The Experts below are selected from a list of 7575 Experts worldwide ranked by ideXlab platform
Linda Resnik - One of the best experts on this subject based on the ideXlab platform.
-
Issues in defining and measuring veteran Community Reintegration: proceedings of the Working Group on Community Reintegration, VA Rehabilitation Outcomes Conference, Miami, Florida.
Journal of rehabilitation research and development, 2012Co-Authors: Linda Resnik, Daniel W. Bradford, Shirley M. Glynn, Alan M. Jette, Caitlin Johnson Hernandez, Sharon WillsAbstract:In January 2010, the Department of Veterans Affairs (VA) Rehabilitation Research and Development Service convened a State of the Art (SOTA) conference to advance the field of outcome measurement for rehabilitation-related studies. This article reports on the proceedings of the SOTA Working Group on Community Reintegration. We explored the use of the International Classification of Health, Disability, and Functioning as a theoretical framework for measuring Community Reintegration; identified key dimensions of Community Reintegration that could and/or should be measured; discussed challenges in measuring Community Reintegration; suggested steps to enhance Community Reintegration measurement; proposed future research that focuses on outcomes measures for Community Reintegration and the study of Community Reintegration outcomes; and made policy recommendations that would facilitate Community Reintegration research within the VA.
-
Computer-adaptive test to measure Community Reintegration of Veterans.
Journal of rehabilitation research and development, 2012Co-Authors: Linda Resnik, Feng Tian, Alan M. JetteAbstract:The Community Reintegration of Injured Service Members (CRIS) measure consists of three scales measuring extent of, perceived limitations in, and satisfaction with Community Reintegration. Length of the CRIS may be a barrier to its widespread use. Using item response theory (IRT) and computer-adaptive test (CAT) methodologies, this study developed and evaluated a briefer Community Reintegration measure called the CRIS-CAT. Large item banks for each CRIS scale were constructed. A convenience sample of 517 Veterans responded to all items. Exploratory and confirmatory factor analyses (CFAs) were used to identify the dimensionality within each domain, and IRT methods were used to calibrate items. Accuracy and precision of CATs of different lengths were compared with the full-item bank, and data were examined for differential item functioning (DIF). CFAs supported unidimensionality of scales. Acceptable item fit statistics were found for final models. Accuracy of 10-, 15-, 20-, and variable-item CATs for all three scales was 0.88 or above. CAT precision increased with number of items administered and decreased at the upper ranges of each scale. Three items exhibited moderate DIF by sex. The CRIS-CAT demonstrated promising measurement properties and is recommended for use in Community Reintegration assessment.
-
Telephone and face to face methods of assessment of veteran's Community Reintegration yield equivalent results
BMC medical research methodology, 2011Co-Authors: Linda Resnik, Melissa A. Clark, Matthew BorgiaAbstract:The Community Reintegration of Service Members (CRIS) is a new measure of Community Reintegration developed to measure veteran's participation in life roles. It consists of three sub-scales: Extent of Participation (Extent), Perceived Limitations with Participation (Perceived), and Satisfaction with Participation (Satisfaction). Testing of the CRIS measure to date has utilized in-person administration. Administration of the CRIS measure by telephone, if equivalent to in-person administration, would be desirable to lower cost and decrease administrative burden. The purpose of this study was to test the equivalence of telephone and in-person mode of CRIS administration. A convenience sample of 102 subjects (76% male, 24% female, age mean = 49 years, standard deviation = 8.3) were randomly assigned to received either telephone interview at Visit 1 and in-person interview at Visit 2, or in-person interview at Visit 1 and telephone interview a Visit 2. Both Visits were conducted within one week. Intraclass correlation coefficients, ICC (2,1), were used to evaluate correspondence between modes for both item scores and summary scores. ANOVAs with mode order as a covariate were used to test for presence of an ordering effect. ICCs (95%CI) for the subscales were 0.92 (0.88-0.94) for Extent, 0.85 (0.80-0.90) for Perceived, and 0.89 (0.84-0.93) for Satisfaction. No ordering effect was observed. Telephone administration of the CRIS measure yielded equivalent results to in-person administration. Telephone administration of the CRIS may enable lower costs of administration and greater adoption.
-
Measurement of Community Reintegration in sample of severely wounded servicemembers
Journal of rehabilitation research and development, 2011Co-Authors: Linda Resnik, Melissa Gray, Matthew BorgiaAbstract:INTRODUCTION Evidence to date suggests that demobilization and return home after combat can be challenging for military servicemembers. Numerous Reintegration problems have been reported among veterans from the gulf war and more recent conflicts in Iraq and Afghanistan, including marital difficulties, financial difficulties, problems with alcohol or substance abuse, medical problems, behavioral problems such as depression or anxiety [1], homelessness [2], and motor vehicle accidents [3]. Readjustment to Community living is likely to be especially challenging for servicemembers who are injured, as readjustment may be complicated by the co-occurrence of physical injuries and postwar adjustment difficulties such as posttraumatic stress disorder (PTSD), depression, substance abuse, and severe mental illness [1,4]. Although the survival rate for servicemembers injured in recent conflicts is far greater than that of previous conflicts, the improved survivability is associated with an increased rate of servicemembers with severe injuries that include head injuries, burns, and extensive injuries to the limbs. Improvised explosive devices (IEDs) are the cause of a majority of these injuries [5]. As of May 2010, over 31,800 U.S. servicemembers have been wounded in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) [6]. Injuries caused by IEDs are associated with the unusually high prevalence of traumatic brain injury (TBI) [7] and PTSD among the injured [8-9], conditions that are likely to present substantial challenges in reintegrating into Community roles. Data suggests that OIF/OEF service will negatively affect a far greater number of persons beyond those counted in the combat casualty statistics, with upwards of 790,000 veterans expected to seek disability benefits for service-related health problems [10]. Society's understanding of the effects of poor postdeployment Reintegration stems largely from the experience of Vietnam war veterans, a disproportionate number of whom suffer from chronic PTSD and pervasive difficulties in their everyday lives, including marital and work difficulties, poor parenting skills, violent behavior, alcohol and drug abuse, involvement with the criminal justice system, suicide attempts, and homelessness [11-16]. More than one-third of homeless men in the United States are veterans [17], with an estimated 250,000 veterans homeless on a given night and more than 500,000 homeless over the course of a year [16]. Given what is known about the experiences of veterans from previous wars, it is imperative that we find ways to assess the Community Reintegration of today's combat veterans and that we intervene early to prevent long-term consequences for returning servicemembers, their families, and society. To date, no systematic efforts have estimated the scope of these problems. At present, neither Department of Veterans Affairs (VA) nor Department of Defense electronic medical records contain standardized data elements related to Community Reintegration. Enhanced clinical information systems are a key component of improving care delivery for patients with chronic and complex conditions. Routine assessment of Community Reintegration would enhance patient assessment and referral targeting to mental health, social services, and benefit programs as well as drive interventions that address underlying factors related to poor Community Reintegration [18]. The Community Reintegration of Servicemembers (CRIS) is a new measure of Community Reintegration developed to be a veteran-specific outcome measure. Initial content of the CRIS was identified through formative research on OIF/OEF veterans, caregivers, and clinical experts and a comprehensive review of concepts and content of existing measures [18]. CRIS development was based on the conceptual framework of the World Health Organization's International Classification of Function (ICF). Its three subscales measure nine domains of participation and three dimensions: objective and subjective aspects of participation as well as satisfaction with participation. …
-
development of cris measure of Community Reintegration of injured service members
Journal of Rehabilitation Research and Development, 2009Co-Authors: Linda Resnik, Matthew Plow, Alan M. JetteAbstract:Identification and prevention of Community Reintegration problems of veterans is an important public health mandate. However, no veteran-specific measure exists. Study purposes were to (1) develop the Community Reintegration for Service Members (CRIS) measure and (2) test the validity and reliability of the measure. Formative research identified challenges in Community Reintegration postdeployment. The World Health Organization’s International Classification of Functioning, Disability and Health participation domain guided item-bank development. Items were refined through cognitive interviews and clinician consultation. Pilot studies with 126 veterans examined unidimensionality, internal consistency, reliability, and construct validity. Three unidimensional CRIS scales were developed. Working subjects had better CRIS scores then unemployed subjects. Subjects with posttraumatic stress disorder, substance abuse, or mental health problems had worse scores than subjects without these conditions. The correlations between the CRIS and the 36-Item Short Form Health Survey scales of role physical, role emotional, and social functioning were 0.44–0.80. CRIS has strong reliability, conceptual integrity, and construct validity.
Anthony Chiodo - One of the best experts on this subject based on the ideXlab platform.
-
Spinal Cord Injury Medicine. 4. Community Reintegration After Spinal Cord Injury
Archives of Physical Medicine and Rehabilitation, 2007Co-Authors: William M. Scelza, Steven Kirshblum, Lisa Ann Wuermser, Michael M. Priebe, Anthony ChiodoAbstract:Abstract Scelza WM, Kirshblum SC, Wuermser LA, Ho CH, Priebe MM, Chiodo AE. Spinal cord injury medicine. 4. Community Reintegration after spinal cord injury. This self-directed learning module highlights Community Reintegration after spinal cord injury (SCI). It is part of the study guide on spinal cord injury medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on physical, social, psychologic, and environmental barriers that affect people with SCI and on how these issues affect relations with others. Recreational and exercise options are also discussed. Overall Article Objective To summarize the barriers and opportunities of Community Reintegration for people with spinal cord injury.
-
Spinal cord injury medicine. 4. Community Reintegration after spinal cord injury.
Archives of physical medicine and rehabilitation, 2007Co-Authors: William M. Scelza, Steven Kirshblum, Lisa Ann Wuermser, Michael M. Priebe, Anthony ChiodoAbstract:This self-directed learning module highlights Community Reintegration after spinal cord injury (SCI). It is part of the study guide on spinal cord injury medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on physical, social, psychologic, and environmental barriers that affect people with SCI and on how these issues affect relations with others. Recreational and exercise options are also discussed. To summarize the barriers and opportunities of Community Reintegration for people with spinal cord injury.
Kathleen F. Carlson - One of the best experts on this subject based on the ideXlab platform.
-
The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers.
Archives of physical medicine and rehabilitation, 2018Co-Authors: Sean M. Phelan, Lauren R. Bangerter, Greta Friedemann-sánchez, Kandace A. Lackore, Megan A. Morris, Courtney Harold Van Houtven, Kathleen F. Carlson, Michelle Van Ryn, Kristin Harden, Joan M. GriffinAbstract:Abstract Objective To assess the association between perceived stigma and discrimination and caregiver strain, caregiver well-being, and patient Community Reintegration. Design A cross-sectional survey study of 564 informal caregivers of U.S. military service veterans of wars in Iraq and Afghanistan who experienced traumatic brain injuries or polytrauma (TBI/PT). Setting Care settings of Community-dwelling former inpatients of U.S. Department of Veterans Affairs Polytrauma Rehabilitation Centers. Participants Caregivers of former inpatients (N=564), identified through next-of-kin records and subsequent nominations. Interventions Not applicable. Main Outcome Measures Caregiver strain, depression, anxiety, loneliness, and self-esteem; as well as care recipient Community Reintegration, a key aspect of TBI/PT rehabilitation. Results Family stigma was associated with strain, depression, anxiety, loneliness, lower self-esteem, and less Community Reintegration. Caregiver stigma-by-association was associated with strain, depression, anxiety, loneliness, and lower self-esteem. Care recipient stigma was associated with caregiver strain, depression, anxiety, loneliness, lower self-esteem, and less Community Reintegration. Conclusions Perceived stigma may be a substantial source of stress for caregivers of U.S. military veterans with TBI/PT, and may contribute to poor outcomes for the health of caregivers and for the Community Reintegration of the veterans for whom they provide care.
-
Traumatic Brain Injury Severity, Comorbidity, Social Support, Family Functioning, and Community Reintegration Among Veterans of the Afghanistan and Iraq Wars
Archives of Physical Medicine and Rehabilitation, 2018Co-Authors: Mary Jo Pugh, Kathleen F. Carlson, Alicia A. Swan, Carlos A. Jaramillo, Blessen C. Eapen, Christina Dillahunt-aspillaga, Megan E. Amuan, Roxana E. Delgado, Kimberly Mcconnell, Erin P. FinleyAbstract:Abstract Objective To examine the association between traumatic brain injury (TBI) severity; social, family, and Community Reintegration outcomes; and return to work status among post-9/11 veterans in Department of Veterans Affairs (VA) care. Design Retrospective observational cohort study. Setting Mail/online survey fielded to a national sample of veterans. Participants Sample of post-9/11 veterans with at least 3 years of VA care stratified according to TBI severity and comorbidities who completed and returned surveys (N=2023). Interventions Not applicable. Main Outcome Measures Deployment Risk and Resilience Inventory-2 family functioning and social support subscales; Military to Civilian Questionnaire; and employment status. Results Bivariate analyses revealed that veterans with every classification of TBI severity reported significantly more difficulty on social, family, and Community Reintegration outcomes than those with no TBI. In the fully adjusted model, veterans with unclassified and moderate/severe TBI reported significantly more difficulty with Community Reintegration and were less likely to be employed relative to those with no TBI; those with unclassified TBI also reported significantly more difficulty with family functioning. Veterans with mild TBI also reported significantly more difficulty with Community Reintegration. Conclusions This study provides insight into long-term outcomes associated with TBI in post-9/11 veterans and suggests that exposure to TBI has a negative effect on social and family functioning, Community Reintegration, and return to work even after controlling for comorbidity, deployment experiences, and sociodemographic characteristics. Additional research is required to explicate what appears to be complex interactions among TBI severity, psychosocial well-being, combat exposures, and socioeconomic resources in this population.
-
Traumatic Brain Injury Severity, Comorbidity, Social Support, Family Functioning, and Community Reintegration Among Veterans of the Afghanistan and Iraq Wars.
Archives of physical medicine and rehabilitation, 2017Co-Authors: Mary Jo Pugh, Kathleen F. Carlson, Alicia A. Swan, Carlos A. Jaramillo, Blessen C. Eapen, Christina Dillahunt-aspillaga, Megan E. Amuan, Roxana E. Delgado, Kimberly Mcconnell, Erin P. FinleyAbstract:To examine the association between traumatic brain injury (TBI) severity; social, family, and Community Reintegration outcomes; and return to work status among post-9/11 veterans in Department of Veterans Affairs (VA) care. Retrospective observational cohort study. Mail/online survey fielded to a national sample of veterans. Sample of post-9/11 veterans with at least 3 years of VA care stratified according to TBI severity and comorbidities who completed and returned surveys (N=2023). Not applicable. Deployment Risk and Resilience Inventory-2 family functioning and social support subscales; Military to Civilian Questionnaire; and employment status. Bivariate analyses revealed that veterans with every classification of TBI severity reported significantly more difficulty on social, family, and Community Reintegration outcomes than those with no TBI. In the fully adjusted model, veterans with unclassified and moderate/severe TBI reported significantly more difficulty with Community Reintegration and were less likely to be employed relative to those with no TBI; those with unclassified TBI also reported significantly more difficulty with family functioning. Veterans with mild TBI also reported significantly more difficulty with Community Reintegration. This study provides insight into long-term outcomes associated with TBI in post-9/11 veterans and suggests that exposure to TBI has a negative effect on social and family functioning, Community Reintegration, and return to work even after controlling for comorbidity, deployment experiences, and sociodemographic characteristics. Additional research is required to explicate what appears to be complex interactions among TBI severity, psychosocial well-being, combat exposures, and socioeconomic resources in this population. Published by Elsevier Inc.
-
military to civilian questionnaire a measure of postdeployment Community Reintegration difficulty among veterans using department of veterans affairs medical care
Journal of Traumatic Stress, 2011Co-Authors: Nina A Sayer, Kathleen F. Carlson, Patricia A Frazier, Robert J Orazem, Maureen Murdoch, Amy Gravely, Samuel Hintz, Siamak NoorbaloochiAbstract:The primary objective of this study was to describe the development, reliability, and construct validity of scores on the Military to Civilian Questionnaire (M2C-Q), a 16-item self-report measure of postdeployment Community Reintegration difficulty. We surveyed a national, stratified sample of 1,226 Iraq and Afghanistan veterans who used U.S. Department of Veterans Affairs (VA) medical care; 745 completed the M2C-Q and validated mental health screening measures. All analyses were based on weighted estimates. The internal consistency of the M2C-Q was .95 in this sample. Factor analyses indicated a single total score was the best-fitting model. Total scores were associated with measures theoretically related to Reintegration difficulties including perception of overall difficulty readjusting back into civilian life (R(2) = .49), probable PTSD (d = 1.07), probable problem drug or alcohol use (d = 0.34), and overall mental health (r = -.83). Subgroup analyses revealed a similar pattern of findings in those who screened negative for PTSD. Nonwhite and unemployed veterans reported greater Community Reintegration difficulty (d = 0.20 and 0.45, respectively). Findings offer preliminary support for the reliability and construct validity of M2C-Q scores.
Alan M. Jette - One of the best experts on this subject based on the ideXlab platform.
-
Issues in defining and measuring veteran Community Reintegration: proceedings of the Working Group on Community Reintegration, VA Rehabilitation Outcomes Conference, Miami, Florida.
Journal of rehabilitation research and development, 2012Co-Authors: Linda Resnik, Daniel W. Bradford, Shirley M. Glynn, Alan M. Jette, Caitlin Johnson Hernandez, Sharon WillsAbstract:In January 2010, the Department of Veterans Affairs (VA) Rehabilitation Research and Development Service convened a State of the Art (SOTA) conference to advance the field of outcome measurement for rehabilitation-related studies. This article reports on the proceedings of the SOTA Working Group on Community Reintegration. We explored the use of the International Classification of Health, Disability, and Functioning as a theoretical framework for measuring Community Reintegration; identified key dimensions of Community Reintegration that could and/or should be measured; discussed challenges in measuring Community Reintegration; suggested steps to enhance Community Reintegration measurement; proposed future research that focuses on outcomes measures for Community Reintegration and the study of Community Reintegration outcomes; and made policy recommendations that would facilitate Community Reintegration research within the VA.
-
Computer-adaptive test to measure Community Reintegration of Veterans.
Journal of rehabilitation research and development, 2012Co-Authors: Linda Resnik, Feng Tian, Alan M. JetteAbstract:The Community Reintegration of Injured Service Members (CRIS) measure consists of three scales measuring extent of, perceived limitations in, and satisfaction with Community Reintegration. Length of the CRIS may be a barrier to its widespread use. Using item response theory (IRT) and computer-adaptive test (CAT) methodologies, this study developed and evaluated a briefer Community Reintegration measure called the CRIS-CAT. Large item banks for each CRIS scale were constructed. A convenience sample of 517 Veterans responded to all items. Exploratory and confirmatory factor analyses (CFAs) were used to identify the dimensionality within each domain, and IRT methods were used to calibrate items. Accuracy and precision of CATs of different lengths were compared with the full-item bank, and data were examined for differential item functioning (DIF). CFAs supported unidimensionality of scales. Acceptable item fit statistics were found for final models. Accuracy of 10-, 15-, 20-, and variable-item CATs for all three scales was 0.88 or above. CAT precision increased with number of items administered and decreased at the upper ranges of each scale. Three items exhibited moderate DIF by sex. The CRIS-CAT demonstrated promising measurement properties and is recommended for use in Community Reintegration assessment.
-
development of cris measure of Community Reintegration of injured service members
Journal of Rehabilitation Research and Development, 2009Co-Authors: Linda Resnik, Matthew Plow, Alan M. JetteAbstract:Identification and prevention of Community Reintegration problems of veterans is an important public health mandate. However, no veteran-specific measure exists. Study purposes were to (1) develop the Community Reintegration for Service Members (CRIS) measure and (2) test the validity and reliability of the measure. Formative research identified challenges in Community Reintegration postdeployment. The World Health Organization’s International Classification of Functioning, Disability and Health participation domain guided item-bank development. Items were refined through cognitive interviews and clinician consultation. Pilot studies with 126 veterans examined unidimensionality, internal consistency, reliability, and construct validity. Three unidimensional CRIS scales were developed. Working subjects had better CRIS scores then unemployed subjects. Subjects with posttraumatic stress disorder, substance abuse, or mental health problems had worse scores than subjects without these conditions. The correlations between the CRIS and the 36-Item Short Form Health Survey scales of role physical, role emotional, and social functioning were 0.44–0.80. CRIS has strong reliability, conceptual integrity, and construct validity.
William M. Scelza - One of the best experts on this subject based on the ideXlab platform.
-
Spinal Cord Injury Medicine. 4. Community Reintegration After Spinal Cord Injury
Archives of Physical Medicine and Rehabilitation, 2007Co-Authors: William M. Scelza, Steven Kirshblum, Lisa Ann Wuermser, Michael M. Priebe, Anthony ChiodoAbstract:Abstract Scelza WM, Kirshblum SC, Wuermser LA, Ho CH, Priebe MM, Chiodo AE. Spinal cord injury medicine. 4. Community Reintegration after spinal cord injury. This self-directed learning module highlights Community Reintegration after spinal cord injury (SCI). It is part of the study guide on spinal cord injury medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on physical, social, psychologic, and environmental barriers that affect people with SCI and on how these issues affect relations with others. Recreational and exercise options are also discussed. Overall Article Objective To summarize the barriers and opportunities of Community Reintegration for people with spinal cord injury.
-
Spinal cord injury medicine. 4. Community Reintegration after spinal cord injury.
Archives of physical medicine and rehabilitation, 2007Co-Authors: William M. Scelza, Steven Kirshblum, Lisa Ann Wuermser, Michael M. Priebe, Anthony ChiodoAbstract:This self-directed learning module highlights Community Reintegration after spinal cord injury (SCI). It is part of the study guide on spinal cord injury medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on physical, social, psychologic, and environmental barriers that affect people with SCI and on how these issues affect relations with others. Recreational and exercise options are also discussed. To summarize the barriers and opportunities of Community Reintegration for people with spinal cord injury.