Development of a Cognitive strategies group for vocational training after traumatic brain injury

Parenté, Rick; Stapleton, Mary

doi:10.3233/nre-1999-13103

Cited by 19 publications

(5 citation statements)

References 4 publications

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“…Reduced social interaction and social isolation is common after TBI and has a significant impact on quality of life (Dahlberg et al, 2006;Hoofien, Gilboa, Vakil, & Donovick, 2001;McDonald et al, 2008;Struchen et al, 2011;Temkin, Corrigan, Dikmen, & Machamer, 2009). Consistent with previous research, this study reinforces the value of the social interactions and support that groups can provide (Charles et al, 2007;Fleming et al, 2009;Fraas et al, 2007;Nilsson et al, 2011;Parente & Stapleton, 1999;Purk, 2004;Rodgers et al, 2007;Sargeant et al, 2000;Schulz, 1994;S. Schwartzberg, 1994;Straits-Troster et al, 2013;Vandiver & Christofero-Snider, 2000).…”

Section: Discussionsupporting

confidence: 90%

“…Results of these studies were generally consistent with each other, and with findings of other quantitative and mixed-method studies. These concluded that group interventions provided opportunities for social interaction and support (Charles et al, 2007;Fleming et al, 2009;Fraas et al, 2007;Nilsson et al, 2011;Parente & Stapleton, 1999;Purk, 2004;Rodgers et al, 2007;Sargeant et al, 2000;Schulz, 1994;S. Schwartzberg, 1994;Straits-Troster et al, 2013;Vandiver & Christofero-Snider, 2000), and could provide opportunities to simulate real world interactions (Knis-Matthews et al, 2006;Lundqvist et al, 2010;Newman & Newstadt, 2009;Niemeier et al, 2010;Sargeant et al, 2000;Smalley et al, 2007;Vandiver & Christofero-Snider, 2000).…”

Section: Examination Of Clinician Perceptions Of Group Therapy Intervmentioning

confidence: 99%

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Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

Patterson¹

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Background: Groups are an integral part of everyday life. Some groups are chosen by participants whereas membership in other groups may not be an active choice.The benefits of participation in groups are widely documented, and perhaps most commonly cited are Yalom's eleven curative factors of group therapy, examples of which include the instillation of hope and imparting of knowledge. Groups have long been used therapeutically and are increasingly used as a context for delivery of rehabilitation interventions. Following a traumatic brain injury (TBI), rehabilitation is recommended to maximise recovery and the use of groups in TBI rehabilitation programmes is common practice, particularly in occupational therapy. TBI results in a complex variety of impairments that can interfere with an individual's ability to participate in their life roles and activities. Therefore, groups in TBI rehabilitation may pose some unique challenges for facilitators. Currently there is limited research evidence to guide clinicians in the facilitation of groups with this population group. In addition, there is limited literature investigating key stakeholder's perspectives of group participation in TBI rehabilitation. The purpose of this thesis is to explore processes and perspectives of participation in inpatient occupational therapy groups in TBI rehabilitation.Objectives: The aims were 1) to scope the current state of evidence regarding the use of groups in rehabilitation following TBI; 2) to explore the perspectives of patients with TBI about participation in inpatient occupational therapy groups; 3) to investigate the perspectives of clinicians from multiple rehabilitation settings about facilitation of groups with patients following TBI; and 4) to explore the nature of interactions in inpatient occupational therapy groups in TBI rehabilitation.Method: A mixed methods approach was used. The primary components of the thesis were a scoping review, focus groups with clinician participants, questionnaires and individual interviews with patient participants, and video-recordings of inpatient occupational therapy groups. A total of 46 rehabilitation inpatients recruited from the occupational therapy groups programme at the hospital participated in the study, with fifteen completing individual interviews. Twenty-two clinicians and four student iii clinicians who worked in inpatient occupational therapy teams in brain injury, spinal cord injury and geriatric rehabilitation settings from one hospital participated in the study. The thesis explored the experiences and perspectives of participants and was guided by a phenomenological approach. The method of qualitative analysis for focus groups was framework analysis. Thematic content analysis was utilised to analyse interview data. Descriptive statistics were used to analyse questionnaire data. Qualitative analysis guided by qualitative description was used to analyse video data.Results: The scoping review concluded that existing research about the use of groups in TBI rehabilitation consiste...

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Section: Discussionsupporting

confidence: 90%

Section: Examination Of Clinician Perceptions Of Group Therapy Intervmentioning

confidence: 99%

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

Patterson¹

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Section: Resultsmentioning

confidence: 99%

“…Intervention should focus on improving and restoring cognitive and social communication functions, with gradual reintegration to daily functions and productive activities, which are dependent on cognitivecommunication skills. 4,[38][39][40][41][42][43] The person with TBI should be provided with interventions, which help them adjust to their cognitive-communication impairments including compensatory strategy training, 44 develop coping strategies, 45 confidence and self-esteem with a focus on identity, 46 and provision of education and information regarding the nature of acquired communication disorders. 4,23,33 One recent education program is interact-ABI-lity (https://abi-communicationlab.sydney.edu.au/courses/interact-abi-lity/), which is a free online resource about communication disorders following brain injury, with the target audience including people with brain injury and all those who communicate with them.…”

mentioning

confidence: 99%

INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part IV: Cognitive-Communication and Social Cognition Disorders

Togher

Douglas²,

Turkstra³

et al. 2023

Journal of Head Trauma Rehabilitation

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Introduction: Moderate to severe traumatic brain injury causes significant cognitive impairments, including impairments in social cognition, the ability to recognize others' emotions, and infer others' thoughts. These cognitive impairments can have profound negative effects on communication functions, resulting in a cognitive-communication disorder. Cognitive-communication disorders can significantly limit a person's ability to socialize, work, and study, and thus are critical targets for intervention. This article presents the updated INCOG 2.0 recommendations for management of cognitive-communication disorders. As social cognition is central to cognitive-communication disorders, this update includes interventions for social cognition. Methods: An expert panel of clinicians/researchers reviewed evidence published since 2014 and developed updated recommendations for interventions for cognitive-communication and social cognition disorders, a decision-making algorithm tool, and an audit tool for review of clinical practice. Results: Since INCOG 2014, there has been significant growth in cognitive-communication interventions and emergence of social cognition rehabilitation research. INCOG 2.0 has 9 recommendations, including 5 updated INCOG 2014 recommendations, and 4 new recommendations addressing cultural competence training, group interventions, telerehabilitation, and management of social cognition disorders. Cognitive-communication disorders should be individualized, goal- and outcome-oriented, and appropriate to the context in which the person lives and incorporate social communication and communication partner training. Group therapy and telerehabilitation are recommended to improve social communication. Augmentative and alternative communication (AAC) should be offered to the person with severe communication disability and their communication partners should also be trained to interact using AAC. Social cognition should be assessed and treated, with a focus on personally relevant contexts and outcomes. Conclusions: The INCOG 2.0 recommendations reflect new evidence for treatment of cognitive-communication disorders, particularly social interactions, communication partner training, group treatments to improve social communication, and telehealth delivery. Evidence is emerging for the rehabilitation of social cognition; however, the impact on participation outcomes needs further research.

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“…For example, studies find poorer outcomes for persons who experience fatigue, have emotional problems, poor neuropsychological functioning such as problems with memory, sequencing and judgment, are unable to drive, and are dependent on others in their activities of daily living [39][40][41]. Service elements that aid TBI survivors in returning to work include: Providing Vocational Rehabilitation services (on-the-job training, counseling and guidance, job placement services) [42][43][44] early in the rehabilitation process [45][46][47], creating a supportive work environment [47], providing cognitive skills training [48,49] and supplying assistive technology and training in its use [50].…”

Section: Employmentmentioning

confidence: 99%

Neuropsychological and Psychosocial Consequences of Traumatic Brain Injury

Chaudhury

2017

PBSIJ

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Majority of traumatic brain injury (TBI) survivors in addition to neurological deficits also suffer from neuropsychological and psychosocial Sequelae. Emotional instability, slowed thinking, personality changes, deficits in memory, attention, concentration and intelligence, selfawareness and motivational problems are some of the neuropsychol sequelae of TBI. Reactions of family members to the TBI survivor, social breakdown, employment problems and life satisfaction are some of the psychosocial consequences of TBI. The time course for recovery from such consequences and their management are reviewed. Rehabilitation of the TBI survivor is a major challenge. Pharmacological treatment includes antidepressants, antipsychotics, mood stabilizers, and stimulants, Controlled treatment trials for TBI are lacking. Non pharmacological treatments including psychotherapy and behavior therapy are also useful. Family and individual counseling can greatly help the patient and the family reconcile themselves to the reality of the behavioral changes in the patient post-TBI.

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Development of a Cognitive strategies group for vocational training after traumatic brain injury

Cited by 19 publications

References 4 publications

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part IV: Cognitive-Communication and Social Cognition Disorders

Neuropsychological and Psychosocial Consequences of Traumatic Brain Injury

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