A Survey of Multidisciplinary Clinicians Working in Rehabilitation for People with Traumatic Brain Injury

Pagan, Elizabeth; Ownsworth, Tamara; McDonald, Skye; Fleming, Jennifer; Honan, Cynthia; Togher, Leanne

doi:10.1017/brimp.2015.34

Cited by 28 publications

(42 citation statements)

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“…A unique combination of cognitive and behavioural effects of TBI may include impaired self‐awareness, personality changes and cognitive processing changes (Centres for Disease Control and Prevention, ). These changes can affect participation in rehabilitation including groups, and impact significantly on group dynamics (Bertisch et al ., ; Pagan et al ., ; Torkelson Lynch & Kosciulek, ). Therefore, the programme is underpinned by evidence relating to goal‐directed rehabilitation (Doig et al ., ; Jenkinson, Ownsworth & Shum, ), cognitive rehabilitation (Bayley et al ., ; Tate et al ., ), and group‐based rehabilitation after brain injury (Bertisch et al ., ; Torkelson Lynch & Kosciulek, ).…”

Section: Introductionmentioning

confidence: 99%

“…Yalom and Leszcz's curative factors have underpinned approaches to groups in brain injury rehabilitation (Bertisch et al, 2011;McCarthy & Hart, 2011;Torkelson Lynch & Kosciulek, 1995). Despite these benefits, conducting rehabilitation groups with people who have traumatic brain injury (TBI) may be challenging due to the complexity and variety of cognitive and psycho-social changes following TBI (Bertisch et al, 2011;Pagan et al, 2015;Patterson, Fleming & Doig, 2016). As well as difficulty meeting the diverse individual needs of group participants with TBI, behavioural and cognitive difficulties may impact on participation and group dynamics (Bertisch et al, 2011;Pagan et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…In a study of 2130 consecutive admissions in 10 inpatient rehabilitation sites in the United States, Hammond et al (2015) found that 79.9% of patients participated in at least one group session during their admission, and that groups accounted for 13.7% of patients' therapy sessions and 15.8% of all therapy time. An Australian survey of multidisciplinary clinicians working in TBI rehabilitation, found that all disciplines used group-based interventions in their practice, for example, 43.37% of occupational therapists (Pagan et al, 2015). A recent scoping review (Patterson et al, 2016) found that brain injury rehabilitation groups focus largely on improving specific impairments, such as upper limb function, memory, self-awareness, or other functions.…”

Section: Introductionmentioning

confidence: 99%

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Participant evaluation of an inpatient occupational therapy groups programme in brain injury rehabilitation

Patterson

Fleming

Doig

et al. 2017

Aus Occup Therapy J

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Participant evaluation of an inpatient occupational therapy groups programme in brain injury rehabilitation

Patterson

Fleming

Doig

et al. 2017

Aus Occup Therapy J

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“…Provision of therapy in groups has distinct cost-efficiencies which is imperative in the current health care environment where resources must be strategically allocated. The use of groups is commonly reported in TBI rehabilitation settings and programmes (Hammond et al, 2015;Pagan et al, 2015). Hammond et al (2015) described the frequency of the use of groups across disciplines in 10 inpatient TBI rehabilitation settings.…”

Section: Group-based Rehabilitation and Therapymentioning

confidence: 99%

“…The use of groups in TBI rehabilitation is widely reported in the literature (e.g., Hammond et al, 2015;Malec, 2014;Pagan et al, 2015). Malec (2014) described that 'most' comprehensive brain injury rehabilitation programmes provide some therapy in groups.…”

Section: Groups In Traumatic Brain Injury Rehabilitationmentioning

confidence: 99%

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

Patterson¹

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Background: Groups are an integral part of everyday life. Some groups are chosen by participants whereas membership in other groups may not be an active choice.The benefits of participation in groups are widely documented, and perhaps most commonly cited are Yalom's eleven curative factors of group therapy, examples of which include the instillation of hope and imparting of knowledge. Groups have long been used therapeutically and are increasingly used as a context for delivery of rehabilitation interventions. Following a traumatic brain injury (TBI), rehabilitation is recommended to maximise recovery and the use of groups in TBI rehabilitation programmes is common practice, particularly in occupational therapy. TBI results in a complex variety of impairments that can interfere with an individual's ability to participate in their life roles and activities. Therefore, groups in TBI rehabilitation may pose some unique challenges for facilitators. Currently there is limited research evidence to guide clinicians in the facilitation of groups with this population group. In addition, there is limited literature investigating key stakeholder's perspectives of group participation in TBI rehabilitation. The purpose of this thesis is to explore processes and perspectives of participation in inpatient occupational therapy groups in TBI rehabilitation.Objectives: The aims were 1) to scope the current state of evidence regarding the use of groups in rehabilitation following TBI; 2) to explore the perspectives of patients with TBI about participation in inpatient occupational therapy groups; 3) to investigate the perspectives of clinicians from multiple rehabilitation settings about facilitation of groups with patients following TBI; and 4) to explore the nature of interactions in inpatient occupational therapy groups in TBI rehabilitation.Method: A mixed methods approach was used. The primary components of the thesis were a scoping review, focus groups with clinician participants, questionnaires and individual interviews with patient participants, and video-recordings of inpatient occupational therapy groups. A total of 46 rehabilitation inpatients recruited from the occupational therapy groups programme at the hospital participated in the study, with fifteen completing individual interviews. Twenty-two clinicians and four student iii clinicians who worked in inpatient occupational therapy teams in brain injury, spinal cord injury and geriatric rehabilitation settings from one hospital participated in the study. The thesis explored the experiences and perspectives of participants and was guided by a phenomenological approach. The method of qualitative analysis for focus groups was framework analysis. Thematic content analysis was utilised to analyse interview data. Descriptive statistics were used to analyse questionnaire data. Qualitative analysis guided by qualitative description was used to analyse video data.Results: The scoping review concluded that existing research about the use of groups in TBI rehabilitation consiste...

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Delivery of Neuropsychological Interventions for Adult and Older Adult Clinical Populations: An Australian Expert Working Group Clinical Guidance Paper

Wong,

Pike,

Stolwyk

et al. 2023

Neuropsychol Rev

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Delivery of neuropsychological interventions addressing the cognitive, psychological, and behavioural consequences of brain conditions is increasingly recognised as an important, if not essential, skill set for clinical neuropsychologists. It has the potential to add substantial value and impact to our role across clinical settings. However, there are numerous approaches to neuropsychological intervention, requiring different sets of skills, and with varying levels of supporting evidence across different diagnostic groups. This clinical guidance paper provides an overview of considerations and recommendations to help guide selection, delivery, and implementation of neuropsychological interventions for adults and older adults. We aimed to provide a useful source of information and guidance for clinicians, health service managers, policy-makers, educators, and researchers regarding the value and impact of such interventions. Considerations and recommendations were developed by an expert working group of neuropsychologists in Australia, based on relevant evidence and consensus opinion in consultation with members of a national clinical neuropsychology body. While the considerations and recommendations sit within the Australian context, many have international relevance. We include (i) principles important for neuropsychological intervention delivery (e.g. being based on biopsychosocial case formulation and person-centred goals); (ii) a description of clinical competencies important for effective intervention delivery; (iii) a summary of relevant evidence in three key cohorts: acquired brain injury, psychiatric disorders, and older adults, focusing on interventions with sound evidence for improving activity and participation outcomes; (iv) an overview of considerations for sustainable implementation of neuropsychological interventions as ‘core business’; and finally, (v) a call to action.

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A Survey of Multidisciplinary Clinicians Working in Rehabilitation for People with Traumatic Brain Injury

Cited by 28 publications

References 43 publications

Participant evaluation of an inpatient occupational therapy groups programme in brain injury rehabilitation

Participant evaluation of an inpatient occupational therapy groups programme in brain injury rehabilitation

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

Delivery of Neuropsychological Interventions for Adult and Older Adult Clinical Populations: An Australian Expert Working Group Clinical Guidance Paper

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