Achieving optimal functional outcomes in community-based rehabilitation following acquired brain injury: A qualitative investigation of therapists' perspectives

Doig, E., Fleming, J. and Kuipers, P. (2008) Achieving optimal functional outcomes in community-based rehabilitation following acquired brain injury: A qualitative investigation of therapists' perspectives. British Journal of Occupational Therapy, 71 9: 360-370.


Author Doig, E.
Fleming, J.
Kuipers, P.
Title Achieving optimal functional outcomes in community-based rehabilitation following acquired brain injury: A qualitative investigation of therapists' perspectives
Journal name British Journal of Occupational Therapy  (ERA 2012 Listed)    (ERA 2010 Rank C)   Check publisher's open access policy
Publication date 2008-09
Volume number 71
Issue number 9
ISSN 0308-0226
Start page 360
End page 370
Total pages 11
Place of publication London
Publisher College of Occupational Therapists
Collection year 2009
Language eng
Subject C1
920201 Allied Health Therapies (excl. Mental Health Services)
110321 Rehabilitation and Therapy (excl. Physiotherapy)
Abstract The aim of this study was to explore therapists' opinions about the rehabilitation approaches that they perceived contributed to positive outcomes for people with acquired brain injury in community-based rehabilitation settings in order to develop a set of practice principles for clinicians working in this area. Semi-structured interviews were conducted with eight Australian and three British therapists, with a mean of 5.2 years' experience of working with people with acquired brain injury in community-based rehabilitation settings. The interviews were analysed thematically. A summary of the themes was presented to a larger group of acquired brain injury service providers (n = 35) for validation. The participants emphasised the importance of environmental factors, such as collaboration with and inclusion of others in rehabilitation, especially those in the person's support network. Strategy use, client-centred goal setting, the provision of education and the development of a therapeutic relationship were identified as facilitators in community-based rehabilitation. Problems with self-awareness and motivation, drug and alcohol use, and behavioural difficulties were commonly identified barriers to optimal outcomes. The key practice principles derived from the findings were the need for community-based rehabilitation for people with acquired brain injury to be (1) environment focused and contextually appropriate, (2) collaborative and (3) goal directed and client centred.
Keyword Brain injury
Community-based rehabilitation
Environment
Rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code

 
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Created: Mon, 12 Jan 2009, 13:53:20 EST