Impact of racial-ethnic minority status and systemic vulnerabilities on time to acute TBI rehabilitation admission in an urban public hospital setting.
Conclusions/Implications: Overall, findings indicate that sociodemographic factors including race/ethnicity and systemic vulnerabilities impact injury severity and time to acute TBI rehabilitation admission. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - January 28, 2019 Category: Rehabilitation Source Type: research

Impacts of early powered mobility provision on disability identity: A case study.
Conclusion: Similarities and differences were present within the situated experiences of each family. Experiences were foregrounded by instances of emerging identity development throughout provision processes that were influenced by caregiver perceptions of disability (positive vs. negative), aesthetics and function (medical vs. adventure), and perceived intent of the devices (an opportunity for freedom vs. prolonging need for undesired mobility equipment). These findings highlight the varied dynamics and spheres of influence this transaction may have on the developing identity of children with disabilities, which may ulti...
Source: Rehabilitation Psychology - December 20, 2018 Category: Rehabilitation Source Type: research

Socioeconomic resources predict trajectories of depression and resilience following disability.
Conclusion: The course of adjustment in response to disability onset is heterogeneous. Our results confirm the presence of multiple pathways of adjustment surrounding late-life disability, with the most common outcome being near-zero depressive symptoms for the duration of the study. Socioeconomic resources strongly predicted membership in the resilient class compared with all other classes, indicating that such resources may play a protective role during the stress of physical disability onset. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - December 20, 2018 Category: Rehabilitation Source Type: research

Evaluation of a 12-month lifestyle intervention by individuals with traumatic brain injury.
Weight gain and inactivity are common problems for individuals living with a traumatic brain injury (TBI). Yet, interventions to support a healthy lifestyle specific to individuals with TBI are lacking. The purpose of this study was to complete a program evaluation of a 12-month evidence-based healthy lifestyle intervention adapted for people with a TBI. Eighteen participants completed a brief interview after the yearlong intervention to determine their perceptions of the program effectiveness as well as barriers and facilitators in making lifestyle changes. Participants reported staff, tracking of dietary and activity beh...
Source: Rehabilitation Psychology - December 20, 2018 Category: Rehabilitation Source Type: research

Reconceptualizing rehabilitation of individuals with chronic symptoms following mild traumatic brain injury.
Conclusions/Implications: Based on these findings we encourage rehabilitation professionals to “re-conceptualize” the factors that likely underlie chronic PCS and the most effective treatment for this condition. We propose that CBT interventions focusing on comorbid and underlying mental health issues should be an essential, not adjunctive, treatment approach for chronic PCS. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - December 20, 2018 Category: Rehabilitation Source Type: research

Barriers to healthcare services and supports for signing deaf older adults.
Conclusions/Implications: Individuals may face unusual challenges, indicating a serious public health crisis on the horizon as the demographic of deaf older adults continues to grow. This paper will discuss what is known about the intersection of aging, Deaf culture, and health care access, and suggest policy and practice recommendations for the future. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - November 29, 2018 Category: Rehabilitation Source Type: research

Microaggressions and social support among sexual minorities with physical disabilities.
This study is among the first to explore the relationship between microaggressions and social support in a multiply marginalized community. Research Method: One-hundred and 92 sexual minority (i.e., bisexual, gay, lesbian, pansexual, queer, questioning, same-sex/gender attracted) participants with physical disabilities completed measures related to microaggressions, social support, and mental health via an online survey. Results: Results suggest that for SMPWDs, greater ableist microaggressions within sexual minority communities were associated with lower satisfaction with LGBTQ social supports. In addition, ableist and ho...
Source: Rehabilitation Psychology - November 29, 2018 Category: Rehabilitation Source Type: research

Disability identity and allyship in rehabilitation psychology: Sit, stand, sign, and show up.
Conclusion: In this conceptual paper, we framed disability in terms of both the medical and social models and argues that thinking about disability identity requires attention to the social model of disability. This attention is important, because it allows practitioners to think about themselves as allies to a particular community, rather than experts who must only “fix” clients’ disabilities to elicit positive identity development. This shift toward allyship requires attention, engagement, and openness to see clients simultaneously as individuals and as members of a powerful, diverse community with a unique identit...
Source: Rehabilitation Psychology - November 29, 2018 Category: Rehabilitation Source Type: research

Effects of virtual walking on spinal cord injury-related neuropathic pain: A randomized, controlled trial.
Conclusion: Results from this trial suggest that virtual walking treatment may benefit certain aspects of NP, such as associated unpleasantness, as well as certain sensory qualities of that pain. Efficacy of this treatment modality to reduce overall pain severity remains unclear, and may be modulated by other injury, individual, or personality characteristics. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - November 8, 2018 Category: Rehabilitation Source Type: research

Predicting trajectories of posttraumatic growth following acquired physical disability.
Conclusions/Implications: These findings point to ways in which clinical researchers can better understand PTG following acquired physical disability and investigate the honing of psychological interventions to more precisely target specific modifiable predictors of PTG. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - November 1, 2018 Category: Rehabilitation Source Type: research

Gender differences in employment and economic quality of life following traumatic brain injury.
Conclusion: The results suggest that if unemployed prior to injury, women with TBI are less likely to be employed postinjury and also experience decreased economic quality of life postinjury, regardless of employment status. Although further research is needed to determine which strategies will improve economic quality of life for women with TBI, clinicians may utilize these preliminary findings to guide treatment and advocacy efforts. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - October 22, 2018 Category: Rehabilitation Source Type: research

Sex/gender disparities in health outcomes of individuals with long-term disabling conditions.
Background: Women with disabling conditions experience health disparities relative to nondisabled women, but few studies have compared women and men with disabling conditions. Objectives: To investigate gender differences in physical functioning and emotional health among individuals with long-term disabling conditions, that is, neuromuscular disease, multiple sclerosis, postpolio syndrome, or spinal cord injury. Method: From a mailed survey of 1,862 adults with long-term disabling conditions, we used the 12-item Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning to assess physical limit...
Source: Rehabilitation Psychology - October 8, 2018 Category: Rehabilitation Source Type: research

Patterns of workplace discrimination across broad categories of disability.
Conclusions: Noteworthy differences exist regarding the experience of workplace discrimination among basis categories of disability, especially with respect to sensory impairment. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Rehabilitation Psychology)
Source: Rehabilitation Psychology - October 8, 2018 Category: Rehabilitation Source Type: research

Psychological difficulties and parental well-being in children with musculoskeletal problems in the 2011/2012 National Survey of Children’s Health.
This study compared children with and without current musculoskeletal (MSK) problems on key indices of child psychological adjustment and parental well-being. Research Method: Prevalence estimates of psychological problems were compared for children ages 2–17 years with and without current MSK problems in the 2011/2012 National Survey of Children’s Health. Multivariate logistic regression analyses examined the effects of MSK problem severity on the risk of psychological concerns. Results: Population level differences in prevalence estimates were observed in psychological difficulties. Children with MSK problems were di...
Source: Rehabilitation Psychology - October 8, 2018 Category: Rehabilitation Source Type: research

Positive factors, pain, and function in adults with multiple sclerosis.
Objective: Much is known about the associations between negative factors and adjustment to chronic pain. However, less is known about how positive factors (e.g., positive affect [PA], resilience) function in relation to disability and mood in individuals with multiple sclerosis (MS). To better understand how positive factors contribute to function we sought to determine if (a) PA and/or trait resilience moderate the associations between pain intensity and function (pain interference, depressive symptoms), and (b) trait resilience concurrently mediates the association between PA and function in a sample of individuals with ...
Source: Rehabilitation Psychology - October 8, 2018 Category: Rehabilitation Source Type: research