Clinician perceptions about inpatient occupational therapy groups in traumatic brain injury rehabilitation

Patterson, Freyr, Fleming, Jennifer and Doig, Emmah (2017) Clinician perceptions about inpatient occupational therapy groups in traumatic brain injury rehabilitation. Brain Injury, 31 8: 1077-1087. doi:10.1080/02699052.2017.1296974


Author Patterson, Freyr
Fleming, Jennifer
Doig, Emmah
Title Clinician perceptions about inpatient occupational therapy groups in traumatic brain injury rehabilitation
Journal name Brain Injury   Check publisher's open access policy
ISSN 1362-301X
0269-9052
Publication date 2017-07-01
Year available 2017
Sub-type Article (original research)
DOI 10.1080/02699052.2017.1296974
Open Access Status Not yet assessed
Volume 31
Issue 8
Start page 1077
End page 1087
Total pages 11
Place of publication Abingdon, Oxfordshire United Kingdom
Publisher Taylor & Francis
Language eng
Subject 3204 Developmental and Educational Psychology
1201 Arts and Humanities (miscellaneous)
2728 Clinical Neurology
Abstract Primary objective: The aim of the study was to explore the experiences and perceptions of clinicians about the benefits, challenges and processes of facilitating inpatient occupational therapy groups in traumatic brain injury (TBI) rehabilitation including peer-to-peer interactions and use of goals. Design and method: A qualitative methodology, guided by a phenomenological approach was utilized with data collected from focus groups comprising 26 clinicians working in occupational therapy in three inpatient rehabilitation settings: brain injury, spinal injury and geriatric rehabilitation in order to identify aspects unique to brain injury rehabilitation. Data were analysed using the framework analysis method. Findings: Three overarching themes emerged; ‘good fit’, ‘the things clinicians do’ and ‘patient-to-patient’. Clinicians indicated that structured group formats, careful planning and communication facilitated positive group dynamics and ensured groups met individual needs. Cognitive impairments following TBI and challenging behaviours were identified to impact on group processes, and clinician skills and confidence were important in managing these. Peer-to-peer support and learning was described as a key benefit of group rehabilitation. Conclusions: Groups in TBI rehabilitation create opportunities for peer-to-peer support and learning, and contribute positively to rehabilitation but group facilitator skills are critical. Practical strategies for facilitating groups in TBI rehabilitation are suggested.
Formatted abstract
Primary objective: The aim of the study was to explore the experiences and perceptions of clinicians about the benefits, challenges and processes of facilitating inpatient occupational therapy groups in traumatic brain injury (TBI) rehabilitation including peer-to-peer interactions and use of goals. Design and method: A qualitative methodology, guided by a phenomenological approach was utilized with data collected from focus groups comprising 26 clinicians working in occupational therapy in three inpatient rehabilitation settings: brain injury, spinal injury and geriatric rehabilitation in order to identify aspects unique to brain injury rehabilitation. Data were analysed using the framework analysis method. Findings: Three overarching themes emerged; ‘good fit’, ‘the things clinicians do’ and ‘patient-to-patient’. Clinicians indicated that structured group formats, careful planning and communication facilitated positive group dynamics and ensured groups met individual needs. Cognitive impairments following TBI and challenging behaviours were identified to impact on group processes, and clinician skills and confidence were important in managing these. Peer-to-peer support and learning was described as a key benefit of group rehabilitation. Conclusions: Groups in TBI rehabilitation create opportunities for peer-to-peer support and learning, and contribute positively to rehabilitation but group facilitator skills are critical. Practical strategies for facilitating groups in TBI rehabilitation are suggested.
Keyword Groups
Rehabilitation
Traumatic brain injury
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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