Curated Resources for applying the Ecological Model to TBI
- Tanya Zeron
- Oct 31, 2023
- 3 min read
Updated: Oct 31, 2023
Brown, J. B., Kheng, M., Carney, N. A., Rubiano, A. M., & Puyana, J. C. (2019). Geographical Disparity and Traumatic Brain Injury in America: Rural Areas Suffer Poorer Outcomes. Journal of neurosciences in rural practice, 10(1), 10–15. https://doi.org/10.4103/jnrp.jnrp_310_18
Explaining how rural and remote geographic location can have negetive health outcomes for TBI. Healthcare providers have less opportunity to practice specialized skill, as well as resources are often dependent on volunteer emergency responders.
Centers for Disease Control and Prevention. (2023). Retrieved from Traumatic Brain Injury & Concussion: https://www.cdc.gov/traumaticbraininjury/index.html
The Centre for Disease Control has been completing many area's of research and surveillance of TBI dating back to 2010. This data is then used to deepen the understanding of: How many people are affected by this injury, Who is most at risk, The leading ways a person may get a TBI and, Whether programs to prevent TBI are working.
Chan, V. (. (2022). Social determinants of health associated with psychological distress stratified by lifetime traumatic brain injury status and sex: Cross-sectional evidence from a population sample of adults in Ontario, Canada. PLoS ONE, Vol. 17 Issue 8, p1-15. 15p.
This resource looks as the SDoH that are associated with psychological distress and affect Ontario adults with a self reported ABI. The SDoH are employment (unemployed, student status, and other employment) among both males and females; income below the provincial median and age 65+ among males; and rural residence among females.
Donald Berwick, K. B., Care, C. o., Policy, B. o., Services, B. o., Division, H. a., & Academies, N. (2022). Traumatic Brain Injury: A Roadmap for Accelerating Progress (2022). Washington, DC: The National Academies Press.
This resources looks at the "optimal road to recovery" as well as a chapter to apply the ecological model. The ecological model recognizes that injury and recovery are influenced by an interplay among many elements—physical and medical, psychological and behavioral, and social and economic, among others. Many of these elements can also be determinants that prevent the individual from being on the optimal path to recovery.
Jonathan E. Fielding, M. M. (2013). A Perspective on the Development of the Healthy People 2020 Framework for Improving U.S. Population Health. Public Health Reviews, 35(1), 1–24. .
Gary, K. W., Wallace, J. S., Mannix, R., & Pappadis, M. R. (2023). Editorial: Advancing the representation of minoritized groups and social determinants of health in brain injury research. Frontiers in neurology, 14, 1169445.
How the social determinants of health for adult, adolescent, and pediatric patients in the US, Canada, Sub-Saharan African nations, and Ecuador and how they play a role in the rehabilitation of ABI/TBI. The article demonstrate structural inequities in who sustains an ABI, who gets diagnosed with one, and who gets treated for one. I learned from the article there are gaps that represent marginalized populations in the current literature, and how these gaps prevent novel interventions for minoritized groups.
This graphic I found an easy way to understand the social gradient of health and how it can exacerbate health inequalities. The graphic is an easy image to see the interplay between all levels and how the gradient is not linear.
Marmot, M. (2017). Social justice, epidemiology and health inequalities. European Journal of Epidemiology, 32(7), 537–546.
Haarbauer-Krupa, J., Pugh, M. J., Prager, E. M., Harmon, N., Wolfe, J., & Yaffe, K. (2021). Epidemiology of Chronic Effects of Traumatic Brain Injury. Journal of neurotrauma, 38(23), 3235–3247. https://doi.org/10.1089/neu.2021.006
Examine the epidemiology of long-term outcomes of TBI, including incidence, prevalence, and risk factors, as well as how these factors can contribute to positive or negative outcomes in functioning after TBI. I enjoyed this article for looking at the community part of rehabilitation, this is of interest as this is where I work. I see access to resources in acute care, and then when discharged to community the individual is often left to their own.
Jonathan E. Fielding, M. M. (2013). A Perspective on the Development of the Healthy People 2020 Framework for Improving U.S. Population Health. Public Health Reviews, 35(1), 1–24. .
Shames, J., Treger, I., Ring, H., & Giaquinto, S. (2007). Return to work following traumatic brain injury: trends and challenges. Disability and rehabilitation, 29(17), 1387–1395. https://doi.org/10.1080/09638280701315011
Discusses the challenges of returning to work and the negative psychosocial effects this can have on the individual. Discusses the inequalities in individual outcomes for return to work from the race/ethnicity lens.
The rates of persons with disabilities will receive in 2023.
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