Relax while you rehabilitate: A pilot study integrating a novel, yoga-based mindfulness group intervention into a residential military brain injury rehabilitation program.

2018 ◽  
Vol 63 (2) ◽  
pp. 182-193 ◽  
Author(s):  
Martha A. Combs ◽  
Edan A. Critchfield ◽  
Jason R. Soble
Keyword(s):  
Brain Injury ◽  
Pilot Study ◽  
Group Intervention ◽  
Rehabilitation Program ◽  
Injury Rehabilitation

It takes two to tango: The therapeutic alliance in community brain injury rehabilitation

2021 ◽  
pp. 1-18
Author(s):  
Liz M. Williams ◽  
Jacinta M. Douglas
Keyword(s):  
Brain Injury ◽  
Pilot Study ◽  
Therapeutic Alliance ◽  
Qualitative Methodology ◽  
Rehabilitation Programme ◽  
Injury Rehabilitation ◽  
Community Rehabilitation ◽  
Purposeful Sampling ◽  
Study Results ◽  
Working Together

Abstract Objective: A positive therapeutic (or working) alliance has been associated with better outcomes for clients in the psychotherapeutic and traumatic brain injury (TBI) rehabilitation literature. The aim of this pilot study was to gain an understanding of the therapeutic alliance in community rehabilitation from the perspectives of adults with TBI and their close others who have completed a community rehabilitation programme. Method: This study used a constructivist, qualitative methodology which applied grounded theory analysis techniques. Using purposeful sampling, three pairs of participants (adults with TBI and close others) who had finished a community rehabilitation programme completed separate in-depth interviews which were transcribed verbatim and progressively analysed using a process of constant comparison. Results: A preliminary framework illustrating participants’ experience of a therapeutic alliance was generated, comprising three interconnected themes: being recognised as an individual, working together and feeling personally connected. All participants viewed being able to work together as important in their experience of community rehabilitation and described features that helped and hindered the alliance. Conclusion: These pilot study results demonstrate the importance of the therapeutic alliance to the rehabilitation experience of individuals with TBI and those close to them.

A Multidisciplinary Social Communication and Coping Skills Group Intervention for Adults with Acquired Brain Injury (ABI): A Pilot Feasibility Study in an Inpatient Setting

2011 ◽  
Vol 12 (3) ◽  
pp. 210-222 ◽  
Author(s):  
Sally Appleton ◽  
Allyson Browne ◽  
Natalie Ciccone ◽  
Kim Fong ◽  
Graeme Hankey ◽  
...  
Keyword(s):  
Brain Injury ◽  
Pilot Study ◽  
Social Communication ◽  
Group Intervention ◽  
Coping Skills ◽  
Acquired Brain Injury ◽  
Group Program ◽  
Post Intervention ◽  
Skills Group ◽  
And Coping

AbstractThere is evidence that individuals with an acquired brain injury (ABI) are at increased risk of developing psychological problems and that they commonly experience difficulties in social communication, associated with poorer long-term outcomes. Although several relevant group interventions have been evaluated, there has been limited exploration of the feasibility of an ABI inpatient intervention. This nonrandomised pilot study tested the feasibility of an inpatient multidisciplinary social communication and coping skills group intervention within 1-year post traumatic/nontraumatic ABI. Seven participants completed a 4-week group program (3 × 1 hour sessions per week) facilitated by a speech pathologist and clinical psychologist and were assessed pre/post intervention and at 3 months with the La Trobe Communication Questionnaire, Correct Information Unit analysis, Hospital Anxiety and Depression Scale, Mini International Neuropsychiatric Interview, Coping Self-Efficacy scale and World Health Organization Quality of Life assessment. Most participants improved between baseline and 3 months post intervention in terms of greater informativeness and efficiency of connected speech and reduced anxiety and they provided positive feedback about the group program. Despite the challenges and limitations of this pilot study, the findings are encouraging and support both the value and feasibility of developing such a program into routine inpatient rehabilitation services.

The Invisible Problem: The Incidence of Olfactory Impairment following Traumatic Brain Injury

2015 ◽  
Vol 16 (3) ◽  
pp. 196-204 ◽  
Author(s):  
Melanie Drummond ◽  
Jacinta Douglas ◽  
John Olver
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Rehabilitation Program ◽  
University Of Pennsylvania ◽  
Facial Fractures ◽  
Injury Rehabilitation ◽  
Rehabilitation Programs ◽  
Rehabilitation Facilities ◽  
Olfactory Impairment ◽  
The University

Background and aims: As many as 50–60% of patients with traumatic brain injury (TBI) admitted to rehabilitation facilities may have olfactory impairment (OI). These incidence estimates are derived from studies conducted internationally and there is no comparable data available in the Australian context. The primary aim of this study was to identify the incidence of OI following TBI in a consecutive sample of adults admitted to the Epworth Hospital Brain Injury Rehabilitation Program in Victoria, Australia. A secondary aim was to investigate whether age, duration of posttraumatic amnesia (PTA) and presence of facial fractures made a significant contribution to the prediction of severity of OI.Method: The sample comprised 134 adults (mean age 39.09 years, SD 18.36), the majority of whom had sustained moderate to severe injury (PTA mean 21.57 days, SD 18.78). OI was measured using the Pocket Smell Test (PST) and the University of Pennsylvania Smell Identification Test (UPSIT).Results: Seventy-three participants (54.48%) demonstrated OI on the PST whereas 89 (66.42%) demonstrated OI on the UPSIT. Age, PTA duration, and presence of facial fractures predicted 10.3% of the variance in severity of OI.Conclusion: A substantial proportion of adults admitted for rehabilitation following TBI has OI. Accurate assessment and appropriate management of post-traumatic OI must be incorporated into rehabilitation programs.

scholarly journals Activity, Participation, and Goal Awareness After Acquired Brain Injury: A Prospective Observational Study of Inpatient Rehabilitation

2021 ◽  
Vol 45 (6) ◽  
pp. 413-421
Author(s):  
Zoe Adey-Wakeling ◽  
Laura Jolliffe ◽  
Elizabeth O’Shannessy ◽  
Peter Hunter ◽  
Jacqui Morarty ◽  
...  
Keyword(s):  
Brain Injury ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Acquired Brain Injury ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Program ◽  
Activity Participation ◽  
Activity Levels ◽  
Rehabilitation Unit ◽  
Injury Rehabilitation

Objective To examine the frequency and timing of inpatient engagement in meaningful activities within rehabilitation (within and outside of structured therapy times) and determine the associations between activity type, goal awareness, and patient affect.Methods This prospective observational study performed behavioral mapping in a 42-bed inpatient brain injury rehabilitation unit by recording patient activity every 15 minutes (total 42 hours). The participants were randomly selected rehabilitation inpatients with acquired brain injury; all completed the study. The main outcome measures included patient demographics, observation of activity, participation, goal awareness, and affect.Results The inpatients spent 61% of the therapeutic day (8:30 to 16:30) in their single room and were alone 49% of the time. They were physically socially inactive for 76% and 74% of their awake time, respectively, with neutral affect observed for about half of this time. Goal-related activities were recorded for only 25% of the inpatients’ awake time. The odds of physical activity were 10.3-fold higher among in patients receiving support to address their goals within their rehabilitation program (odds ratio=10.3; 95% confidence interval, 5.02–21.16).Conclusion Inpatients in a mixed brain injury rehabilitation unit spent a large amount of their awake hours inactive and only participated in goal-related activities for a quarter of their awake time. Rehabilitation models that increase opportunities for physical, cognitive, and social activities outside of allied health sessions are recommended to increase overall activity levels during inpatient rehabilitation.

scholarly journals Rasch Analysis and Functional Measurement in Post-Hospital Brain Injury Rehabilitation

2017 ◽  
Vol 6 (6) ◽  
pp. 50
Author(s):  
Frank D. Lewis ◽  
Gordon J. Horn
Keyword(s):  
Brain Injury ◽  
Rasch Analysis ◽  
Item Difficulty ◽  
Reliability And Validity ◽  
Acquired Brain Injury ◽  
Statistical Technique ◽  
Rehabilitation Program ◽  
Injury Rehabilitation ◽  
Fit Statistics ◽  
Supported Living

Rasch analysis is a statistical technique used in determining statistical properties of functional measures for use in research and treatment. The technique was used in the current study to determine the reliability and validity of the Mayo Portland Adaptability Inventory-Version 4 (MPAI-4) for use with three different acquired brain injury samples. Subjects were 777 adults (each group comprised of 259 individuals) with acquired brain injury treated in one of three rehabilitation program types: Neurorehabilitation (NR), Neurobehavioral (NB), or Supported Living (SL). The MPAI-4 was administered to each participant upon admission to program. Rasch analysis was conducted to assess item fit, reliability, and separation statistics for MPAI-4 assessments conducted within each program. Item difficulty values were examined to determine if the MPAI-4 differentiated among groups based on deficit profiles. The results revealed that for each group, fit statistics fell with appropriate levels (0.5 – 1.5) for at least 24 of 29 items. Rasch person reliability statistics were 0.89 for NR and NB, and 0.90 for SL. Item reliability was 0.99 for each of the groups. Item difficulty values accurately differentiated the three groups based on their specific deficit profiles expected. Specifically, NR participants’ greatest deficits demonstrated by the MPAI-4 were within cognitive and physical functions. For the NB participants, the greater deficits demonstrated were within the behavioral and adjustment items. Supported Living participants had the most limitation within the instrumental activities of daily living items. As in prior research findings, the current Rasch analysis supported the use of the MPAI-4 within this heterogeneous, acquired brain injury population. This unique statistical approach translates to treatment priorities that may assist clinicians with identifying treatment goals specific to unique treatment group characteristics (e.g., NR, NB, and SL).

Sign in / Sign up

Export Citation Format

Share Document