scholarly journals Life goal attainment in the adaptation process after acquired brain injury: the influence of self-efficacy and of flexibility and tenacity in goal pursuit

2014 ◽  
Vol 29 (6) ◽  
pp. 611-622 ◽  
Author(s):  
Ingrid Brands ◽  
Sven Stapert ◽  
Sebastian Köhler ◽  
Derick Wade ◽  
Caroline van Heugten
Keyword(s):  
Brain Injury ◽  
Self Efficacy ◽  
Goal Attainment ◽  
Goal Pursuit ◽  
Acquired Brain Injury ◽  
Adaptation Process ◽  
Life Goal

Returning to work after acquired brain injury: A mixed method case study

2021 ◽  
pp. 1-16
Author(s):  
Valerie Burke ◽  
Laura O’Rourke ◽  
Emer Duffy
Keyword(s):  
Brain Injury ◽  
Self Efficacy ◽  
Acquired Brain Injury ◽  
Future Research ◽  
Control Group ◽  
Work Skills ◽  
Mixed Methods Case Study ◽  
Signed Rank ◽  
Returning To Work

BACKGROUND: Vocation is a meaningful area of rehabilitation after Acquired Brain Injury (ABI). There is a discrepancy between the number of individuals with an ABI who feel able to work and those who are employed in Ireland. Research suggests that Vocational Rehabilitation (VR) programs enhance Return to Work (RTW) outcomes after ABI, however existing literature is limited. OBJECTIVE: This study explores the experience of engaging in VR post ABI, and its impact upon work self-efficacy. METHODS: A mixed methods case study design was selected to represent the individuality of ABI presentations. Participants completed a qualitative interview at VR follow up (N = 2) and the Work Self-Efficacy Inventory at pre/post VR. RESULTS: Four overarching themes emerged including Stigma, Adjustment, Support and Readiness. RTW challenges included fatigue, accepting support, adjusting to work and stigma. RTW benefits included routine, pride in work, skills development, and empowerment. Wilcoxon signed rank indicated that work self-efficacy scores mildly improved post VR. CONCLUSIONS: This research may inform VR Programs and offers pragmatic clinical implications based on the data. Future research should consider the role that readiness plays in facilitating RTW. Limitations include sample size, a lack of longitudinal data and control group.

scholarly journals Case management after acquired brain injury compared to care as usual: study protocol for a two-year pragmatic randomized controlled trial

2020 ◽  
Author(s):  
Annemarie Stiekema ◽  
Christine Resch ◽  
Mireille Donkervoort ◽  
Natska Jansen ◽  
Kitty HM Jurrius ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Brain Injury ◽  
Case Management ◽  
Self Efficacy ◽  
Unmet Needs ◽  
Acquired Brain Injury ◽  
Well Being ◽  
Family Needs ◽  
Randomized Controlled

Abstract Background: People with acquired brain injury may suffer from cognitive, emotional and behavioural changes in the long term. Continuity of care is often lacking, leading to a variety of unmet needs and hindering psychosocial functioning from the occurrence of brain injury up to years thereafter. Case management aims to prevent (escalation of) problems and to facilitate timely access to appropriate services. In other populations, case management has shown to improve psychosocial well-being. In this study, we aim to evaluate the feasibility of case management after acquired brain injury and its effectiveness and cost-effectiveness, compared to care as usual.Methods: This is a pragmatic randomized controlled study with repeated measures in adults with ABI and their family, taking place between November 2019 and December 2021 in three provinces in the Netherlands. Participants will be randomly allocated to either the case management group, receiving case management from hospital discharge up to two years thereafter, or the control group, receiving care as usual. Effectiveness will be evaluated every six months for 18-24 months by patient-reported psychosocial well-being (Hospital Anxiety and Depression Scale (HADS), Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P) restriction subscale and the Life Satisfaction Questionnaire (LiSat)), self-management (Patient Activation Measure (PAM)) and care needs (Longer-term Unmet Needs after Stroke (LUNS)). Family outcomes include self-efficacy (Carer Self-Efficacy Scale (CSES)), caregiver burden (Caregiver Strain Index (CSI)), psychosocial well-being (LiSat, HADS), family needs (Family Needs Questionnaire (FNQ)). Feasibility will be evaluated using qualitative methods, assessing fidelity, dose delivered, dose received, reach, recruitment and context. Cost-effectiveness will be determined by the EQ-5D-3L and service use.Discussion: At the moment there is no integrated health care service for people with acquired brain injury and their family members in the long-term. If case management is shown to be feasible and (cost)-effective, it could bridge the gap between patients’ and families’ needs and the available services.Trial registration: Netherlands Trial Register, NL8104. Registered 22 October 2019, https://www.trialregister.nl/trial/8104.

scholarly journals Self-Efficacy Predicts Personal and Family Adjustment Among Persons With Spinal Cord Injury or Acquired Brain Injury and Their Significant Others: A Dyadic Approach

2020 ◽  
Vol 101 (11) ◽  
pp. 1937-1945
Author(s):  
Eline W.M. Scholten ◽  
Marjolijn Ketelaar ◽  
Johanna M.A. Visser-Meily ◽  
Janneke Stolwijk-Swüste ◽  
Ilse J.W. van Nes ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Brain Injury ◽  
Self Efficacy ◽  
Acquired Brain Injury ◽  
Significant Others ◽  
Family Adjustment ◽  
Cord Injury

scholarly journals A systematic review of personal smart technologies used to improve outcomes in adults with acquired brain injuries

2019 ◽  
Vol 33 (11) ◽  
pp. 1705-1712 ◽  
Author(s):  
Jade Kettlewell ◽  
Roshan das Nair ◽  
Kate Radford
Keyword(s):  
Brain Injury ◽  
Goal Attainment ◽  
Brain Injuries ◽  
Grey Literature ◽  
Acquired Brain Injury ◽  
Reference List ◽  
Smart Technology ◽  
Smart Technologies ◽  
Author Citations

Objective: This review aimed to determine the effectiveness of personal smart technologies on outcomes in adults with acquired brain injury. Data sources: A systematic literature search was conducted on 30 May 2019. Twelve electronic databases, grey literature databases, PROSPERO, reference list and author citations were searched. Methods: Randomised controlled trials were included if personal smart technology was used to improve independence, goal attainment/function, fatigue or quality of life in adults with acquired brain injury. Data were extracted using a bespoke form and the TIDieR checklist. Studies were graded using the PEDro scale to assess quality of reporting. Meta-analysis was conducted across four studies. Results: Six studies met the inclusion criteria, generating a total of 244 participants. All studies were of high quality (PEDro ⩾ 6). Interventions included personal digital assistant, smartphone app, mobile phone messaging, Neuropage and an iPad. Reporting of intervention tailoring for individual needs was inconsistent. All studies measured goal attainment/function but none measured independence or fatigue. One study ( n = 42) reported a significant increase in memory-specific goal attainment ( p = 0.0001) and retrospective memory function ( p = 0.042) in favour of the intervention. Another study ( n = 8) reported a significant increase in social participation in favour of the intervention ( p = 0.01). However, our meta-analyses found no significant effect of personal smart technology on goal attainment, cognitive or psychological function. Conclusion: At present, there is insufficient evidence to support the clinical benefit of personal smart technologies to improve outcomes in acquired brain injury. Researchers need to conduct more randomised studies to evaluate these interventions and measure their potential effects/harms.

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