%0 Journal Article
%A Caracuel, A
%A Cuberos-Urbano, G
%A Santiago-Ramajo, S
%A Vilar-Lopez, R
%A Coín-Megias, M A
%A Verdejo-García, A
%A Pérez-García, M
%T Effectiveness of holistic neuropsychological rehabilitation for Spanish population with acquired brain injury measured using Rasch analysis.
%D 2012
%@ 1053-8135
%U http://hdl.handle.net/10668/2088
%X INTRODUCTIONThe Rasch model is increasingly used in the field of rehabilitation because it improves the accuracy of measurements of patient status and their changes after therapy.OBJECTIVETo determine the long-term effectiveness of a holistic neuropsychological rehabilitation program for Spanish outpatients with acquired brain injury (ABI) using Rasch analysis.METHODSEighteen patients (ten with long evolution - patients who started the program > 6 months after ABI- and eight with short evolution) and their relatives attended the program for 6 months. Patients' and relatives' answers to the European Brain Injury Questionnaire and the Frontal Systems Behavior Scale at 3 time points (pre-intervention. post-intervention and 12 month follow-up) were transformed into linear measures called logits.RESULTSThe linear measures revealed significant improvements with large effects at the follow-up assessment on cognitive and executive functioning, social and emotional self-regulation, apathy and mood. At follow-up, the short evolution group achieved greater improvements in mood and cognitive functioning than the long evolution patients.CONCLUSIONSThe program showed long-term effectiveness for most of the variables, and it was more effective for mood and cognitive functioning when patients were treated early. Relatives played a key role in the effectiveness of the rehabilitation program.
%K Acquired brain injury
%K Stroke
%K Traumatic brain injury
%K Holistic neuropsychological rehabilitation
%K Outcome measures
%K Rasch analysis
%K Evaluación de la discapacidad
%K Grupo de ascendencia continental europea
%K Femenino
%K Humanos
%K Masculino
%K Mediana edad
%K Pruebas neuropsicológicas
%K España
%K Resultado del tratamiento
%K Traumatismos encefálicos
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