Safe@Home: A Self-Management Program for Individuals with Traumatic Brain Injury and Their Families.
Project Number: H133G130149
Start Date: October 1, 2013
Length: 36 months
Project Status: Active
Project Phase: Execution
NIDRR Funding: FY 13 $199,989; FY 14 $199,984; FY 15 $199,998.
This project conducts a clinical trial and evaluation of Safe@Home for individuals with moderate or severe traumatic brain injury (TBI). Many individuals with moderate or severe TBI transition from rehabilitation to home settings with impaired cognition, visuo-motor skills, and judgment that place them at risk for subsequent unintentional injury or harm resulting from improper use of equipment, fire, or sharp objects; falls; victimization; loss of money or valuables; or medication errors. Risk is highest in the first 12 months following rehabilitation discharge and often has serious consequences including death, ER visits, hospitalizations, increased disability, and reduced independence and life quality. Safe@Home is a person-family education and training program based on a social cognitive theory framework that has been used to develop successful, self-directed health management and injury prevention programs in other medical populations. The specific aims of this project are to evaluate whether the Safe@Home program reduces the number of unintentional injuries and harmful events in the home and community and increases individuals with TBI daily hours of self-managed activities. Safe@Home participants receive a personalized risk assessment, tailored education, and in-home training supplemented with mobile communication supports. Individuals with TBI benefit from a program that builds on their strengths, helps set goals, and identifies progressive, achievable steps to reduce unintentional injury and harm and increase their self-managed activities. Family members may anticipate a broader range of safety risks, better identify needed environmental modifications, and have an empirical basis for deciding how best to be involved in, i.e., oversee individuals with TBI activities and when to feel comfortable that they can be independent safely.
descriptors: Brain injuries, Independent living, Safety, Self Management.
country :United States
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