Outcome Measurement in a Community Head Injury Service

Tyerman, Andy

doi:10.1080/096020199389536

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…The principles of supported employment, the use of job coaches and natural support systems in the work place generally provide a rate of return to work of around 50-70% of those who access these services and therefore, internationally, this is a popular approach [3,[7][8][9][10][11]. This study was done with clients of a 'place and train' community vocational programme for ABI consisting of three modules -centre-based initial assessment and training, job placement and, finally, job seeking and follow up by job coaches (Berry A, Brownlee N. Personal communication, 2002).…”

Section: Introductionmentioning

confidence: 99%

Sustaining employment after vocational rehabilitation in acquired brain injury

Macaden

Chandler

et al. 2010

Disability and Rehabilitation

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Similarities between pre-injury work or leisure interests and post-injury work improved motivation. Factors associated with sustained employment were insightful, unconditional, internal motivation providing an ability to cope, confidence provided by ongoing vocational rehabilitation support through job coaches, supportive co-workers and employers with a personal experience of disability. People with ABI can be outstanding employees.

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Section: Introductionmentioning

confidence: 99%

Sustaining employment after vocational rehabilitation in acquired brain injury

Macaden

Chandler

et al. 2010

Disability and Rehabilitation

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“…While some goal-setting takes place within inpatient rehabilitation units, it is usually conducted as a formal, structured process directed by the rehabilitation team (McMillan & Sparkes, 1999;MacLeod & Macleod, 1996). Increasingly, people with ABI, practitioners and researchers are emphasising the importance of the delivery of ABI services in community settings (Bergquist & Jacket, 1993;Burleigh, Farber, & Gillard, 1998;Hawley, Stilwell, Davies, & Stilwell, 2000;Lawler, Dowswell, Hearn, Forster, & Young, 1999;Tyerman, 1999). Rehabilitation in community settings usually includes a range of services and supports which aim to assist people to achieve their goals and maintain themselves in their com-munity (Kendall, Buys, & Larner, 2000;Mitchell, 1999).…”

mentioning

confidence: 99%

A Preliminary Exploration of Goal-setting in Community-based Rehabilitation for People with Brain Impairment

Kuipers

Carlson

Bailey³

et al. 2004

Brain Impairment

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Community-based rehabilitation for people with acquired brain injury (ABI) is largely driven by goals set in the course of rehabilitation by clients and service providers. A preliminary study investigating the perspectives and practice of experienced rehabilitation coordinators was undertaken to explore issues that influence goal-setting in community rehabilitation settings. Detailed interviews and subsequent rounds of clarification were conducted with six experienced rehabilitation coordinators. Key themes identified through inductive analysis include cognitive influences, other client influences, service provider influences and the client-service provider relationship in the goal-setting process. Based on the findings, a preliminary descriptive schema of goal-setting in a community-based rehabilitation service for people with acquired brain injury is suggested. Factors such as training, experience, and values of the rehabilitation coordinators are also discussed in terms of their influence on goal-setting. Some strategies to assist a person with ABI to identify and work towards achieving realistic goals are identified. Suggestions for enhancing community-based rehabilitation practices with people with ABI, and scope for future research are noted. This paper constitutes a general overview of goal-setting in community-based ABI rehabilitation.

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“…CNRT and CHIS are health-based rehabilitation services. In addition, CHIS offers multi-disciplinary community rehabilitation support over a long-duration of time and is organised by a social model of disability (Tyerman, 1999). CHIS and CNRT refer many of its users to Enrych Bucks, a third sector charitable organisation, to access ongoing leisure and socialising opportunities with other survivors of ABI and other disabilities in the Buckinghamshire area.…”

Section: Recruitment and Service Contextmentioning

confidence: 99%

A mixed methods pilot study of a 6 month weekly Tai Ji (Tai Chi) group for survivors of acquired brain injury.

Yeates¹,

Smith²,

Nagrani³

et al. 2022

praxis psy

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Physical and psychological benefits of tai chi (TJ) have been demonstrated for survivors of acquired brain injury (ABI). However investigators have framed TJ primarily as a physical intervention, with an absent underlying theoretical framework to conceptualise psychological gains from the practice. Traditional sampling strategies have optimised homogenous samples in many studies, in contrast to ABI groups with diverse physical, cognitive and emotional needs that commonly use community-based ABI services. This study aims to use both qualitative and quantitative methods to highlight both shared gains and diversity in responses to a standard TJ group intervention in a typical ABI community service sample. These preliminary findings will be used to develop a rationale for bespoke adaptation of TJ learning/practice to optimise psychological gains across survivors. 9 Survivors of ABI using community services were recruited to attend a weekly class of TJ over six months. The instructor offered some physical adaptations to learning and practice. Questionnaire measures of anxiety/depression, fatigue and QoL were administered at baseline, repeated every 4 sessions and at the end of the last session. A focus group was held half-way and at the end of the intervention. Quantitative data was analysed using single-case pre-post comparisons (RCI), and a thematic analysis was performed on the qualitative data. While clinical gains in reduced anxiety, depression and fatigue and improved QoL was observed for some participants, no changes or deterioration on some measures were evident in others. Focus group data highlighted shared gains in increased energy, relaxation and social group identification, alongside idiosyncratic challenges for each participation from the class environment, cognitive and physical demands of learning TJ. This study has provided both quantitative and qualitative data which highlight diverse experiences and challenges for survivors of ABI when learning and practicing TJ, although there are also indications of shared benefits in fatigue management and social group membership.

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Outcome Measurement in a Community Head Injury Service

Cited by 8 publications

References 7 publications

Sustaining employment after vocational rehabilitation in acquired brain injury

Sustaining employment after vocational rehabilitation in acquired brain injury

A Preliminary Exploration of Goal-setting in Community-based Rehabilitation for People with Brain Impairment

A mixed methods pilot study of a 6 month weekly Tai Ji (Tai Chi) group for survivors of acquired brain injury.

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