Evidence map›Paper›PMID 29385014›Full record

ArticleThe Journal of head trauma rehabilitation

A Latent Content Analysis of Barriers and Supports to Healthcare: Perspectives From Caregivers of Service Members and Veterans With Military-Related Traumatic Brain Injury.

Noelle E Carlozzi, Rael T Lange, Louis M French, Angelle M Sander, Jenna Freedman, Tracey A Brickell

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Caregiver strain is strongly associated with health and family outcomes in military couples following traumatic brain injury in service members and veterans.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

6 authors at 2 institutions in 1 country.

Noelle E CarlozziDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor (Drs Carlozzi and Ms Freedman); Defense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, and National Intrepid Center of Excellence (Drs Lange, French, and Brickell), Bethesda, Maryland; University of British Columbia, Vancouver, Canada (Dr Lange); Uniformed Services University of the Health Sciences, Bethesda, Maryland (Drs French and Brickell); Center for Neuroscience and Regenerative Medicine, Bethesda, Maryland (Dr French); and TIRR Memorial Hermann, Brain Injury Research Center, and Baylor College of Medicine & Harris Health System (Dr Sander), Houston, Texas.
Rael T Lange
Louis M French
Angelle M Sander
Jenna Freedman
Tracey A Brickell
Freedman Consulting · USWalter Reed National Military Medical Center · US

Funding

Health Promotion and Disease Prevention Research Center*U48DP000060 · DP · SAINT LOUIS UNIVERSITY · PI BAKER, ELIZABETH A · 2004 to 2008
$6.1M
Quality of Life in Caregivers of Traumatic Brain Injury: The TBI-CareQOLR01NR013658 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARLOZZI, NOELLE E. · 2012 to 2024
$6.0M
Prevention Research Center-University at Albany, SUNYU48DP000028 · DP · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI STROGATZ, DAVID STANTON · 2005 to 2008
$2.2M
ACL HHS 90DP0028ACL HHS 90DP0060NCCDPHP CDC HHS U48 DP000028NCCDPHP CDC HHS U48 DP000060NINR NIH HHS R01 NR013658
6 · The paper itself

Abstract

objectiveTo identify barriers and supports that caregivers of individuals with military-related traumatic brain injury (TBI) encounter when navigating the military healthcare system; this information will be used as the foundation of a new patient-reported outcome measure.

settingCommunity.

participantsForty-five caregivers of service members and veterans (SMV) who sustained a medically documented mild, moderate, severe, or penetrating TBI.

designLatent content analysis. MAIN MEASURES: Nine focus group discussions of barriers and supports to navigating the military healthcare system and community resources.

resultsLatent content analysis indicated that caregivers discussed barriers (66%) and supports (34%) to obtaining care within the military healthcare system and the community. Caregivers most frequently discussed SMVs' interactions with healthcare, their own interactions with healthcare, family care, and community organizations.

conclusionsCaregivers confront numerous challenges while pursuing healthcare services. Although much of the discussion focused on barriers and perceived unmet needs within the military healthcare system, caregivers also recognized supports within the military healthcare system and general community. Increased attention to accessibility and quality of services, as well as reducing financial burden, can lead to improved health-related quality of life for caregivers and their SMVs.

Indexed as

CaregiversHealth Services AccessibilityHealth Services Needs and DemandAdultBrain Injuries, TraumaticFemaleFocus GroupsHumansMaleMilitary PersonnelOccupational InjuriesUnited StatesVeterans

Identifiers

PMID29385014
PMCPMC6172008
OpenAlexW2793207503

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.