The impact of COVID-19 on home, social, and productivity integration of people with chronic traumatic brain injury or stroke living in the community.
Medicine (Baltimore)
; 101(8): e28695, 2022 Feb 25.
Article
in English
| MEDLINE | ID: covidwho-1853276
ABSTRACT
ABSTRACT Compare community integration of people with stroke or traumatic brain injury (TBI) living in the community before and during the coronavirus severe acute respiratory syndrome coronavirus 2 disease (COVID-19) when stratifying by injury participants with stroke (G1) and with TBI (G2); by functional independence in activities of daily living independent (G3) and dependent (G4); by age participants younger than 54 (G5) and older than 54 (G6); and by gender female (G7) and male (G8) participants.Prospective observational cohort studyIn-person follow-up visits (before COVID-19 outbreak) to a rehabilitation hospital in Spain and on-line during COVID-19.Community dwelling adults (≥18âyears) with chronic stroke or TBI.Community integration questionnaire (CIQ) the total-CIQ as well as the subscale domains (ie, home-CIQ, social-CIQ, productivity CIQ) were compared before and during COVID-19 using the Wilcoxon ranked test or paired t test when appropriate reporting Cohen effect sizes (d). The functional independence measure was used to assess functional independence in activities of daily living.Two hundred four participants, 51.4% with stroke and 48.6% with TBI assessed on-line between June 2020 and April 2021 were compared to their own in-person assessments performed before COVID-19.When analyzing total-CIQ, G1 (dâ=â-0.231), G2 (dâ=â-0.240), G3 (dâ=â-0.285), G5 (dâ=â-0.276), G6 (dâ=â-0.199), G7 (dâ=â-0.245), and G8 (dâ=â-0.210) significantly decreased their scores during COVID-19, meanwhile G4 was the only group with no significant differences before and during COVID-19.In productivity-CIQ, G1 (dâ=â-0.197), G4 (dâ=â-0.215), G6 (dâ=â-0.300), and G8 (dâ=â-0.210) significantly increased their scores, meanwhile no significant differences were observed in G2, G3, G5, and G7.In social-CIQ, all groups significantly decreased their scores G1 (dâ=â-0.348), G2 (dâ=â-0.372), G3 (dâ=â-0.437), G4 (dâ=â-0.253), G5 (dâ=â-0.394), G6 (dâ=â-0.319), G7 (dâ=â-0.355), and G8 (dâ=â-0.365).In home-CIQ only G6 (dâ=â-0.229) significantly decreased, no significant differences were observed in any of the other groups.The largest effect sizes were observed in total-CIQ for G3, in productivity-CIQ for G6, in social-CIQ for G3 and in home-CIQ for G6 (medium effect sizes).Stratifying participants by injury, functionality, age or gender allowed identifying specific CIQ subtotals where remote support may be provided addressing them.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Quality of Life
/
Activities of Daily Living
/
Community Integration
/
Brain Injuries, Traumatic
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
/
Young adult
Language:
English
Journal:
Medicine (Baltimore)
Year:
2022
Document Type:
Article
Affiliation country:
MD.0000000000028695
Similar
MEDLINE
...
LILACS
LIS