Development of self-awareness after severe traumatic brain injury through participation in occupation-based rehabilitation: mixed-methods analysis of a case series

Doig, Emmah, Kuipers, Pim, Prescott, Sarah, Cornwell, Petrea and Fleming, Jennifer (2014) Development of self-awareness after severe traumatic brain injury through participation in occupation-based rehabilitation: mixed-methods analysis of a case series. American Journal of Occupational Therapy, 68 5: 578-588. doi:10.5014/ajot.2014.010785

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Author Doig, Emmah
Kuipers, Pim
Prescott, Sarah
Cornwell, Petrea
Fleming, Jennifer
Title Development of self-awareness after severe traumatic brain injury through participation in occupation-based rehabilitation: mixed-methods analysis of a case series
Journal name American Journal of Occupational Therapy   Check publisher's open access policy
ISSN 0272-9490
1943-7676
Publication date 2014-09
Sub-type Article (original research)
DOI 10.5014/ajot.2014.010785
Open Access Status
Volume 68
Issue 5
Start page 578
End page 588
Total pages 11
Place of publication Bethesda, MD, United States
Publisher American Occupational Therapy Association
Collection year 2015
Language eng
Formatted abstract
Objective: We examined participation in goal planning and development of self-awareness for people with impaired self-awareness after traumatic brain injury.

Method: We performed a mixed-methods study of 8 participants recently discharged from inpatient rehabilitation. Self-awareness was measured using discrepancy between self and significant other ratings on the Mayo–Portland Adaptability Index (MPAI–4) at four time points. We calculated effect size to evaluate the change in MPAI–4 discrepancy over time.

Results: Seven participants identified their own goals. We found a large reduction in mean MPAI–4 discrepancy (M 5 8.57, SD 5 6.59, N 5 7, d 5 1.08) in the first 6 wk and a further small reduction (M 5 5.33, SD 5 9.09, N 5 6, d 5 0.45) in the second 6 wk of intervention. Case data indicated that 7 participants demonstrated some growth in self-awareness.

Conclusion: Engagement in occupation-based, goal-directed rehabilitation appeared to foster awareness of injury-related changes to varying extents.
Keyword Activities of daily living
Awareness
Brain injuries
Goals
Patient-centered care
Patient-centered outcome
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
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