Community Participation in Native American and White Individuals After Traumatic Brain Injury
Author Information
Author(s): Jack D. Watson, Paul B. Perrin, Bridget Xia, Juan Carlos Arango-Lasprilla
Primary Institution: Virginia Commonwealth University and University of Virginia
Hypothesis
This study examined differences in demographic and injury-related characteristics and community participation between Native American and White individuals with TBI.
Conclusion
Native American individuals experienced reduced community participation after injury compared to White individuals, and disparities were influenced by sociodemographic factors.
Supporting Evidence
- Native American individuals were less likely to have private insurance and be employed at the time of injury.
- Lower educational attainment and higher rates of binge drinking were observed in Native American individuals compared to White individuals.
- Community participation disparities remained stable over time, particularly in the Out and About scores.
Takeaway
This study found that Native American people with brain injuries have a harder time getting involved in their communities compared to White people, and this is partly because of differences in education and insurance.
Methodology
The study used a longitudinal design with a sample of 126 individuals (63 Native American and 63 White) who were assessed at 1, 2, and 5 years post-TBI using the Participation Assessment with Recombined Tools (PART-O).
Potential Biases
Potential selection bias based on the time of enrollment and missing data.
Limitations
The PART-O may not accurately reflect Native American cultural concepts of community participation.
Participant Demographics
Participants included 63 Native American individuals and 63 demographically matched White individuals, with a mean age of approximately 37.84 years.
Statistical Information
P-Value
p = 0.006 for Out and About trajectories
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website