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Journal of the Australasian Society for the Study of Brain Impairment
RESEARCH ARTICLE

The effect of self-reported balance confidence on community integration after brain injury: an observational study

Jenna Tucker https://orcid.org/0000-0002-6204-0302 A * , Timothy Marshall B , Ilana Beitscher C D , Kristina Mueller A , Eric Colucio A and Thomas A. Koc Jr. A
+ Author Affiliations
- Author Affiliations

A School of Physical Therapy, Kean University, Union, NJ, USA

B IvyRehab Network, White Plains, NY, USA

C Rehabilitation Specialists, Fair Lawn, NJ, USA

D Department of Occupational Therapy, Kean University, Union, NJ, USA

* Correspondence to: jtucker@kean.edu

Brain Impairment 24(3) 601-610 https://doi.org/10.1017/BrImp.2022.9
Submitted: 1 April 2021  Accepted: 3 April 2022  Published: 2 May 2022

© The Author(s), 2022. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment

Abstract

Objective:

To evaluate the correlation between self-reported balance confidence and community integration related to home management for community-dwelling adults with acquired brain injury (ABI).

Methods:

This is a study of 141 participants over the age of 18 with a history of ABI, living in the community, who completed an online survey. The survey included a series of demographic questions followed by the Activities-Specific Balance Confidence Scale (ABC) and the Home Integration subscale of the Community Integration Questionnaire (CIQ-H).

Results:

Data from 119 completed surveys were included in the analysis. Significant positive correlations were found between the ABC and the CIQ-H total scores (rs = 0.241, p = 0.008). There was no significant difference between CIQ-H total scores in individuals by injury type (traumatic vs non-traumatic) or by level of severity (mild, moderate, severe) (p > 0.05). There was no significant difference between ABC total scores by injury type (p > 0.05).

Conclusions:

Higher levels of balance confidence may be associated with improved community integration related to home management for individuals with traumatic and non-traumatic BI. This study’s results support future research to evaluate the integration of strategies to improve balance confidence as a component of interdisciplinary assessment and rehabilitation to maximize community integration in community-dwelling adults with ABI.

Keywords: Home management, acquired brain injury, Activities-Specific Balance Confidence Scale, Community Integration Questionnaire.

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