Evidence map›Paper›PMID 26212404›Full record

Observational studyArchives of physical medicine and rehabilitation2015

Group Therapy Use and Its Impact on the Outcomes of Inpatient Rehabilitation After Traumatic Brain Injury: Data From Traumatic Brain Injury-Practice Based Evidence Project.

Flora M Hammond, Ryan Barrett, Marcel P Dijkers, Jeanne M Zanca, Susan D Horn, Randall J Smout, Tami Guerrier, Elizabeth Hauser, Megan R Dunning

Abstract readObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. What clinicians could consider in providing group interventions for people with cognitive impairments: a scoping review.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. EEG hyperscanning in motor rehabilitation: a position paper.Journal of neuroengineering and rehabilitation · 2021
    Article
  9. Challenging rehabilitation environment for older patients.Clinical interventions in aging · 2019
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Flora M HammondCarolinas Rehabilitation, Charlotte, NC; Indiana University School of Medicine, Indianapolis, IN. Electronic address: flora.hammond@rhin.com.
Ryan BarrettInstitute for Clinical Outcomes Research, Salt Lake City, UT.
Marcel P DijkersIcahn School of Medicine at Mount Sinai, New York, NY.
Jeanne M ZancaKessler Foundation, New York, NY.
Susan D HornInstitute for Clinical Outcomes Research, Salt Lake City, UT.
Randall J SmoutInstitute for Clinical Outcomes Research, Salt Lake City, UT.
Tami GuerrierCarolinas Rehabilitation, Charlotte, NC.
Elizabeth HauserCarolinas Rehabilitation, Charlotte, NC.
Megan R DunningRush University Medical Center, Chicago, IL.
Outcomes Research Consortium · USIcahn School of Medicine at Mount Sinai · USIndiana University School of MedicineKessler Foundation · USRush University Medical Center · US

Funding

Improving Outcomes in Acute Rehabilitation for TBIR01HD050439 · NICHD · INTERNATIONAL SEVERITY INFO SYSTEMS,INC. · PI HORN, SUSAN D · 2007 to 2011
$3.3M
NICHD NIH HHS 1R01HD050439-01NICHD NIH HHS R01 HD050439
6 · The paper itself

Abstract

objectivesTo describe the amount and content of group therapies provided during inpatient rehabilitation for traumatic brain injury (TBI), and to assess the relations of group therapy with patient, injury, and treatment factors and outcomes.

designProspective observational cohort.

settingInpatient rehabilitation.

participantsConsecutive admissions (N=2130) for initial TBI rehabilitation at 10 inpatient rehabilitation facilities (9 in the United States, 1 in Canada) from October 2008 to September 2011.

interventionsNot applicable.

main outcome measuresProportion of sessions that were group therapy (≥2 patients were treated simultaneously by ≥1 clinician); proportion of patients receiving group therapy; type of activity performed and amount of time spent in group therapy, by discipline; rehabilitation length of stay; discharge location; and FIM cognitive and motor scores at discharge.

resultsOf the patients, 79% received at least 1 session of group therapy, with group therapy accounting for 13.7% of all therapy sessions and 15.8% of therapy hours. On average, patients spent 2.9h/wk in group therapy. The greatest proportion of treatment time in group format was in therapeutic recreation (25.6%), followed by speech therapy (16.2%), occupational therapy (10.4%), psychology (8.1%), and physical therapy (7.9%). Group therapy time and type of treatment activities varied among admission FIM cognitive subgroups and treatment sites. Several factors appear to be predictive of receiving group therapy, with the treatment site being a major influence. However, group therapy as a whole offered little explanation of differences in the outcomes studied.

conclusionsGroup therapy is commonly used in TBI rehabilitation, to varying degrees among disciplines, sites, and cognitive impairment subgroups. Various therapeutic activities take place in group therapy, indicating its perceived value in addressing many domains of functioning. Variation in outcomes is not explained well by overall percentage of therapy time delivered in groups.

Indexed as

Psychotherapy, GroupBrain InjuriesCanadaCognition DisordersCohort StudiesComorbidityEvidence-Based PracticeFemaleHealth Services ResearchHumansLength of StayMaleMiddle AgedOccupational TherapyPhysical Therapy ModalitiesProspective StudiesBrain injuriesHealth servicesHealth services researchOccupational therapyPhysical therapy specialtyPsychologyRecreation therapyRehabilitationSpeech therapyTherapeutics

Identifiers

PMID26212404
PMCPMC4517295
OpenAlexW2098227962

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.