ArticleArchives of physical medicine and rehabilitation2017
Perception of Barriers to the Diagnosis and Receipt of Treatment for Neuropsychiatric Disturbances After Traumatic Brain Injury.
Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review on integrated care for traumatic brain injury, mental health, and substance use.PloS one · 2022Pooled it
- Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey.Injury epidemiology · 2023Article
- Article
- Treatment Patterns of Anxiety and Posttraumatic Stress Disorder Following Traumatic Brain Injury.The Journal of neuropsychiatry and clinical neurosciences · 2022Article
- Safety of Antidepressant Classes Used Following Traumatic Brain Injury Among Medicare Beneficiaries: A Retrospective Cohort Study.Drugs & aging · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo explore perceptions of barriers and facilitators to the diagnosis and receipt of treatment for neuropsychiatric disturbances (NPDs) after traumatic brain injury (TBI).
designQualitative study using semistructured interviews and focus groups.
settingA clinic specializing in the treatment of TBI NPDs, an urban trauma center, and a large urban academic hospital.
participantsA sample (N=33) of health care providers (n=10) who treat individuals with TBI, persons with TBI (n=18), and caregivers (n=5).
interventionsNot applicable.
main outcome measuresTopic guides for the interviews and focus groups were guided by previous literature, clinical experience, and the goals of the project and focused on the 3 most common TBI NPDs: depression, anxiety, and posttraumatic stress disorder. The interviews and focus groups were audio-recorded and transcribed verbatim. We performed a conventional content analysis on the transcripts and grouped concepts into overall themes, incorporating feedback from stakeholders.
resultsPatient education, insurance, provider type, time since TBI, caregiver support, and recognition or screening for TBI NPDs were the most frequently mentioned barriers or facilitators to the diagnosis and treatment of TBI NPDs by both interview and focus group participants. We grouped these and other frequently mentioned concepts into 3 broad themes: education, access, and support. Each of these themes is explored in depth and supported with direct quotations.
conclusionsThis study explored patient, caregiver, and health care provider and identified barriers and facilitators to the diagnosis and receipt of treatment for TBI NPDs. Barriers included poor provider education on TBI NPDs and limited access to care due to lack of insurance, transportation, and income. Facilitators included patient education on TBI NPDs and strong caregiver support. Future studies should develop and pilot interventions aimed at quality of care that address the identified barriers and facilitators.
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