Risk assessment and management for providers of community-based rehabilitation to people with acquired brain injury: Health professionals' perspectives

AbstractCommunity-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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Prevalence, Patterns, and Predictors of Multimorbidity in Adults With Acquired Brain Injury at Admission to Staged Community-Based Rehabilitation

Archives of Rehabilitation Research and Clinical Translation ◽

10.1016/j.arrct.2020.100089 ◽

2020 ◽

Vol 2 (4) ◽

pp. 100089

Author(s):

Hayley M. Jackson ◽

Lakkhina Troeung ◽

Angelita Martini

Keyword(s):

Brain Injury ◽

Acquired Brain Injury ◽

Community Based ◽

Community Based Rehabilitation

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Perceived Usability and Acceptability of Videoconferencing for Delivering Community-Based Rehabilitation to Individuals with Acquired Brain Injury: A Qualitative Investigation

Journal of the International Neuropsychological Society ◽

10.1017/s135561771900078x ◽

2020 ◽

Vol 26 (1) ◽

pp. 47-57 ◽

Cited By ~ 4

Author(s):

Tamara Ownsworth ◽

Deborah Theodoros ◽

Louise Cahill ◽

Atiyeh Vaezipour ◽

Ray Quinn ◽

...

Keyword(s):

Brain Injury ◽

Service Delivery ◽

Technology Acceptance ◽

Family Caregivers ◽

Acquired Brain Injury ◽

Structured Interviews ◽

Community Based ◽

Community Based Rehabilitation ◽

Perceived Usability ◽

Case Basis

AbstractObjectives:There is limited research on the use of telerehabilitation platforms in service delivery for people with acquired brain injury (ABI), especially technologies that support delivery of services into the home. This qualitative study aimed to explore the perspectives of rehabilitation coordinators, individuals with ABI, and family caregivers on the usability and acceptability of videoconferencing (VC) in community-based rehabilitation. Participants’ experiences and perceptions of telerehabilitation and their impressions of a particular VC system were investigated.Methods:Guided by a theory on technology acceptance, semi-structured interviews were conducted with 30 participants from a community-based ABI service, including 13 multidisciplinary rehabilitation coordinators, 9 individuals with ABI, and 8 family caregivers. During the interview, they were shown a paper prototype of a telehealth portal for VC that was available for use. Interview transcripts were coded by two researchers and analysed thematically.Results:The VC was used on average for 2% of client consultations. Four major themes depicted factors influencing the uptake of VC platforms; namely, the context or impetus for use, perceived benefits, potential problems and parameters around use, and balancing the service and user needs. Participants identified beneficial uses of VC in service delivery and strategies for promoting a positive user experience.Conclusions:Perceptions of the usability of VC to provide services in the home were largely positive; however, consideration of use on a case-by-case basis and a trial implementation was recommended to enhance successful uptake into service delivery.

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Time between acquired brain injury and admission to community-based rehabilitation: differences in cognitive and functional gains

Brain Injury ◽

10.1080/02699052.2020.1740943 ◽

2020 ◽

Vol 34 (6) ◽

pp. 713-722

Author(s):

Elly Williams ◽

Angelita Martini ◽

Hayley Jackson ◽

Janet Wagland ◽

Lynne Turner-Stokes

Keyword(s):

Brain Injury ◽

Acquired Brain Injury ◽

Community Based ◽

Community Based Rehabilitation ◽

Functional Gains

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Using participatory action research in community-based rehabilitation for people with acquired brain injury: from service provision to partnership with Aboriginal communities

Disability and Rehabilitation ◽

10.3109/09638288.2010.550382 ◽

2011 ◽

Vol 33 (19-20) ◽

pp. 1901-1911 ◽

Cited By ~ 20

Author(s):

Susan Gauld ◽

Sharon Smith ◽

Melissa Bianca Kendall

Keyword(s):

Brain Injury ◽

Action Research ◽

Participatory Action Research ◽

Service Provision ◽

Acquired Brain Injury ◽

Participatory Action ◽

Community Based ◽

Aboriginal Communities ◽

Community Based Rehabilitation

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Multidisciplinary health professionals' assessments of risk: how are tools used to reach consensus about risk assessment and management?

Journal of Psychiatric and Mental Health Nursing ◽

10.1111/jpm.12026 ◽

2012 ◽

Vol 20 (6) ◽

pp. 557-563 ◽

Cited By ~ 5

Author(s):

A. GERACE ◽

D. CURREN ◽

E. MUIR-COCHRANE

Keyword(s):

Risk Assessment ◽

Health Professionals ◽

Risk Assessment And Management

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Navigating a Middle Ground - Exploring Health Professionals’ Experiences and Perceptions of Providing Rehabilitation in Outdoor Community Settings

Qualitative Health Research ◽

10.1177/1049732320951771 ◽

2020 ◽

Vol 31 (1) ◽

pp. 41-53

Author(s):

Louise S. Madsen ◽

Claus V. Nielsen ◽

John L. Oliffe ◽

Charlotte Handberg

Keyword(s):

Health Professionals ◽

Social Practice ◽

Participant Observation ◽

Community Settings ◽

Middle Ground ◽

Social Practice Theory ◽

Community Based ◽

Rehabilitation Outcomes ◽

Community Based Rehabilitation ◽

Community Environments

Contemporary practice has started to rethink use of outdoor and community environments for advancing comprehensive rehabilitation outcomes. The aim is to examine health professionals’ experiences and perceptions of providing rehabilitation in outdoor community settings. The purpose is to use these experiences to generate practice-based knowledge in using the outdoors as a means to guide community-based rehabilitation. The Interpretive Description methodology was accompanied by social practice theory. Fieldwork was conducted utilizing participant observation, photovoice, and focus-group interviews. Included were 27 health professionals. The analysis revealed how “naturalistic learning opportunities” offered health professionals strategies to empower activity and participation levels and yet invoked “rehabilitation setting tensions.” A continuum was engaged in the theme “navigating a middle ground,” representing an integrated environment approach; rehabilitation in conventional indoor and outdoor community settings. Development of a sustainable concept for outdoor community-based rehabilitation involves strengthening health professionals’ competencies and skills for providing outdoor and community work.

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