Cheribeth Tan-Schriner - Academia.edu (original) (raw)

Papers by Cheribeth Tan-Schriner

Research paper thumbnail of Increasing support for the prevention of adverse childhood experiences and substance use: Implementation of narrative change strategies in local health departments

American journal of community psychology, Feb 15, 2024

Research paper thumbnail of aseline Predictors of Fatigue 1 Year After Mild Head Injury

Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild he... more Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild head injury (MHI) with hose with other injury, and identify injury and baseline preictors of fatigue. Design: An inception cohort study of participants with MHI nd other nonhead injuries recruited from and interviewed at he emergency department (ED), with a follow-up telephone nterview at 12 months. Setting: Level II community hospital ED. Participants: Participants (n 58) with MHI and loss of onsciousness (LOC) of 30 minutes or less and/or posttrauatic amnesia (PTA) less than 24 hours, 173 with MHI but no TA/LOC, and 128 with other mild nonhead injuries. Inclusion riteria: age 18 years or older, within 24 hours of injury, lasgow Coma Scale score of 13 or higher, and discharge from he ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36tem Short-Form Health Survey Vitality subscale. Results: Significant predictors of fatigue severity at 12 onths were baseline ...

Research paper thumbnail of aseline Predictors of Fatigue 1 Year After Mild Head Injury

Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild he... more Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild head injury (MHI) with hose with other injury, and identify injury and baseline preictors of fatigue. Design: An inception cohort study of participants with MHI nd other nonhead injuries recruited from and interviewed at he emergency department (ED), with a follow-up telephone nterview at 12 months. Setting: Level II community hospital ED. Participants: Participants (n 58) with MHI and loss of onsciousness (LOC) of 30 minutes or less and/or posttrauatic amnesia (PTA) less than 24 hours, 173 with MHI but no TA/LOC, and 128 with other mild nonhead injuries. Inclusion riteria: age 18 years or older, within 24 hours of injury, lasgow Coma Scale score of 13 or higher, and discharge from he ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36tem Short-Form Health Survey Vitality subscale. Results: Significant predictors of fatigue severity at 12 onths were baseline ...

Research paper thumbnail of TBI prevalence, service utilization and costs among Medicaid beneficiaries in Michigan

Medicaid data have the potential to provide critical information on the prevalence, characteristi... more Medicaid data have the potential to provide critical information on the prevalence, characteristics, service provision, and cost of care of patients with specific injuries or health conditions. This retrospective study first analyzed Michigan Medicaid data from FY2002-06 of patients with a TBI claim. All TBI and non-TBI claims for a subgroup of TBI hospitalized cases were further analyzed to determine the TBI-related services and costs over time. From FY2002-06, a total of 129,153 Medicaid enrollees in Michigan received TBI-related services. Only 12% had a TBI-related hospitalization while most incurred services in emergency departments or outpatient settings. Males predominated among the more severe TBI cases, while both sexes were almost equally represented in the non-hospitalized population. Among the less severe cases, 51% were children under 15. 43% of hospitalized cases had diagnoses indicating skull fracture, laceration/contusion of the brain, and/or brain hemorrhage. Over 90...

Research paper thumbnail of Baseline Predictors of Fatigue 1 Year After Mild Head Injury

Archives of Physical Medicine and Rehabilitation, 2009

Objective: To compare reports of fatigue 12 months after minor trauma by participants with mild h... more Objective: To compare reports of fatigue 12 months after minor trauma by participants with mild head injury (MHI) with those with other injury, and identify injury and baseline predictors of fatigue. Design: An inception cohort study of participants with MHI and other nonhead injuries recruited from and interviewed at the emergency department (ED), with a follow-up telephone interview at 12 months. Setting: Level II community hospital ED. Participants: Participants (nϭ58) with MHI and loss of consciousness (LOC) of 30 minutes or less and/or posttraumatic amnesia (PTA) less than 24 hours, 173 with MHI but no PTA/LOC, and 128 with other mild nonhead injuries. Inclusion criteria: age 18 years or older, within 24 hours of injury, Glasgow Coma Scale score of 13 or higher, and discharge from the ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36-Item Short-Form Health Survey Vitality subscale. Results: Significant predictors of fatigue severity at 12 months were baseline fatigue, having seen a counselor for a mental health issue, medical disability, marital status, and in some stage of litigation. Injury type was not a significant predictor. Conclusions: Fatigue severity 12 months after injury is associated with baseline characteristics and not MHI. Clinicians should be cautious about attributing persisting fatigue to MHI without comprehensive consideration of other possible etiologic factors.

Research paper thumbnail of Characteristics of a Mild Head Injury Subgroup With Extreme, Persisting Distress on the Rivermead Postconcussion Symptoms Questionnaire

Archives of Physical Medicine and Rehabilitation, 2010

Research paper thumbnail of Outcome of Minor Traumatic Brain Injury

Academic Emergency Medicine, 2006

Objective: Determine head injury self-reported sequelae/problems, services referral, if services ... more Objective: Determine head injury self-reported sequelae/problems, services referral, if services accessed, and service needs. Design: Followup study. Setting: Hospital emergency departments. Participants: Patients (N = 1098) treated/ discharged from 3 emergency departments. Interventions: Provision of head injury information/ referral to services. Methods: Criteria included brain injury ICD-9-CM codes, facial fractures, lacerations, and 1 or more clinical signs/symptoms. Demographics, contact information, cause of injury, radiology/imaging, and discharge codes were provided by staff to project director. Follow-up conducted to determine physical/cognitive/behavioral problems; difficulties performing daily activities; services referral; if services accessed; and who to contact for help with problems. Results: AIS scores indicated that 9% had minor, 91% moderate, and 1% severe injury. Also, 18% had loss of consciousness (LOC), 72% suffered concussion, and 17% suffered nonspecific brain injury. First follow-up postinjury ranged from 2 to 18 weeks. A total of 157 persons (14%) were excluded from follow-up; 368 (33%) were unable to contact with minimum 8 attempts; and follow-up was completed on 573 (52%). Of these, 247 (43%) reported 1 or more problems including headaches (73%), tiredness (41%), neck pain (39%), dizziness (37%), weakness (24%), memory (23%), and vision changes (22%). Factors statistically significant among persons with problems included age, LOC, concussion with LOC, and AIS = 2 (moderate injury). Gender and weeks postinjury followup were not significant. Conclusions: This study found that 23% of patients reported problems at first follow-up and 20% at second follow-up; the majority of patients did not know where to seek services. Emergency department staff should be trained to provide patients at discharge with basic information about short-and long-term effects of traumatic brain injury and services/resources contacts.

Research paper thumbnail of Health status, not head injury, predicts concussion symptoms after minor injury

The American Journal of Emergency Medicine, 2009

The version in the Kent Academic Repository may differ from the final published version. Users ar... more The version in the Kent Academic Repository may differ from the final published version. Users are advised to check http://kar.kent.ac.uk for the status of the paper. Users should always cite the published version of record.

Research paper thumbnail of Mild Traumatic Brain Injury Symptoms After Emergency Department Discharge

Journal of Head Trauma Rehabilitation, 2006

Objective: Determine head injury self-reported sequelae/problems, services referral, if services ... more Objective: Determine head injury self-reported sequelae/problems, services referral, if services accessed, and service needs. Design: Followup study. Setting: Hospital emergency departments. Participants: Patients (N = 1098) treated/ discharged from 3 emergency departments. Interventions: Provision of head injury information/ referral to services. Methods: Criteria included brain injury ICD-9-CM codes, facial fractures, lacerations, and 1 or more clinical signs/symptoms. Demographics, contact information, cause of injury, radiology/imaging, and discharge codes were provided by staff to project director. Follow-up conducted to determine physical/cognitive/behavioral problems; difficulties performing daily activities; services referral; if services accessed; and who to contact for help with problems. Results: AIS scores indicated that 9% had minor, 91% moderate, and 1% severe injury. Also, 18% had loss of consciousness (LOC), 72% suffered concussion, and 17% suffered nonspecific brain injury. First follow-up postinjury ranged from 2 to 18 weeks. A total of 157 persons (14%) were excluded from follow-up; 368 (33%) were unable to contact with minimum 8 attempts; and follow-up was completed on 573 (52%). Of these, 247 (43%) reported 1 or more problems including headaches (73%), tiredness (41%), neck pain (39%), dizziness (37%), weakness (24%), memory (23%), and vision changes (22%). Factors statistically significant among persons with problems included age, LOC, concussion with LOC, and AIS = 2 (moderate injury). Gender and weeks postinjury followup were not significant. Conclusions: This study found that 23% of patients reported problems at first follow-up and 20% at second follow-up; the majority of patients did not know where to seek services. Emergency department staff should be trained to provide patients at discharge with basic information about short-and long-term effects of traumatic brain injury and services/resources contacts.

Research paper thumbnail of Poster 71: Characteristics of a Mild Head Injury SubGroup with Extreme, Persisting Distress on the Rivermead Postconcussion Symptoms Questionnaire

American Journal of Ophthalmology, 2009

Evaluate the impact of 6 months of resource facilitation on return to work after brain injury. De... more Evaluate the impact of 6 months of resource facilitation on return to work after brain injury. Design: Randomized controlled trial. Setting: Acute rehabilitation hospital and community-based brain injury association. Participants: 23 people with acute acquired brain injury were randomly assigned to a resource facilitation (RF) treatment group (nϭ12), or a regular follow-up, control (Con) group (nϭ11). Interventions: All participants received standard follow-up services, but participants in the RF group were assigned a resource facilitator. Subjects in the RF group received an average of 10.6 hours of resource facilitation services during the 6 months of treatment. Services were provided according to the model developed by the Brain Injury Association (Conners, 2001). Main Outcome Measures: Return to work status and hours per week working, Mayo-Portland Adaptability Inventory 4-Participation Index, PHQ-9. Results: After 6 months, 67% of the participants in the RF group had returned to work compared with 36% in the Con group. All subjects improved on the MPAI4-P over time (Fϭ75.94, Pϭ.000) and a repeated measures analyses of variance revealed that the RF group also demonstrated significantly better community reintegration when compared to controls (Fϭ4.55, Pϭ.05). There were no significant between groups or within-subjects changes on PHQ-9. Conclusions: Services framed as "resource facilitation" that have a clear focus on return to work may have a substantial impact on rate of unemployment after brain injury and community reintegration .

Research paper thumbnail of Increasing support for the prevention of adverse childhood experiences and substance use: Implementation of narrative change strategies in local health departments

American journal of community psychology, Feb 15, 2024

Research paper thumbnail of aseline Predictors of Fatigue 1 Year After Mild Head Injury

Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild he... more Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild head injury (MHI) with hose with other injury, and identify injury and baseline preictors of fatigue. Design: An inception cohort study of participants with MHI nd other nonhead injuries recruited from and interviewed at he emergency department (ED), with a follow-up telephone nterview at 12 months. Setting: Level II community hospital ED. Participants: Participants (n 58) with MHI and loss of onsciousness (LOC) of 30 minutes or less and/or posttrauatic amnesia (PTA) less than 24 hours, 173 with MHI but no TA/LOC, and 128 with other mild nonhead injuries. Inclusion riteria: age 18 years or older, within 24 hours of injury, lasgow Coma Scale score of 13 or higher, and discharge from he ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36tem Short-Form Health Survey Vitality subscale. Results: Significant predictors of fatigue severity at 12 onths were baseline ...

Research paper thumbnail of aseline Predictors of Fatigue 1 Year After Mild Head Injury

Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild he... more Objective: To compare reports of fatigue 12 months after inor trauma by participants with mild head injury (MHI) with hose with other injury, and identify injury and baseline preictors of fatigue. Design: An inception cohort study of participants with MHI nd other nonhead injuries recruited from and interviewed at he emergency department (ED), with a follow-up telephone nterview at 12 months. Setting: Level II community hospital ED. Participants: Participants (n 58) with MHI and loss of onsciousness (LOC) of 30 minutes or less and/or posttrauatic amnesia (PTA) less than 24 hours, 173 with MHI but no TA/LOC, and 128 with other mild nonhead injuries. Inclusion riteria: age 18 years or older, within 24 hours of injury, lasgow Coma Scale score of 13 or higher, and discharge from he ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36tem Short-Form Health Survey Vitality subscale. Results: Significant predictors of fatigue severity at 12 onths were baseline ...

Research paper thumbnail of TBI prevalence, service utilization and costs among Medicaid beneficiaries in Michigan

Medicaid data have the potential to provide critical information on the prevalence, characteristi... more Medicaid data have the potential to provide critical information on the prevalence, characteristics, service provision, and cost of care of patients with specific injuries or health conditions. This retrospective study first analyzed Michigan Medicaid data from FY2002-06 of patients with a TBI claim. All TBI and non-TBI claims for a subgroup of TBI hospitalized cases were further analyzed to determine the TBI-related services and costs over time. From FY2002-06, a total of 129,153 Medicaid enrollees in Michigan received TBI-related services. Only 12% had a TBI-related hospitalization while most incurred services in emergency departments or outpatient settings. Males predominated among the more severe TBI cases, while both sexes were almost equally represented in the non-hospitalized population. Among the less severe cases, 51% were children under 15. 43% of hospitalized cases had diagnoses indicating skull fracture, laceration/contusion of the brain, and/or brain hemorrhage. Over 90...

Research paper thumbnail of Baseline Predictors of Fatigue 1 Year After Mild Head Injury

Archives of Physical Medicine and Rehabilitation, 2009

Objective: To compare reports of fatigue 12 months after minor trauma by participants with mild h... more Objective: To compare reports of fatigue 12 months after minor trauma by participants with mild head injury (MHI) with those with other injury, and identify injury and baseline predictors of fatigue. Design: An inception cohort study of participants with MHI and other nonhead injuries recruited from and interviewed at the emergency department (ED), with a follow-up telephone interview at 12 months. Setting: Level II community hospital ED. Participants: Participants (nϭ58) with MHI and loss of consciousness (LOC) of 30 minutes or less and/or posttraumatic amnesia (PTA) less than 24 hours, 173 with MHI but no PTA/LOC, and 128 with other mild nonhead injuries. Inclusion criteria: age 18 years or older, within 24 hours of injury, Glasgow Coma Scale score of 13 or higher, and discharge from the ED. Interventions: Not applicable. Main Outcome Measure: Medical Outcomes Study 36-Item Short-Form Health Survey Vitality subscale. Results: Significant predictors of fatigue severity at 12 months were baseline fatigue, having seen a counselor for a mental health issue, medical disability, marital status, and in some stage of litigation. Injury type was not a significant predictor. Conclusions: Fatigue severity 12 months after injury is associated with baseline characteristics and not MHI. Clinicians should be cautious about attributing persisting fatigue to MHI without comprehensive consideration of other possible etiologic factors.

Research paper thumbnail of Characteristics of a Mild Head Injury Subgroup With Extreme, Persisting Distress on the Rivermead Postconcussion Symptoms Questionnaire

Archives of Physical Medicine and Rehabilitation, 2010

Research paper thumbnail of Outcome of Minor Traumatic Brain Injury

Academic Emergency Medicine, 2006

Objective: Determine head injury self-reported sequelae/problems, services referral, if services ... more Objective: Determine head injury self-reported sequelae/problems, services referral, if services accessed, and service needs. Design: Followup study. Setting: Hospital emergency departments. Participants: Patients (N = 1098) treated/ discharged from 3 emergency departments. Interventions: Provision of head injury information/ referral to services. Methods: Criteria included brain injury ICD-9-CM codes, facial fractures, lacerations, and 1 or more clinical signs/symptoms. Demographics, contact information, cause of injury, radiology/imaging, and discharge codes were provided by staff to project director. Follow-up conducted to determine physical/cognitive/behavioral problems; difficulties performing daily activities; services referral; if services accessed; and who to contact for help with problems. Results: AIS scores indicated that 9% had minor, 91% moderate, and 1% severe injury. Also, 18% had loss of consciousness (LOC), 72% suffered concussion, and 17% suffered nonspecific brain injury. First follow-up postinjury ranged from 2 to 18 weeks. A total of 157 persons (14%) were excluded from follow-up; 368 (33%) were unable to contact with minimum 8 attempts; and follow-up was completed on 573 (52%). Of these, 247 (43%) reported 1 or more problems including headaches (73%), tiredness (41%), neck pain (39%), dizziness (37%), weakness (24%), memory (23%), and vision changes (22%). Factors statistically significant among persons with problems included age, LOC, concussion with LOC, and AIS = 2 (moderate injury). Gender and weeks postinjury followup were not significant. Conclusions: This study found that 23% of patients reported problems at first follow-up and 20% at second follow-up; the majority of patients did not know where to seek services. Emergency department staff should be trained to provide patients at discharge with basic information about short-and long-term effects of traumatic brain injury and services/resources contacts.

Research paper thumbnail of Health status, not head injury, predicts concussion symptoms after minor injury

The American Journal of Emergency Medicine, 2009

The version in the Kent Academic Repository may differ from the final published version. Users ar... more The version in the Kent Academic Repository may differ from the final published version. Users are advised to check http://kar.kent.ac.uk for the status of the paper. Users should always cite the published version of record.

Research paper thumbnail of Mild Traumatic Brain Injury Symptoms After Emergency Department Discharge

Journal of Head Trauma Rehabilitation, 2006

Objective: Determine head injury self-reported sequelae/problems, services referral, if services ... more Objective: Determine head injury self-reported sequelae/problems, services referral, if services accessed, and service needs. Design: Followup study. Setting: Hospital emergency departments. Participants: Patients (N = 1098) treated/ discharged from 3 emergency departments. Interventions: Provision of head injury information/ referral to services. Methods: Criteria included brain injury ICD-9-CM codes, facial fractures, lacerations, and 1 or more clinical signs/symptoms. Demographics, contact information, cause of injury, radiology/imaging, and discharge codes were provided by staff to project director. Follow-up conducted to determine physical/cognitive/behavioral problems; difficulties performing daily activities; services referral; if services accessed; and who to contact for help with problems. Results: AIS scores indicated that 9% had minor, 91% moderate, and 1% severe injury. Also, 18% had loss of consciousness (LOC), 72% suffered concussion, and 17% suffered nonspecific brain injury. First follow-up postinjury ranged from 2 to 18 weeks. A total of 157 persons (14%) were excluded from follow-up; 368 (33%) were unable to contact with minimum 8 attempts; and follow-up was completed on 573 (52%). Of these, 247 (43%) reported 1 or more problems including headaches (73%), tiredness (41%), neck pain (39%), dizziness (37%), weakness (24%), memory (23%), and vision changes (22%). Factors statistically significant among persons with problems included age, LOC, concussion with LOC, and AIS = 2 (moderate injury). Gender and weeks postinjury followup were not significant. Conclusions: This study found that 23% of patients reported problems at first follow-up and 20% at second follow-up; the majority of patients did not know where to seek services. Emergency department staff should be trained to provide patients at discharge with basic information about short-and long-term effects of traumatic brain injury and services/resources contacts.

Research paper thumbnail of Poster 71: Characteristics of a Mild Head Injury SubGroup with Extreme, Persisting Distress on the Rivermead Postconcussion Symptoms Questionnaire

American Journal of Ophthalmology, 2009

Evaluate the impact of 6 months of resource facilitation on return to work after brain injury. De... more Evaluate the impact of 6 months of resource facilitation on return to work after brain injury. Design: Randomized controlled trial. Setting: Acute rehabilitation hospital and community-based brain injury association. Participants: 23 people with acute acquired brain injury were randomly assigned to a resource facilitation (RF) treatment group (nϭ12), or a regular follow-up, control (Con) group (nϭ11). Interventions: All participants received standard follow-up services, but participants in the RF group were assigned a resource facilitator. Subjects in the RF group received an average of 10.6 hours of resource facilitation services during the 6 months of treatment. Services were provided according to the model developed by the Brain Injury Association (Conners, 2001). Main Outcome Measures: Return to work status and hours per week working, Mayo-Portland Adaptability Inventory 4-Participation Index, PHQ-9. Results: After 6 months, 67% of the participants in the RF group had returned to work compared with 36% in the Con group. All subjects improved on the MPAI4-P over time (Fϭ75.94, Pϭ.000) and a repeated measures analyses of variance revealed that the RF group also demonstrated significantly better community reintegration when compared to controls (Fϭ4.55, Pϭ.05). There were no significant between groups or within-subjects changes on PHQ-9. Conclusions: Services framed as "resource facilitation" that have a clear focus on return to work may have a substantial impact on rate of unemployment after brain injury and community reintegration .