Designing Groups to Meet Evolving Challenges in Health Care Settings

McCarthy, Christopher J.; Hart, Sonia

doi:10.1080/01933922.2011.614143

Cited by 17 publications

(31 citation statements)

References 35 publications

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“…Some of these were especially influential to the development of this conceptual review because they reviewed or theorised a range of potentially important group processes; for example, Levine and Moreland (1990), Horne and Rosenthal (1997), Association for Specialists in Group Work (2000), Furr (2000), McGrath, Arrow, and Berdahl (2000), Murphy and Johnson (2006), Hoddinott, Allan, Avenell, and Britten (2010), Drum, Becker, andHess (2011), McCarthy andHart (2011), and book chapters by Burlingame, Fuhriman, and Johnson (2004) and Forsyth and Burnette (2005). Many other articles shaped our review and are referenced below and/or in the Supplementary Document (available online).…”

Section: Methodsmentioning

confidence: 99%

How do Small Groups Promote Behaviour Change? An Integrative Conceptual Review of Explanatory Mechanisms

Borek

Abraham

2018

Applied Psych Health & Well

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Background: Small groups are used to promote health, well-being, and personal change by altering members' perceptions, beliefs, expectations, and behaviour patterns. An extensive cross-disciplinary literature has articulated and tested theories explaining how such groups develop, function, and facilitate change. Yet these theoretical understandings are rarely applied in the development, description, and evaluation of health-promotion, group-based, behaviour-change interventions. Methods: Medline database, library catalogues, search engines, specific journals and reference lists were searched for relevant texts. Texts were reviewed for explanatory concepts or theories describing change processes in groups, which were integrated into the developing conceptual structure. This was designed to be a parsimonious conceptual framework that could be applied to design and delivery. Results: Five categories of interacting processes and concepts were identified and defined: (1) group development processes, (2) dynamic group processes, (3) social change processes, (4) personal change processes, and (5) group design and operating parameters. Each of these categories encompasses a variety of theorised mechanisms explaining individual change in small groups. Conclusion: The final conceptual model, together with the design issues and practical recommendations derived from it, provides a practical basis for linking research and theory explaining group functioning to optimal design of group-based, behaviour-change interventions.

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Section: Methodsmentioning

confidence: 99%

How do Small Groups Promote Behaviour Change? An Integrative Conceptual Review of Explanatory Mechanisms

Borek

Abraham

2018

Applied Psych Health & Well

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“…The need to demonstrate cost-effectiveness and efficient resource management has led to the increasing use of group-based interventions in health care (Drum, Swanbrow Becker & Hess, 2011;McCarthy & Hart, 2011). The intensity of rehabilitation for patients can be maximised through the delivery of therapy in groups (Bertisch, Rath, Langenbahn, Sherr & Diller, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Yalom and Leszcz (2005) identified 12 curative factors that occur within the context of group treatment including universality, the instillation of hope, development of socialising techniques, and self-understanding. 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).…”

Section: Introductionmentioning

confidence: 99%

“…This results in challenges in the evaluation of outcomes from group participation (Hammond et al, 2015;Scanlan et al, 2015), and the development of measures of group participation is somewhat limited (Scanlan et al, 2015). As well as objective measures, the importance of consumer perspectives in service evaluation should not be overlooked (McCarthy & Hart, 2011).…”

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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“…One measure of enhancing cost-efficiency and resource allocation in rehabilitation settings is the use of therapy groups where the therapist-to-patient ratio is optimised by seeing patients with similar needs in a group context (Drum, Swanbrow Becker, & Hess, 2011;McCarthy & Hart, 2011). Literature identifies several advantages to the use of group therapy interventions including: 1) cost-effectiveness, 2) intensity of rehabilitation and more opportunities to practice skills and activities, 3) opportunities for participants to learn about their own capabilities, and 4) opportunities to practise skills and strategies within 'real world' social and physical environments that can provide feedback and support to clients (Bertisch, Rath, Langenbahn, Sherr, & Diller, 2011;Cole & Tufano, 2008).…”

Section: Group-based Rehabilitation and Therapymentioning

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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Designing Groups to Meet Evolving Challenges in Health Care Settings

Cited by 17 publications

References 35 publications

How do Small Groups Promote Behaviour Change? An Integrative Conceptual Review of Explanatory Mechanisms

How do Small Groups Promote Behaviour Change? An Integrative Conceptual Review of Explanatory Mechanisms

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

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