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J Head Trauma Rehabil. 2014 May-Jun;29(3):248-56. doi: 10.1097/HTR.0000000000000014.

Frequency and quality of return to study following traumatic brain injury.

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  • 1Monash Psychology Centre, School of Psychology & Psychiatry (Drs Willmott, Ponsford, and Downing), Monash-Epworth Rehabilitation Research Centre (Drs Willmott, Ponsford, and Downing and Ms Carty), and National Trauma Research Institute (Dr Ponsford), Monash University, Victoria, Australia.

Abstract

OBJECTIVE:

To examine the frequency and experience of return to secondary or tertiary study over a 10-year period following traumatic brain injury (TBI).

PARTICIPANTS:

A group of 295 students with moderate to severe TBI followed prospectively.

SETTING:

Epworth HealthCare TBI outpatient rehabilitation program follow-up clinic 1 to 10 years postinjury.

MAIN OUTCOME MEASURES:

Frequency of return to study. Also, for a subset, changes in course enrollment, utilization of additional educational supports, and experience of return to study postinjury.

RESULTS:

Of those studying preinjury, 295 attended the follow-up clinic appointments, with 167 (56%) having returned to study. Those who did not return to study had significantly longer posttraumatic amnesia duration. The cross-sectional follow-up revealed that 60.4% were studying at 1 year postinjury, 37.5% at 2 years postinjury, 50.0% at 3 years postinjury, 31.1% at 5 years postinjury, and 2.0% at 10 years postinjury. Many had migrated into employment. A subsample of 95 participants reported on their educational experience. Of those, 28.7% changed their course enrollment from full-time to part-time. While supports such as tuition and special consideration were greatly increased postinjury, students reported the proportion of subjects passed of 79.0%. However, they experienced cognitive difficulties and fatigue and felt less satisfied with their studies.

CONCLUSIONS:

Return to study was relatively successful; however, this was associated with the experience of fatigue and need for far greater effort, assistance and reduced study hours, and somewhat less overall satisfaction.

[PubMed - indexed for MEDLINE]
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