Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review

Brett, Clare; Sykes, Catherine; Pires-Yfantouda, Renata

doi:10.1080/09602011.2015.1090459

Cited by 36 publications

(22 citation statements)

References 67 publications

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“…Further, menses resumed when cortisol levels normalized after TBI-induced amenorrhea, indicating a connection between the hypothalamic-pituitary-gonadal (HPG) and HPA axes ( 32 ). Stress disorders during recovery from TBI can decrease adaptive plasticity and further compromise cognitive abilities, impair social interactions, motivation, and immunity ( 33 , 34 ). These symptoms increase the likelihood of non-compliance with rehabilitation, decrease the benefit when compliant, and worsen long-term outcome ( 35 ).…”

Section: Introductionmentioning

confidence: 99%

Sex-Dependent Pathology in the HPA Axis at a Sub-acute Period After Experimental Traumatic Brain Injury

et al. 2020

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Section: Introductionmentioning

confidence: 99%

Sex-Dependent Pathology in the HPA Axis at a Sub-acute Period After Experimental Traumatic Brain Injury

et al. 2020

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“…Contribution of patients in the process of care is another important non‐medical factor that needs to be considered in provision of rehabilitation . Patient involvement in assessment, goal planning, and interventions is a core value of client‐centered approaches . Level of effort is one of the key elements that facilitates the process of patient engagement in rehabilitation .…”

Section: Introductionmentioning

confidence: 99%

Occupational and Physical Therapy Activities and Level of Effort in Patients With Traumatic Brain Injury: Association With Functional Outcomes

Zarshenas

Colantonio

Horn

et al. 2019

PM&R

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Background Although some attention has been given to the association of functional outcomes with rehabilitation intensity, the evidence is still sparse in this field. Objective To investigate the effect of inpatient rehabilitation (IR) on discharge cognitive and motor function and the association of time spent in occupational and physical therapy and level of effort with cognitive and motor function in patients with traumatic brain injury (TBI). Design Secondary analysis of TBI‐Practice Based Evidence dataset. Settings Inpatient rehabilitation. Participants One hundred forty‐nine patients with TBI who were consecutively admitted for IR between 2008 and 2011 in Ontario, Canada. Interventions Not applicable. Main Outcome Measurements Admission and discharge Functional Independence Measure‐Rasch Cognitive and Motor Scores. Results Patients showed significant improvement in cognitive and motor function from admission to discharge (P < .0001). After controlling for confounding factors, discharge FIM‐Rasch cognitive and motor scores were not associated with either level of effort or time spent in physical therapy activities. Discharge motor, but not cognitive function, was associated with more time spent in the complex (β = 0.20, confidence interval [CI] 0.005, 0.05) and less time spent in simple OT activities (β = −0.13, CI −0.13, −0.01). Conclusion This study provides valuable information for clinicians about the effectiveness of IR on the improvement of motor and cognitive outcomes and the importance of considering the amount of time spent in activities based on their level of complexity rather than the total time of therapy to improve motor outcomes in this population. Level of Evidence III

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“…Lack of engagement is a common challenge in neuropsychological rehabilitation, and promoting a consistent effort is thus of paramount importance, not only for the patients but for all stakeholders around them. 12 …”

Section: Introductionmentioning

confidence: 99%

Barriers to the implementation of a computer-based rehabilitation programme in two public psychiatric settings

Ferreira‐Correia

Barberis

Msimanga

2018

South African Journal of Psychiatry

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BackgroundWorking memory (WM) deficits have a negative impact on treatment adherence and quality of life. Efficient and effective interventions are needed in order to improve the cognitive functioning of those affected, especially in low-resource communities. Computer-based rehabilitation programmes (CBRP) are low-cost therapeutic approaches for WM deficits. Perceptions and experiences of target users may influence whether CBRP constitute an effective therapeutic option for adults with cognitive impairment in under-resourced environments.AimThe goal of the study was to explore the experiences of a group of volunteers with WM deficits (associated with diagnoses of HIV and schizophrenia), in terms of the perceived barriers they encountered during their participation in a CBRP.MethodsA qualitative, descriptive research design was implemented. Short interviews and field notes were used in order to investigate the experiences of nine participants in relation to the CBRP. The sample included four participants living with HIV and five with schizophrenia, all with WM deficits.ResultsUsing a thematic analysis, eight barriers were identified: unawareness of the cognitive deficit, anticipation of negative results, stigma, difficulties accessing a computer and/or Internet connection, ill health, negative emotional experiences, daily routine challenges and non-conducive or sabotaging environments. A representational model of these barriers is proposed.ConclusionThe implementation of a cognitive rehabilitation strategy should not only take into consideration issues of access to particular strategies and materials but should also be preceded by an exploration of how individual and contextual barriers are experienced by the potential users, as these contribute to the risk of dropout.

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Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review

Cited by 36 publications

References 67 publications

Sex-Dependent Pathology in the HPA Axis at a Sub-acute Period After Experimental Traumatic Brain Injury

Sex-Dependent Pathology in the HPA Axis at a Sub-acute Period After Experimental Traumatic Brain Injury

Occupational and Physical Therapy Activities and Level of Effort in Patients With Traumatic Brain Injury: Association With Functional Outcomes

Barriers to the implementation of a computer-based rehabilitation programme in two public psychiatric settings

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