The effect of self-reported balance confidence on community integration after brain injury: an observational study

Brain Impair. 2023 Dec;24(3):601-610. doi: 10.1017/BrImp.2022.9. Epub 2022 May 2.

Abstract

Objective: To evaluate the correlation between self-reported balance confidence and community integration related to home management for community-dwelling adults with acquired brain injury (ABI).

Methods: This is a study of 141 participants over the age of 18 with a history of ABI, living in the community, who completed an online survey. The survey included a series of demographic questions followed by the Activities-Specific Balance Confidence Scale (ABC) and the Home Integration subscale of the Community Integration Questionnaire (CIQ-H).

Results: Data from 119 completed surveys were included in the analysis. Significant positive correlations were found between the ABC and the CIQ-H total scores (rs = 0.241, p = 0.008). There was no significant difference between CIQ-H total scores in individuals by injury type (traumatic vs non-traumatic) or by level of severity (mild, moderate, severe) (p > 0.05). There was no significant difference between ABC total scores by injury type (p > 0.05).

Conclusions: Higher levels of balance confidence may be associated with improved community integration related to home management for individuals with traumatic and non-traumatic BI. This study's results support future research to evaluate the integration of strategies to improve balance confidence as a component of interdisciplinary assessment and rehabilitation to maximize community integration in community-dwelling adults with ABI.

Keywords: Activities-Specific Balance Confidence Scale; Community Integration Questionnaire; Home management; acquired brain injury.

Publication types

  • Observational Study

MeSH terms

  • Activities of Daily Living
  • Adult
  • Brain Injuries* / therapy
  • Community Integration*
  • Humans
  • Middle Aged
  • Self Report
  • Surveys and Questionnaires