title: Identifying contextual influences of community reintegration among injured servicemembers.
abstract: Research suggests that community reintegration (CR) after injury and rehabilitation is difficult for many injured servicemembers. However, little is known about the influence of the contextual factors, both personal and environmental, that influence CR. Framed within the International Classification of Functioning, Disability and Health and Social Cognitive Theory, the quantitative portion of a larger mixed-methods study of 51 injured, community-dwelling servicemembers compared the relative contribution of contextual factors between groups of servicemembers with different levels of CR. Cluster analysis indicated three groups of servicemembers showing low, moderate, and high levels of CR. Statistical analyses identified contextual factors (e.g., personal and environmental factors) that significantly discriminated between CR clusters. Multivariate analysis of variance and discriminant analysis indicated significant contributions of general self-efficacy, services and assistance barriers, physical and structural barriers, attitudes and support barriers, perceived level of disability and/or handicap, work and school barriers, and policy barriers on CR scores. Overall, analyses indicated that injured servicemembers with lower CR scores had lower general self-efficacy scores, reported more difficulty with environmental barriers, and reported their injuries as more disabling.
authors.forename: Brent L
authors.initials: BL
authors.lastname: Hawkins
authors.forename: Francis A
authors.initials: FA
authors.lastname: McGuire
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Britt
authors.forename: Sandra M
authors.initials: SM
authors.lastname: Linder
mesh_terms: D000328:Adult; D062309:Community Integration; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D020377:Self Efficacy; D012931:Social Environment; D012959:Socioeconomic Factors; D014481:United States; D014947:Wounds and Injuries / Q000523:psychology* / Q000534:rehabilitation
keywords: CR; assistance barriers; community reintegration; community-dwelling; contextual factors; environmental factors; general self-efficacy; injured military servicemembers; personal factors; rehabilitation