Rehabilitation Psychology最新文献

{"title":"Online family training after traumatic brain injury: A parallel randomized control trial.","authors":"Christina M Karns, Laurie Powell, Karen A Durany, Jody Slocumb, Laura Beck, Jeff Gau, Ann Glang","doi":"10.1037/rep0000605","DOIUrl":"https://doi.org/10.1037/rep0000605","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate an online intervention to support family members of individuals who sustained a traumatic brain injury (TBI).</p><p><strong>Research design: </strong>Randomized control trial. Parallel assignment to TBI Family Support (TBIFS) intervention or enhanced usual care control (TAU). Three testing timepoints: pretest baseline (T1), posttest within 2 weeks of assignment (T2), and follow-up 1 month after posttest (T3).</p><p><strong>Setting: </strong>Online.</p><p><strong>Participants: </strong>Sixty-eight caregivers recruited nationally: 18 years of age or older, English speaking, providing primary caregiving to an adult family member with TBI and mild to moderate disability.</p><p><strong>Intervention: </strong>Eight interactive modules providing information about cognitive, behavioral, and social consequences of TBI, training in problem-solving framework, and application exercises (<i>N</i> = 35). TAU was an informational website (<i>N</i> = 33).</p><p><strong>Measures: </strong>Proximal outcomes-program use, usability, and user satisfaction for TBIFS participants. Primary outcomes-TBI content knowledge, strategy application objective response and open-ended response, and strategy-application confidence. Secondary outcomes-appraisals of burden, satisfaction, uncertainty in mastery, guilt, and negative environment.</p><p><strong>Results: </strong>Proximal outcomes-about 80% of TBIFS participants completed the posttest assessment, and 91% reported moderate to high usability and user satisfaction. Primary outcomes-greater posttest gains in TBI content knowledge for TBIFS than TAU (<i>t</i> = 3.53, <i>p</i> = .0005, adjusted <i>p</i> = .0090, <i>d</i> = 0.91). Gains maintained through follow-up (<i>t</i> = 2.89, <i>p</i> = .0038, adjusted <i>p</i> = .0342, <i>d</i> = 0.90). No other effects for the primary or secondary outcomes.</p><p><strong>Conclusion: </strong>TBIFS improved TBI content knowledge relative to TAU. Modifications might be needed to improve application and distal outcomes for caregivers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting psychological health in women with spinal cord injury: A randomized trial.","authors":"Susan Robinson-Whelen, Rosemary B Hughes, Diana Gonzalez, Linda Norah-Davis, Luis G Leon-Novelo, Esther Ngan, Megan L Whelen, Lisa Wenzel, Heather B Taylor","doi":"10.1037/rep0000602","DOIUrl":"https://doi.org/10.1037/rep0000602","url":null,"abstract":"<p><strong>Purpose/objective: </strong>To report on a randomized controlled trial of Zest, a highly innovative psychological health promotion group intervention designed specifically for women with spinal cord injury (SCI), a population at risk for adverse psychological health.</p><p><strong>Research method/design: </strong>A national sample of 175 women with SCI were randomized to either the Zest intervention or a control group that received intervention materials at the end of the study. The Zest group participated in a psychological health promotion intervention that met weekly for 10 weeks in the free, online, three-dimensional virtual world of Second Life. The novel use of this technology afforded delivery to participants with SCI without requiring them to leave their homes. Both groups completed online surveys at baseline, at program end, and at 6 months assessing the primary outcomes (depression, self-esteem, and life satisfaction) and the proposed mediators (self-efficacy, connectedness, and perceived stress).</p><p><strong>Results: </strong>Zest was well received by participants. We found significant group differences supporting the efficacy of the intervention on the primary outcomes of depression, self-esteem, and life satisfaction. Analyses also supported self-efficacy and perceived stress as important mediators of the impact of the intervention on the primary outcomes.</p><p><strong>Conclusion/implications: </strong>Zest, a group program offered on a virtual world platform, offers promise as an intervention for enhancing the psychological health of women with SCI. More attention should be devoted to the psychosocial health needs of people with SCI by developing and implementing affordable, accessible, and widely available programming. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Service needs and neurobehavioral functioning following traumatic brain injury in U.S. military personnel.","authors":"Rael T Lange, Louis M French, Sara M Lippa, Alicia A Rogers, Kelly Gillow, Corie E Tippett, Jason M Bailie, Lars Hungerford, Jan Kennedy, Tracey A Brickell","doi":"10.1037/rep0000556","DOIUrl":"10.1037/rep0000556","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to (a) identify the prevalence and barriers of self-reported service needs in a military sample with and without traumatic brain injury (TBI), (b) evaluate the influence of the number of service needs on overall neurobehavioral functioning, and (c) examine the longitudinal trajectories of service needs over time.</p><p><strong>Method: </strong>Participants were 941 U.S. service members and veterans (SMVs) prospectively enrolled into four groups: uncomplicated mild TBI (MTBI; <i>n</i> = 455); complicated mild, moderate, severe, and penetrating TBI combined (STBI; <i>n</i> = 164); injured controls (IC, <i>n</i> = 138); and noninjured controls (NIC, <i>n</i> = 184). Participants completed a battery of neurobehavioral measures, as well as a self-reported service need interview, 12 or more month's postinjury. In addition, a longitudinal cohort (<i>n</i> = 553) was included using a subset of participants who had completed two or more evaluations.</p><p><strong>Results: </strong>When examining the total number of self-reported service needs, there was a greater proportion of the MTBI and STBI groups that had a higher number of service needs compared to the NIC and IC groups (<i>p</i> < .001). In the MTBI and STBI groups, as the number of service needs increased, worse scores were found on all neurobehavioral measures. In the longitudinal cohort, the STBI group reported the highest number of service needs that persisted or developed over time (six needs), followed by the MTBI (three needs), IC (one need), and NIC (zero need) groups.</p><p><strong>Conclusions: </strong>These findings call for the need to enhance the provision of information given to service members and veterans following TBI regarding available services. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"63-74"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities between Native Americans and Whites in trajectories of functional independence and life satisfaction over the 5 years after traumatic brain injury.","authors":"Jack D Watson, Paul B Perrin, Bridget Xia, Juan Carlos Arango-Lasprilla","doi":"10.1037/rep0000553","DOIUrl":"10.1037/rep0000553","url":null,"abstract":"<p><strong>Purpose: </strong>Traumatic brain injury (TBI) can lead to impairments in motor and cognitive function and reduced life satisfaction. TBI is one of the leading causes of death and disability worldwide and disproportionately affects Native Americans, who have the highest rates of TBI among all races in the United States and elevated likelihood for fatality and severe complications. This study investigated whether disparities in functional and life satisfaction outcomes exist longitudinally over the 5 years after complicated mild, moderate, or severe TBI between Native Americans and White individuals; it further explored which demographic and injury-related covariates account for them.</p><p><strong>Research method: </strong>The current study used a subsample of the national TBI Model Systems Database of 80 demographically and injury-severity matched Native American and White pairs (total <i>n</i> = 160).</p><p><strong>Results: </strong>A series of longitudinal hierarchical linear models found that Native Americans experienced significantly lower Functional Independence Measure Cognitive and Motor trajectories than Whites; however, life satisfaction was comparable. Native Americans had declining cognitive function over time relative to a slight increase in White individuals. This differential movement dissipated with the addition of employment status at the time of injury and type of health insurance.</p><p><strong>Conclusions: </strong>These results demonstrate a profound need to further investigate the cultural and contextual variables unique to Native Americans that underlie these differences and highlight the importance of culturally responsive treatment and rehabilitation in bridging the gap in recovery. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"15-25"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting meditation practices among individuals with cardiovascular diseases: A logistic regression analysis.","authors":"Junfei Lu, Cassandra D Ford, Doris Vaughans","doi":"10.1037/rep0000566","DOIUrl":"10.1037/rep0000566","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Since the prevalence and cost of cardiovascular diseases (CVD) are high in the United States, research on affordable preventative and treatment approaches is needed. While meditation shows promise for heart-health promotion, there is little knowledge about its use among people with CVD and factors that may influence its usage. In response, the purposes of the current research are to (a) shed light on the proportion of people with CVD who practice meditation; and (b) reveal variables that predict the use of meditation among them.</p><p><strong>Research method: </strong>A secondary data analysis was conducted using data from the 2017 National Health Interview Survey. A total of 4,197 data entries (respondents with CVD) were included for analysis, and both descriptive and logistic regression analysis results were reported.</p><p><strong>Results: </strong>Approximately 16% of respondents with CVD practiced meditation. Among them, many used spiritual (82.5%) meditation, followed by mindfulness (29.9%), and mantra (24.9%) meditation. Females (odds ratio [<i>OR</i>] = 1.69), those advised to increase physical activity (<i>OR</i> = 1.34), and email users (<i>OR</i> = 1.63) had higher odds; and those able to afford medication (<i>OR</i> = 0.70) or mental health care/counseling (<i>OR</i> = 0.46) had lower odds to use meditation compared to respective counterparts.</p><p><strong>Conclusions/implications: </strong>There is a significant proportion of people with CVD who used meditation practices, especially spiritual meditations. However, more research is needed to reveal the determinants of meditation use among people with CVD to facilitate their heart-health-self-care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"104-109"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison, othering, and surveillance: Foucauldian discourse analysis of peer support in visual impairment rehabilitation services in South Africa.","authors":"Michelle Botha, Brian Watermeyer","doi":"10.1037/rep0000565","DOIUrl":"10.1037/rep0000565","url":null,"abstract":"<p><strong>Purpose: </strong>Peer support has been identified as an important aspect of rehabilitation for visually impaired adults. However, there is a limited exploration in rehabilitation studies literature of the identity-related impact of these interventions, both at an individual and collective level. Through attending to the discourses on blindness, well-being, and social inclusion that circulate in organization cultures, this article considers the role that peer support plays in forming \"blind communities\" with particular characteristics, and what these communities might model about life with blindness, both to newly blind persons and to society.</p><p><strong>Research method: </strong>Foucauldian discourse analysis was conducted on semi-structured interviews with 18 visual impairment rehabilitation service users and eight rehabilitation practitioners at four organizations providing services in the Western Cape, South Africa.</p><p><strong>Results: </strong>Formal peer support is lacking in the sampled organizations, suggesting that relational aspects are not a priority in rehabilitation practice. The formal and informal peer support that does exist in these services is shadowed by largely negative sociocultural beliefs about blindness. Participants described a culture of comparison, othering, and surveillance within which, the article suggests, they are unable to explore and embrace authentic and positive blind identities. This has implications for both individual and collective empowerment.</p><p><strong>Conclusions: </strong>Greater attention must be paid to both rehabilitation practitioner training and the design and implementation of rehabilitation services to the identity-level impact of rehabilitation. This is essential to develop services that promote individual and collective empowerment and that respond to the multilayered practical, social, and psychoemotional needs of blind adults. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"84-93"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal measurement invariance of the Patient Health Questionnaire-9 across racial/ethnic groups: Results from the traumatic brain injury model system study.","authors":"Juan Carlos Arango-Lasprilla, Marina Zeldovich, Bryan R Christ, Daniela Ramos-Usuga, Nicole von Steinbuechel, Paul B Perrin, Diego Rivera","doi":"10.1037/rep0000543","DOIUrl":"10.1037/rep0000543","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The aim of this article is to evaluate the measurement invariance (MI) of the Patient Health Questionnaire-9 (PHQ-9) in a sample of individuals during the first 2 years after traumatic brain injury (TBI). MI was examined among racial/ethnic groups and over time to determine the utility of the PHQ-9 across these dimensions.</p><p><strong>Research method/design: </strong>In total, <i>N</i> = 3,227 (20% of the total sample) at 1 year and <i>N</i> = 3,153 (19% of the total sample) at 2 years were included for cross-sectional analyses. For the longitudinal analyses, participants with the PHQ-9 at both time points (<i>N</i> = 2,234; 14% of the total study sample) were included.</p><p><strong>Results: </strong>Results were that the PHQ-9 is fully invariant and maintains its unidimensional factorial structure across racial/ethnic groups during the first 2 years after TBI, suggesting the scale measures the same construct equally well for participants from each group.</p><p><strong>Conclusion/implications: </strong>Based on these results, clinicians should feel confident using the PHQ-9 with diverse TBI patient populations, and researchers can reliably and validly employ it in TBI studies across racial/ethnic groups in the United States. Given the high rates of depression among individuals after TBI and its negative impact on their lives, this instrument will continue to be a key tool to measure the prognosis and success of rehabilitation programs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"26-35"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive impacts of psychological pain treatments: Supplementary analyses of a randomized clinical trial.","authors":"Erica J Ho, Aaron P Turner, Mark P Jensen, Melissa A Day, Dawn M Ehde, Tracy M Anastas, Rhonda M Williams","doi":"10.1037/rep0000557","DOIUrl":"10.1037/rep0000557","url":null,"abstract":"<p><strong>Objective: </strong>Clinical trials often focus on symptom reduction as a primary outcome, overlooking positive psychology factors of potential importance although many individuals can and do live well with pain. The Patient-Reported Outcomes Measurement Information System (PROMIS) Psychosocial Illness Impact-Positive (PIIP) scale assesses perceptions of adaptive psychosocial functioning (e.g., coping and meaning-making) after illness onset. This study evaluated the effects of hypnosis (HYP), mindfulness meditation (MM), and pain psychoeducation (ED) on PIIP scores, using data from a completed randomized clinical trial (RCT) of complementary and integrative chronic pain interventions. We hypothesized that treatment effects on PIIP would mirror the RCT's primary pain intensity outcome, such that HYP and MM, relative to ED, would lead to greater improvements in PIIP during trial follow-up.</p><p><strong>Method: </strong>Our sample included 262 Veterans who completed the PROMIS PIIP Short-Form 8a at pre- and posttreatment and at 3- and 6-month follow-up. Linear regression was used to test between-group differences in PIIP at each time point, controlling for baseline PIIP, average pain intensity, and baseline perceptions of prepain psychosocial functioning.</p><p><strong>Results: </strong>There were no significant between-group differences in PIIP at posttreatment or 3-month follow-up. However, group differences emerged at 6-month follow-up: individuals randomized to MM and HYP showed improved PIIP relative to those randomized to ED.</p><p><strong>Conclusions: </strong>Positive psychosocial outcomes are a mostly untapped territory in clinical trials of pain interventions. The present work highlights the potential benefits of including positive psychology concepts in both research and clinical contexts, emphasizing the importance of understanding human flourishing in the presence of illness and disability. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"36-45"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutrition and eating beliefs and behaviors among individuals with spinal cord injuries and disorders: Healthy or misconceived?","authors":"Sherri L LaVela, Justina Wu, Andrea L Nevedal, Susan M Frayne, Alex H S Harris, Katherine D Arnow, Kristen Davis, Gary J Farkas, Lorena Reyes, Dan Eisenberg","doi":"10.1037/rep0000544","DOIUrl":"10.1037/rep0000544","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Nutrition knowledge, beliefs, and behaviors have important implications for managing and preventing chronic and injury-related secondary conditions in persons with spinal cord injuries and disorders (SCI/D). Yet, the unique dietary and nutritional needs and recommendations specific to individuals with SCI/D and their eating beliefs and behaviors have been understudied. Aim is to describe nutrition and eating beliefs and behaviors from the perspectives of individuals with SCI/D.</p><p><strong>Research method/design: </strong>Descriptive qualitative design using in-depth semistructured interviews with a national sample of veterans with SCI/D (<i>n</i> = 33). Audio-recorded and transcribed verbatim transcripts were coded and analyzed using thematic analysis.</p><p><strong>Results: </strong>Participants were male (61%), aged 29-84 years, and 55% had tetraplegia. Five key themes were identified: extreme fasting/caloric restriction, perceived healthy eating behaviors, perceived unhealthy eating behaviors, modified eating behaviors due to SCI/D-related symptoms, and food/preparation choices based on abilities/independence and access.</p><p><strong>Conclusions/implications: </strong>Nutrition among veterans with SCI/D may be impacted by many factors, such as nutrition knowledge and beliefs/behaviors about \"healthy\" and \"unhealthy\" nutrition, fasting, caloric restriction, imbalanced intake of macro- and micronutrients, overconsumption relative to energy needs, injury-related secondary complications, postinjury body composition and function changes, impairments related to satiety and hunger signals, and difficulty in obtaining and preparing food. Study findings provide many areas that would benefit from intervention. Findings can be used to inform ideal nutrition and healthy eating beliefs and behaviors which are important because nutritional inadequacies can lead to diet-related diseases, may exacerbate SCI secondary conditions, and lead to poor overall health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal associations of time-varying homeboundness and life satisfaction after traumatic brain injury.","authors":"Nicola L de Souza, Katherine A Ornstein, Emily Evans, Shannon B Juengst, Kristen Dams-O'Connor, Raj G Kumar","doi":"10.1037/rep0000567","DOIUrl":"10.1037/rep0000567","url":null,"abstract":"<p><strong>Purpose/objective: </strong>To examine the association of changes in homebound status (i.e., never/rarely leaving the home) with life satisfaction in the first 10 years after traumatic brain injury (TBI).</p><p><strong>Research method/design: </strong>We analyzed data from 2,294 individuals with moderate-to-severe TBI from the TBI Model Systems National Database using a longitudinal multilevel model with time-varying predictors to account for within-person changes over time as well as between-person differences. We measured homebound status (defined as leaving the home ≤ 2 days/week) and life satisfaction (defined as the total score on the Satisfaction With Life Scale) at 1, 2, 5, and 10 years post-TBI. We adjusted the models for demographic and injury-related covariates and used inverse probability weighting to account for selection bias.</p><p><strong>Results: </strong>Forty-five (2%) individuals were homebound at all follow-up visits, 523 (22.8%) were homebound at least one follow-up visit, and 1,726 (75.2%) were never homebound. Individuals with TBI who were consistently homebound had > 1 <i>SD</i> lower life satisfaction compared to those who were never homebound, β = -8.07, 95% confidence interval (CI) = [-9.39, -6.76], <i>p</i> < .001. Individuals who became homebound experienced a significant, but modest, decline in life satisfaction (β = -2.13, 95% CI = [-2.66, -1.61], <i>p</i> < .001).</p><p><strong>Conclusions/implications: </strong>Our results indicate that being homebound and becoming homebound are associated with decreased life satisfaction. Homeboundness is a potentially modifiable target to improve life satisfaction, and elucidation of contributing factors to homebound status will help develop interventions to ameliorate post-TBI homeboundness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"94-103"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}