Évolution fonctionnelle de la clientèle traumatisée craniocérébrale adulte en réadaptation et participation sociale : une étude multicentrique en continuum de soins-communauté


Michelle McKerral

CIUSSS du Centre-Sud-de-l'Île-de-Montréal


Domaine : neurosciences, santé mentale et toxicomanies

Programme Consortium pour le développement de la recherche en traumatologie - Volet 1

Concours 2018-2019

This clinical research project is part of a series of innovative approaches to knowledge transfer in the field of trauma care funded by the Institut national d'excellence en santé et en services sociaux (INESSS) that has been recently conducted by 5 rehabilitation centers and which laid the groundwork for a culture of systematic measurement of clinical and functional evolution during rehabilitation and of social participation outcomes of Quebec adults with a traumatic brain injury (TBI). The Mayo-Portland Adaptability Inventory-4, or MPAI-4, which has three short scales: Abilities (12 items), Adaptation (12 items), Participation (8 items), was implemented in all the TBI rehabilitation programs within the trauma care continuum of greater Montreal (5 rehabilitation sites). These new practices generate a critical mass of data that allows us to carry out original and rigorous studies in Quebec in order to better understand the multiple factors related to the clinical evolution of individuals who have sustained a TBI.

This project will provide a picture of the evolution, in terms of social adaptation/participation, of a large patient cohort in rehabilitation following TBI, and will determine which factors are related to social participation outcomes and quality of life of TBI individuals one year after the end of their rehabilitation. This innovative study will provide an unprecedented portrait of social participation and clinical evolution during rehabilitation of TBI individuals treated within the Quebec trauma care continuum. This will provide evidence specific to the Quebec context that will improve practices, support decision-making related to the organization of services, and improve social participation and quality of life of persons who sustain a TBI.