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Identifying contextual influences of community reintegration among injured servicemembers

Identifying contextual influences of community reintegration among injured servicemembers. Brent L. Hawkins, PhD, LRT/CTRS; Francis A. McGuire, PhD; Thomas W. Britt, PhD; Sandra M. Linder, PhD. Aim

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Identifying contextual influences of community reintegration among injured servicemembers

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  1. Identifying contextual influences of community reintegration among injured servicemembers Brent L. Hawkins, PhD, LRT/CTRS; Francis A. McGuire, PhD; Thomas W. Britt, PhD; Sandra M. Linder, PhD

  2. Aim • Compare relative contribution of contextual factors between groups of servicemembers with different levels of community reintegration (CR). • Relevance • CR after injury and rehabilitation is difficult for many injured servicemembers. • Little is known about how personal and environmental contextual factors influence CR.

  3. Method • Examine quantitative portion of larger mixed-methods study. • 51 injured, community-dwelling servicemembers. • Framed within International Classification of Functioning, Disability and Health and Social Cognitive Theory.

  4. Results • Cluster analysis identified 3 groups: • Low, moderate, and high levels of CR. • Statistical analyses identified contextual factors that significantly discriminated between CR clusters. • Factors that significantly contributed to CR scores: • General self-efficacy, services and assistance barriers, physical and structural barriers, attitudes and support barriers, perceived level of disability/handicap, work and school barriers, and policy barriers.

  5. Conclusion • Injured servicemembers with lower CR scores: • Had lower general self-efficacy scores. • Reported more difficulty with environmental barriers. • Reported their injuries as more disabling • This study supports the need for ecological approaches that address the unique contexts in which injured servicemembers live.

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