Factors That Lead to Successful Community Integration Following Severe Traumatic Brain Injury

Winkler, Di; Unsworth, Carolyn A.; Sloan, Sue

doi:10.1097/00001199-200601000-00002

Cited by 140 publications

(115 citation statements)

References 44 publications

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“…Behavioural and emotional problems may worsen over time (Alderman, 2003;Winkler, Unsworth, & Sloan, 2006). This may be a combined result of neuropathology and disappointments, frustrations and experiences of failure associated with poor performance in school or at work, social isolation and activity restrictions (McLean, Dikmen, & Temkin, 1993).…”

Section: Introductionmentioning

confidence: 99%

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Winkens

Heugten

Pouwels

et al. 2017

Neuropsychological Rehabilitation

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The ABC method is a behaviour management technique for use by nurses. ABC refers to the identification of Antecedent events, target Behaviours, and Consequent events. In this longitudinal intervention study with double baseline measurements we evaluated the effectiveness of the ABC method in patients with behavioural problems after acquired brain injury. Fifty-six patients participated in this study. Outcome was measured in terms of overall neuropsychiatric problem behaviour, aggression, apathy and emotional burden experienced by nurses. A process evaluation was performed to investigate usability and acceptability of the method and identify factors that influenced effectiveness. Friedman's ANOVA showed a small significant reduction over time in overall neuropsychiatric problem behaviour and aggression. The reduction was most prominent between the first baseline measurement and the post-implementation and follow-up measurements, not between the second baseline measurement and the post-implementation or followup measurements. This first group study on the effects of the ABC method could not prove this technique is effective for patients with behavioural problems after acquired brain injury. Nurses indicated that the ABC method was not fully implemented in their daily routines. This may have influenced results and makes it yet premature to draw firm conclusions on the effects of the ABC method.

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Section: Introductionmentioning

confidence: 99%

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Winkens

Heugten

Pouwels

et al. 2017

Neuropsychological Rehabilitation

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“…Dijkers (1998) argued that successful medical and rehabilitative services for the TBI population had increased researchers' and policymakers' interest in assessing and measuring CI. This shift in attention is important because people with a history of TBI have been less well integrated into their communities than the general population (Winkler, Unsworth, & Sloan, 2006).…”

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confidence: 99%

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Kim

Colantonio

2010

The American Journal of Occupational Therapy

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OBJECTIVE.We assessed evidence for post-acute traumatic brain injury (TBI) rehabilitation interventions used to enhance community integration (CI) relevant to occupational therapy.METHOD. We conducted a systematic review of intervention studies on TBI rehabilitation from 1990 to 2007. RESULTS. We analyzed and summarized 10 studies that met the inclusion criteria. Of 10 studies, 7 found that post-acute TBI rehabilitation benefits CI; all effective studies involved occupational therapy or involved interventions occupational therapists can do.CONCLUSION. Many CI programs show positive results and should be studied more rigorously. Such promising programs should also be considered when decisions about post-acute TBI rehabilitation services for clients are being made. To further establish that post-acute TBI rehabilitation interventions improve CI, future studies should include intervention strategies based on injury severity, a control group, and longer term follow-up. The role of occupational therapy in these effective programs should be further explored. Kim, H., & Colantonio, A. (2010). Effectiveness of rehabilitation in enhancing community integration after acute traumatic brain injury: A systematic review.

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“…In the former population, environmental and contextual variables have been reported to take on increased salience in determining the behavioral, psychosocial, emotional, and vocational outcomes of individuals recovering from a traumatic brain injury (Kaplan, 1990;Prigatano et al, 1996;Tomberg et al, 2005;Webb et al, 1995;Winkler et al, 2006;Ylvisaker et al, 2003). This observation may be of particular importance for individuals with substance-use disorders and cognitive impairment.…”

mentioning

confidence: 99%

Social Support and Cognitive Impairment in Clients Receiving Treatment for Alcohol- and Drug-Use Disorders: A Replication Study

Buckman

Bates

Morgenstern

2008

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The infl uence that social network members exert on the drinking behaviors of alcohol-dependent individuals may represent a behavioral change process that is sensitive to co-occurring cognitive impairment and operates outside treatment to promote or impede outcomes. This study was aimed at extending earlier research support for this hypothesis by assessing impairment in memory as well as executive functions in a more heterogeneous population with alcohol-and/or drug-use disorders. Method: Latent class analysis was used as a person-centered approach to characterize the nature and extent of social support for abstinence from alcohol and drug use in 122 men and women entering treatment for substance-use disorders. Substance use, executive dysfunction, and memory impairments were compared across latent classes at four points during the fi rst year after treatment entry. The interrelationship of impairment and social support on treatment outcomes was also examined. Results: Three independent social support classes-(1) Frequent Positive Support, (2) Limited Positive Support, and (3) Negative Support-were identifi ed. The Frequent Positive Support class demonstrated the most frequent substance use and greatest executive impairment at treatment entry but-by the end of treatment-showed pronounced improvements in both. In addition, less recovery of executive function by the end of treatment predicted better 12-month substance-use outcomes in the Frequent Positive Support class, whereas it predicted poorer outcomes in the Negative Support class. Conclusions:The results offer further evidence for the heightened importance of informal social network processes in the treatment outcomes of persons with severe and ongoing defi cits in executive functioning. (J. Stud. Alcohol Drugs 69: [738][739][740][741][742][743][744][745][746] 2008)

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Factors That Lead to Successful Community Integration Following Severe Traumatic Brain Injury

Abstract: Interventions that minimize challenging behavior and disability may make a significant difference to the level of community integration experienced by people with severe TBI.

Cited by 140 publications

References 44 publications

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Social Support and Cognitive Impairment in Clients Receiving Treatment for Alcohol- and Drug-Use Disorders: A Replication Study

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