title: Changes in ratings of caregiver burden following a community-based behavior management program for persons with traumatic brain injury.
abstract: OBJECTIVE
  This study examines the use of a community-delivered behavior management program for persons with traumatic brain injury and their caregivers and its effect on reduction of ratings of caregiver burden.
  
  
  METHODS
  A control group was compared with an education only and education plus behavior management group with random assignment to conditions.
  
  
  METHODS
  Total number of participants was 27 persons with brain injury and their caregivers.
  
  
  METHODS
  Dependent measures were subscales of the Questionnaire on Resources and Stress (QRS) and an adapted version of the Maslach Burnout Inventory (MBI).
  
  
  RESULTS
  An analysis of covariance adjusting for baseline burden and stress ratings showed no significant change in these measures associated with treatment.
  
  
  CONCLUSIONS
  The results are discussed in terms of the potential modifiability of caregiver burden, the small sample size, and the sensitivity of current measures of caregiver stress and burden to detect clinically meaningful change.
authors.affiliation: Psychology and Neuropsychology, Kessler Institute for Rehabilitation, East Orange, New Jersey 07018, USA. gcarnevale@Kessler-rehab.com
authors.forename: George J
authors.initials: GJ
authors.lastname: Carnevale
authors.forename: Vera
authors.initials: V
authors.lastname: Anselmi
authors.forename: Kim
authors.initials: K
authors.lastname: Busichio
authors.forename: Scott R
authors.initials: SR
authors.lastname: Millis
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000458:organization & administration*; D020208:Brain Injury, Chronic / Q000523:psychology* / Q000534:rehabilitation*; D017028:Caregivers / Q000523:psychology*; D018672:Community Health Planning / Q000458:organization & administration*; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D017281:Cost of Illness; D005260:Female; D006701:Home Nursing / Q000523:psychology*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D015397:Program Evaluation; D011788:Quality of Life; D012016:Reference Values; D012917:Social Adjustment; D012944:Social Support; D013315:Stress, Psychological; D016896:Treatment Outcome