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Recording sentinel events in the life course of individuals with acquired brain injury: A preliminary study

Recording sentinel events in the life course of individuals with acquired brain injury: A... Objective: To describe the development of the Sentinel Events Questionnaire (SEQ) for recording key events occurring during the transition from hospital to home following acquired brain injury (ABI) and to examine its participant-proxy agreement.Design: Prospective longitudinal design, with the SEQ administered by interview prior to discharge and at 1, 3 and 6-months post discharge.Measures: The SEQ records the occurrence and timing of eight events identified through a pilot study and literature review of the transition from hospital to home after ABI.Sample: Ninety participants with ABI (64% due to traumatic brain injury and 26% due to stroke) and their nominated caregivers.Results: All SEQ items had high participant-proxy percentage agreement (all >83%). Five items (return to work, return to driving, moving to a more restricted living situation, regaining independence at home and return to independent use of transport) had good agreement based on kappa analyses. The incidence of sentinel events during community integration ranged from 18% (relationship breakdown) to 89% (independence at home). Participants with TBI were more likely to move to a more restrictive living situation and less likely to return to driving than participants with stroke (p < 0.05).Conclusion: This research highlights the benefit of using the SEQ to systematically record the occurrence of sentinel events in order to better understand the process of transition from hospital to home following ABI. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Brain Injury Taylor & Francis

Recording sentinel events in the life course of individuals with acquired brain injury: A preliminary study

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References (46)

Publisher
Taylor & Francis
Copyright
© 2012 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted
ISSN
1362-301X
eISSN
0269-9052
DOI
10.3109/02699052.2012.676225
pmid
22642446
Publisher site
See Article on Publisher Site

Abstract

Objective: To describe the development of the Sentinel Events Questionnaire (SEQ) for recording key events occurring during the transition from hospital to home following acquired brain injury (ABI) and to examine its participant-proxy agreement.Design: Prospective longitudinal design, with the SEQ administered by interview prior to discharge and at 1, 3 and 6-months post discharge.Measures: The SEQ records the occurrence and timing of eight events identified through a pilot study and literature review of the transition from hospital to home after ABI.Sample: Ninety participants with ABI (64% due to traumatic brain injury and 26% due to stroke) and their nominated caregivers.Results: All SEQ items had high participant-proxy percentage agreement (all >83%). Five items (return to work, return to driving, moving to a more restricted living situation, regaining independence at home and return to independent use of transport) had good agreement based on kappa analyses. The incidence of sentinel events during community integration ranged from 18% (relationship breakdown) to 89% (independence at home). Participants with TBI were more likely to move to a more restrictive living situation and less likely to return to driving than participants with stroke (p < 0.05).Conclusion: This research highlights the benefit of using the SEQ to systematically record the occurrence of sentinel events in order to better understand the process of transition from hospital to home following ABI.

Journal

Brain InjuryTaylor & Francis

Published: Oct 1, 2012

Keywords: Key life events; community integration; acquired brain injury

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