains a constant linear line over the first 5 years following injury. This study demonstrates how supervision needs change over time and may help understand the long-term needs of individuals with TBI and their families after injury.

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