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Self Awareness and Community Integration after Traumatic Brain Injury

Juengst, Shannon (2013) Self Awareness and Community Integration after Traumatic Brain Injury. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Traumatic brain injury (TBI) is a prevalent cause of disability in the United States, resulting in ongoing cognitive and behavioral deficits that may result in poor community integration outcomes. While community integration has historically been measured through objective outcomes, such as frequency of participation in activities of the household, family, and community, the use of subjective measures, such as satisfaction, is necessary to capture the unique perspective of each individual. Therefore, this dissertation measures community integration from two perspectives – frequency of participation and satisfaction with participation – to provide a more holistic representation of community integration after TBI.
Using the framework of the International Classification of Functioning, Disability and Health (World Health Organization, 2001), both frequency of participation and satisfaction with participation can be described as products of functioning and contextual factors. To explore these factors and their association with community integration after TBI, three studies were conducted. The first study examined factors associated with community integration. The second study explored in greater depth one of these factors – self awareness. The third study explored the moderating effects of positive affect, negative affect, and age on the relationship between self awareness and community integration.
The combined findings from these studies suggest that frequency of participation and satisfaction with participation are each associated with different functioning and contextual factors after TBI. Self awareness contributed independently to frequency of participation and this relationship was moderated by negative affect and age. Self awareness did not contribute to satisfaction with participation, but positive affect, negative affect, and age were all found to independently predict satisfaction with participation. These findings provide insights into factors associated with community integration after TBI that may be useful in informing future efficacious interventions addressing poor community integration.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Juengst, Shannonsbj7@pitt.eduSBJ7
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairSkidmore, Elizabethskidmore@pitt.eduSKIDMORE
Committee MemberArenth,
Committee MemberMcCue, MichaelMMccue@pitt.eduMMCCUE
Committee MemberRaina, Ketki Dhruvkbd5@pitt.eduKBD5
Committee MemberNiyonkuru, Christian
Date: 22 January 2013
Date Type: Publication
Defense Date: 20 September 2012
Approval Date: 22 January 2013
Submission Date: 26 October 2012
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 126
Institution: University of Pittsburgh
Schools and Programs: School of Health and Rehabilitation Sciences > Health and Rehabilitation Sciences
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: brain injury, self awareness, affect, community integration, participation
Date Deposited: 22 Jan 2013 15:00
Last Modified: 15 Nov 2016 14:06


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