Our Model

The KBIC model is uniquely designed for the long-term, post-injury needs of acquired brain injury survivors. We provide ongoing therapeutic programming, designed by clinically-licensed staff who understand the unique needs of acquired brain injury survivors.

KBIC is more than a day program. Our classes and groups are offered within a vibrant community setting, available both in-person and online, with ample opportunity for peer support and building social connections. Members dictate the frequency and pace of their participation, and have the ability to choose groups based on their own goals.

To offer the best education opportunities, and personal development outcomes for brain injury survivors, all of our groups are evidence based and developed around the following domains:

Functional and cognitive skill building
Social and communication skills
Mental health
Physical wellness
Community connections
Creative expression and recreation

KBIC members always have the opportunity to provide on-going input into program and group development. Additionally, KBIC staff can work one-on-one with members on specific needs such as:

Support with personal goal attainment
Assistance connecting with community resources
Resources and support for family members

Our Outcomes

Our model delivers notable outcomes. KBIC staff and members have partnered with researchers over the years on multiple projects designed to evaluate the effectiveness of our program and model as well as examine various aspects of living with acquired brain injury. Our largest efforts to date include a longitudinal outcomes study evaluating the impact of KBIC’s programming on members’ perceptions of social connectedness, stress, and quality of life. Our members’ participation in research is completely voluntary, and all externally-driven research involving KBIC members is evaluated by an institutional review board.

KBIC Research

In partnership with the University of New Hampshire, KBIC engaged in outcomes research to examine the impact of its program on its members who are survivors of acquired brain injury. These studies show that participation at KBIC has a significant positive impact on participants.

The “KBIC Effect”

KBIC members who maintained membership for six months reported:

  • Quality-of-life perceptions similar to typical, non-injured individuals, and significantly higher than other traumatic brain injury (TBI) survivors (Figure 1)
  • Stress perception levels similar to typical, non-injured individuals, and significantly lower than other acquired brain injury (ABI) survivors (Figure 2)
  • Higher levels of social connectedness, as evidenced by responses on the Occupational Self-Assessment (OSA), compared to studies citing high rates of isolation, loneliness, and low social capital

Figure 1 Comparison of World Health Organization Quality of Life (WHOQOL-bref) Scores and Other Research

Figure 2 Perceived Stress Scale (PSS): Comparison of KBIC Members and Other Research

Program Attributes

In a qualitative study, members identified attributes of KBIC programming that contribute to their improved quality-of-life. These attributes fall into four categories: positive self-acceptance, possibility, participation, and purpose.

1. Positive Self-Acceptance

Recognition of new, post-brain
injury self and a focus on
perceived strengths.

"What [KBIC staff] kept telling me finally clicked; that accepting is recognizing your reality, not giving up.”

"I am not defined by my injury."

"Everyone accepts everyone for who they are."

2. Possibility

A sense of moving forward, focusing on strengths and developing personal capacities. 

“Passions don’t have to die just because you have a brain injury. It is so rewarding to be able to learn something new that you couldn’t do before your injury.”

“I still have the ability to think and solve problems.”

3. Participation

Opportunities for members to reintegrate into the social community.

“[KBIC gives me] a reason to get off of my couch and away from the TV set."

“[KBIC provides] a sense of belonging with other people where you can be yourself.”

“I have a full life now outside this community.”

4. Purpose

Opportunities to contribute to and help others within the community.

“It is inspiring to know that students seek our knowledge and learn about our experiences… Same as we learned about ourselves in this process, so do they learn from us too.”

White, Barbara P.; Brinkman, A.; Kresge, B. P.; and Couture, L. (2018). Quality of Life, Stress Perception, and Quality of Social Networks in Persons Living with Brain Injury: An Exploration of the Effectiveness of a Community-Based Program. The Open Journal of Occupational Therapy. 6 (4), Article 4. https://doi.org/10.15453/2168-6408.1428

White, B.P. (listed as Prudhomme, BP), Wilcox, J., Kresge, B. P., & Couture, L. (2016). Comparing quality of life, stress perception and quality of social networks in a community-based brain injury program. International Journal of Psychosocial Rehabilitation. 20 (1), 120-132. http://www.psychosocial.com/IJPR_20/Comparing_Quality_of_life_White.html

White, B.P. Exploring participant perceptions of a community-based program for people with brain injury. Accepted for publication 3/9/20, OTJR: Occupation, Participation and Health.