• Christine Migliorini, Joanne Enticott, Libby Callaway, Sophie Moore, and Barry Willer.
• a Department of Occupational Therapy , Monash University , Melbourne , Australia.
• Brain Inj. 2016 Jan 1; 30 (10): 1201-7.

ObjectivesTo determine level of community integration in adults with traumatic brain injury and high support needs (TBI-HSN) compared with multiple matched controls.SettingCommunity setting, Victoria, Australia.ParticipantsAdults with TBI-HSN living in the community (n = 61). Australian normative data (n = 1973) was used for matching purposes (1:4).DesignMatched analysis from people with and without TBI. Matching aimed to reduce variability expected from age, gender, metropolitan/rural residence and co-resident status.Main MeasuresCommunity Integration Questionnaire (CIQ): total and sub-scales of Home Integration, Social Integration and Productivity.ResultsMatched analysis showed large effects favouring the general population, e.g. CIQ total scores were significantly different, F(1, 304) = 5.8, p < 0.0001. Conditional relative risk showed community-dwelling participants with TBI were 540-times more likely to report a poor CIQ total score compared to the general population.ConclusionNormative CIQ data has enabled meaningful comparisons of the community integration of adults with chronic TBI to the general population in Australia. Evidence makes clear with numeric precision that individuals with TBI and high support needs are much less integrated than their non-TBI counterparts despite living in the community for many years.

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