Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series / Emmah Doig in American Journal of Occupational Therapy, Vol. 68/5 (septembre/octobre 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/5 (septembre/octobre 2014) . - p. 578-588 Titre : Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series Type de document : texte imprimé Auteurs : Emmah Doig ; et al. ; Sarah Prescott ; Pim KUIPERS Année de publication : 2014 Article en page(s) : p. 578-588 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Réhabilitation  Estime soi  Conscient Résumé : OBJECTIVE. We examined participation in goal planning and development of self-awareness for people with impaired self-awareness after traumatic brain injury. METHOD. We performed a mixed-methods study of 8 participants recently discharged from inpatient rehabilitation. Self-awareness was measured using discrepancy between self and significant other ratings on the Mayo–Portland Adaptability Index (MPAI–4) at four time points. We calculated effect size to evaluate the change in MPAI–4 discrepancy over time. RESULTS. Seven participants identified their own goals. We found a large reduction in mean MPAI–4 discrepancy (M = 8.57, SD = 6.59, N = 7, d = 1.08) in the first 6 wk and a further small reduction (M = 5.33, SD = 9.09, N = 6, d = 0.45) in the second 6 wk of intervention. Case data indicated that 7 participants demonstrated some growth in self-awareness. CONCLUSION. Engagement in occupation-based, goal-directed rehabilitation appeared to foster awareness of injury-related changes to varying extents. Permalink : ./index.php?lvl=notice_display&id=33751 [article] Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series [texte imprimé] / Emmah Doig ; et al. ; Sarah Prescott ; Pim KUIPERS . - 2014 . - p. 578-588. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/5 (septembre/octobre 2014) . - p. 578-588 Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Réhabilitation  Estime soi  Conscient Résumé : OBJECTIVE. We examined participation in goal planning and development of self-awareness for people with impaired self-awareness after traumatic brain injury. METHOD. We performed a mixed-methods study of 8 participants recently discharged from inpatient rehabilitation. Self-awareness was measured using discrepancy between self and significant other ratings on the Mayo–Portland Adaptability Index (MPAI–4) at four time points. We calculated effect size to evaluate the change in MPAI–4 discrepancy over time. RESULTS. Seven participants identified their own goals. We found a large reduction in mean MPAI–4 discrepancy (M = 8.57, SD = 6.59, N = 7, d = 1.08) in the first 6 wk and a further small reduction (M = 5.33, SD = 9.09, N = 6, d = 0.45) in the second 6 wk of intervention. Case data indicated that 7 participants demonstrated some growth in self-awareness. CONCLUSION. Engagement in occupation-based, goal-directed rehabilitation appeared to foster awareness of injury-related changes to varying extents. Permalink : ./index.php?lvl=notice_display&id=33751

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Effect of self-awareness on goal engagement and outcomes after acquired brain injury / Sarah Prescott in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 726-731 Titre : Effect of self-awareness on goal engagement and outcomes after acquired brain injury Type de document : texte imprimé Auteurs : Sarah Prescott ; Jennifer Fleming ; Emmah Doig Année de publication : 2019 Article en page(s) : p. 726-731 Note générale : doi.org/10.1177/0308022619851434 Langues : Anglais (eng) Mots-clés : Self-awareness  acquired brain injury  client-centred  goal setting  goal outcomes  occupational therapy Résumé : Introduction A client’s level of self-awareness may change after acquired brain injury, including impaired self-awareness or hyper-awareness of impairments. As a result of these impairments, engagement in occupational therapy may be more challenging, especially the setting of client-centred goals. Understanding how engagement in goal setting differs according to level of self-awareness is therefore necessary. The aim of this study was to examine differences between: (a) the client-centredness of goal setting; (b) verbal participation in goal setting discussions and (c) the goal outcomes across clients with acquired brain injury who had different levels of self-awareness. Method A prospective cohort study design was used. Participants were 35 adults with acquired brain injury attending outpatient rehabilitation. Goal setting discussions were audio-recorded and measures of self-awareness and client-centredness completed immediately afterwards, and goal-outcome data collected 12 weeks later. Results Participants were classified into three self-awareness groups: hyper-awareness (n=9), accurate self-awareness (n=17) and impaired self-awareness (n=9). All groups demonstrated high levels of client-centredness of goals and achieved clinically significant goal outcomes. Conclusion Clients with impaired self-awareness, hyper-awareness and accurate awareness can be successfully engaged in rehabilitation goal setting to develop and achieve client-centred goals. Permalink : ./index.php?lvl=notice_display&id=85668 [article] Effect of self-awareness on goal engagement and outcomes after acquired brain injury [texte imprimé] / Sarah Prescott ; Jennifer Fleming ; Emmah Doig . - 2019 . - p. 726-731. doi.org/10.1177/0308022619851434 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 726-731 Mots-clés : Self-awareness  acquired brain injury  client-centred  goal setting  goal outcomes  occupational therapy Résumé : Introduction A client’s level of self-awareness may change after acquired brain injury, including impaired self-awareness or hyper-awareness of impairments. As a result of these impairments, engagement in occupational therapy may be more challenging, especially the setting of client-centred goals. Understanding how engagement in goal setting differs according to level of self-awareness is therefore necessary. The aim of this study was to examine differences between: (a) the client-centredness of goal setting; (b) verbal participation in goal setting discussions and (c) the goal outcomes across clients with acquired brain injury who had different levels of self-awareness. Method A prospective cohort study design was used. Participants were 35 adults with acquired brain injury attending outpatient rehabilitation. Goal setting discussions were audio-recorded and measures of self-awareness and client-centredness completed immediately afterwards, and goal-outcome data collected 12 weeks later. Results Participants were classified into three self-awareness groups: hyper-awareness (n=9), accurate self-awareness (n=17) and impaired self-awareness (n=9). All groups demonstrated high levels of client-centredness of goals and achieved clinically significant goal outcomes. Conclusion Clients with impaired self-awareness, hyper-awareness and accurate awareness can be successfully engaged in rehabilitation goal setting to develop and achieve client-centred goals. Permalink : ./index.php?lvl=notice_display&id=85668

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Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect / Emily S. GRATTAN in American Journal of Occupational Therapy, Vol. 70/4 (juillet-août 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/4 (juillet-août 2016) Titre : Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect Type de document : texte imprimé Auteurs : Emily S. GRATTAN ; Sarah Prescott ; et al. ; Jennifer Fleming Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Ergothérapie  Récupération  Accident cérébrovasculaire  Membre supérieur Résumé : OBJECTIVE. We examined the feasibility, tolerability, and preliminary efficacy of repetitive task-specific practice for people with unilateral spatial neglect (USN). METHOD. People with USN ≥6 mo poststroke participated in a single-group, repeated-measures study. Attendance, total repetitions, and satisfaction indicated feasibility and pain indicated tolerability. Paired t tests and effect sizes were used to estimate changes in upper-extremity use (Motor Activity Log), function (Action Research Arm Test), and attention (Catherine Bergego Scale). RESULTS. Twenty participants attended 99.4% of sessions and completed a high number of repetitions. Participants reported high satisfaction and low pain, and they demonstrated small, significant improvements in upper-extremity use (before Bonferroni corrections; t = –2.1, p = .04, d = .30), function (t = –3.0, p < .01, d = .20), and attention (t = –3.4, p < .01, d = –.44). CONCLUSION. Repetitive task-specific practice is feasible and tolerable for people with USN. Improvements in upper-extremity use, function, and attention may be attainable. Permalink : ./index.php?lvl=notice_display&id=44957 [article] Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect [texte imprimé] / Emily S. GRATTAN ; Sarah Prescott ; et al. ; Jennifer Fleming . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/4 (juillet-août 2016) Mots-clés : Ergothérapie  Récupération  Accident cérébrovasculaire  Membre supérieur Résumé : OBJECTIVE. We examined the feasibility, tolerability, and preliminary efficacy of repetitive task-specific practice for people with unilateral spatial neglect (USN). METHOD. People with USN ≥6 mo poststroke participated in a single-group, repeated-measures study. Attendance, total repetitions, and satisfaction indicated feasibility and pain indicated tolerability. Paired t tests and effect sizes were used to estimate changes in upper-extremity use (Motor Activity Log), function (Action Research Arm Test), and attention (Catherine Bergego Scale). RESULTS. Twenty participants attended 99.4% of sessions and completed a high number of repetitions. Participants reported high satisfaction and low pain, and they demonstrated small, significant improvements in upper-extremity use (before Bonferroni corrections; t = –2.1, p = .04, d = .30), function (t = –3.0, p < .01, d = .20), and attention (t = –3.4, p < .01, d = –.44). CONCLUSION. Repetitive task-specific practice is feasible and tolerable for people with USN. Improvements in upper-extremity use, function, and attention may be attainable. Permalink : ./index.php?lvl=notice_display&id=44957

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