[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.
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[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.
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