Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1182
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dc.contributor.authorPonsford, Jennie-
dc.contributor.authorDowning, Marina-
dc.contributor.otherPechlivanidis, Helen-
dc.date.accessioned2017-08-02T01:13:03Z-
dc.date.available2017-08-02T01:13:03Z-
dc.date.issued2017-06-
dc.identifier.citationEpworth Research Institute Research Week 2017; Poster 37: pp 61en_US
dc.identifier.urihttp://hdl.handle.net/11434/1182-
dc.description.abstractBACKGROUND AND AIMS: Most traumatic brain injury (TBI) outcome studies focus on white, English-speaking patients who identify with the dominant health care system. Little is known of the experience of TBI individuals from Culturally and Linguistically Diverse (CALD) backgrounds. The present study compared outcomes following TBI in individuals from English-Speaking Backgrounds (ESB) with those from CALD backgrounds. METHOD: 103 ESB and 99 CALD participants with TBI (whom were treated at Epworth) were assessed an average 22.3 months post-injury on the Brief Acculturation Scale, Craig Handicap Assessment and Reporting Technique (CHART), Activities of Daily Living scale, Coping Scale for Adults, and Hospital Anxiety and Depression Scale. RESULTS: Results showed no significant group differences in most demographic and injury-related variables, although CALD participants showed lower pre-injury employment. There was no significant difference between groups in therapy costs. At post-injury follow-up, CALD participants were significantly less independent than the ESB group in light domestic duties, shopping and financial management, and reported lower cognitive independence, mobility and participation in occupational and social activities on the CHART after controlling for pre-injury employment. CALD participants reported heightened awareness of post-injury deficits relative to ESB participants, and held different beliefs regarding injury consequences and factors that would aid their recovery. The CALD groups also reported greater anxiety symptoms and less problem-focused coping than the ESB group. There was, however, significant variability in responses to injury across different geocultural regions. Hierarchical regression analyses showed that higher CHART total scores were associated with having a value system that is Australian, being younger in age, having more education, and spending less time as an inpatient. CONCLUSIONS: Poorer outcomes in CALD individuals with TBI are not simply reflective of socio-demographic factors. TBI clinicians needs to consider their differing beliefs about injury and recovery in order to maximize outcomes in CALD individuals.en_US
dc.subjectTraumatic Brain Injuryen_US
dc.subjectTBIen_US
dc.subjectCulturally and Linguistically Diverse Backgroundsen_US
dc.subjectCALDen_US
dc.subjectEnglish-Speaking Backgroundsen_US
dc.subjectESBen_US
dc.subjectBrief Acculturation Scaleen_US
dc.subjectBACen_US
dc.subjectCraig Handicap Assessment and Reporting Techniqueen_US
dc.subjectCHARTen_US
dc.subjectActivities of Daily Living Scaleen_US
dc.subjectADLen_US
dc.subjectCoping Scale for Adultsen_US
dc.subjectCSAen_US
dc.subjectHospital Anxiety and Depression Scaleen_US
dc.subjectHADSen_US
dc.subjectPre-Injury Employmenten_US
dc.subjectTherapy Costsen_US
dc.subjectIndependenceen_US
dc.subjectCognitive Independenceen_US
dc.subjectPost-Injury Deficitsen_US
dc.subjectProblem-Focused Copingen_US
dc.subjectAnxietyen_US
dc.subjectResponses to Injuryen_US
dc.subjectGeocultural Regions, Differencesen_US
dc.subjectCultural Differencesen_US
dc.subjectSocio-Demographic Factorsen_US
dc.subjectValue Systemsen_US
dc.subjectPatient Awarenessen_US
dc.subjectMonash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectDepartment of Psychology, Epworth Healthcare, Victoria, Australiaen_US
dc.titleThe influence of cultural factors on outcomes following traumatic brain injury.en_US
dc.typeConference Posteren_US
dc.description.affiliatesSchool of Psychological Sciences, Monash University, Victoria, Australiaen_US
dc.description.affiliatesGraythwaite Rehabilitation Centre, Ryde Hospital, New South Wales, Australiaen_US
dc.type.studyortrialComparative Studyen_US
dc.description.conferencenameEpworth Research Institute Research Week 2017en_US
dc.description.conferencelocationEpworth Research Institute, Victoria, Australiaen_US
dc.type.contenttypeTexten_US
Appears in Collections:Neurosciences
Rehabilitation
Research Week

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