Group Differences Among Caregivers of Civilians and Service Members or Veterans with Traumatic Brain Injury

Publication date: Available online 8 December 2018

Source: Archives of Physical Medicine and Rehabilitation

Author(s): Eva Keatley, Robin Hanks, Angelle M. Sander, Anna L. Kratz, David S. Tulsky, Phillip Ianni, Jennifer Miner, Noelle E. Carlozzi

Abstract

Objective

To examine group differences among caregivers of service members/veterans (SMVs) and civilians with traumatic brain injury (TBI).

Design

An observational research study examining the group differences between caregivers of SMVs and civilians with TBI. The data presented was collected as part of a larger study that calibrated and validated the TBI-CareQOL item banks.

Setting

Participants in this multicenter study completed an online survey via a study-specific website. Surveys were completed at the study site, at home or via phone interview. Civilian caregivers were recruited from four rehabilitation hospitals and caregivers of SMVs were recruited through community outreach and collaboration with the Hearts of Valor.

Participants

Participants consisted of 344 caregivers of civilians with TBI and 129 caregivers of SMVs with TBI.

Interventions

Not applicable.

Main Outcome Measures

Zarit Burden Interview Scale, TBI-CareQOL, and Mayo Portland Adaptability Inventory, 4^th revision (MPAI-4)

Results

Of the independent variables included in the logistic regression model that classified military-affiliated versus civilian caregivers five were statistically significant: age, spousal status, time since injury, MPAI-4 Adjustment, and TBI-CareQOL Feeling Trapped.

Conclusions

The results indicate that caregivers of SMVs were more likely to report worse emotional and social adjustment among the individuals with TBI and caregivers of SMVs were more likely to report greater levels of feeling trapped by their caregiving duties.

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