Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

Sabaz, Mark; Simpson, Grahame; Walker, Alexandra J.; Rogers, Jeffrey M.; Gillis, Inika; Strettles, Barbara

doi:10.1097/htr.0b013e31828dc590

Cited by 126 publications

(85 citation statements)

References 45 publications

(98 reference statements)

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“…Prevalence rates for irritability and aggression after traumatic brain injury (TBI) for example range from 29% to 96% (see for example McNett, Sarver, & Wilczewski, 2012;Rao et al, 2009;Sabaz et al, 2014;Visscher, Van Meijel, Stolker, Wiersma, & Nijman, 2011). Scholten et al (2016) in a systematic review found that prevalence rates for depressive disorders after TBI are up to 21% to 57% after follow-up periods of on average 1.5 to 3 years.…”

Section: Introductionmentioning

confidence: 99%

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Winkens

Heugten

Pouwels

et al. 2017

Neuropsychological Rehabilitation

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The ABC method is a behaviour management technique for use by nurses. ABC refers to the identification of Antecedent events, target Behaviours, and Consequent events. In this longitudinal intervention study with double baseline measurements we evaluated the effectiveness of the ABC method in patients with behavioural problems after acquired brain injury. Fifty-six patients participated in this study. Outcome was measured in terms of overall neuropsychiatric problem behaviour, aggression, apathy and emotional burden experienced by nurses. A process evaluation was performed to investigate usability and acceptability of the method and identify factors that influenced effectiveness. Friedman's ANOVA showed a small significant reduction over time in overall neuropsychiatric problem behaviour and aggression. The reduction was most prominent between the first baseline measurement and the post-implementation and follow-up measurements, not between the second baseline measurement and the post-implementation or followup measurements. This first group study on the effects of the ABC method could not prove this technique is effective for patients with behavioural problems after acquired brain injury. Nurses indicated that the ABC method was not fully implemented in their daily routines. This may have influenced results and makes it yet premature to draw firm conclusions on the effects of the ABC method.

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Section: Introductionmentioning

confidence: 99%

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Winkens

Heugten

Pouwels

et al. 2017

Neuropsychological Rehabilitation

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“…Individuals often experience significant physical, cognitive and behavioural sequelae following brain injury [1][2][3] . Depending on the nature and location of the brain injury, the extent of damage and long-term implications will vary for each individual 1,4 .…”

Section: Introductionmentioning

confidence: 99%

“…Although physical and verbal aggression are the most commonly investigated [8][9][10][11][12][13][14] , there are other serious behavioural outcomes following ABI. These include sexually inappropriate behaviours [15][16][17] , socially inappropriate behaviours 2,6 , absconding 18 , apathy 19,20 , lack of initiation 6 , reduced social skills 21 , disinhibition 22 , irritability 19,23 , and mood disorders 24,25 .…”

Section: Introductionmentioning

confidence: 99%

Family involvement in behaviour management following acquired brain injury (ABI) in community settings: A systematic review

et al. 2015

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Objectives: To examine family involvement in the management of behavioural problems following ABI in the community.Research Design: Systematic literature review.Methods: Six electronic databases relevant to the field of brain injury were searched between 1980-2013. Citation indexes were used, and references from articles hand searched for further literature. Studies that met the broad inclusion criteria were screened for relevance, and articles selected for full-text review independently considered by two reviewers. Those found to be relevant were analysed using PEDro and McMasters critical appraisal tools.Results: Three hundred and three studies were identified after duplicates were removed and 56 were assessed for relevance, yielding 10 studies for review. Although the majority of studies were weak in design, 5 revealed significant findings supportive of family involvement in the management of behavioural problems following ABI, especially where interventions consisted of both educational components and individualised behavioural plans. Findings revealed no significant changes in family burden following behavioural interventions.Conclusions: There is limited research and lack of high evidence studies evaluating family involvement in behaviour management following ABI; therefore no conclusions can be drawn regarding its efficacy. More research is needed, with larger sample sizes and more rigorous design, including proper comparison groups.

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“…In addition, there are a growing number of accounts of behavioral challenges in patients with PBT (Andrewes et al, 2003;Catt, Chalmers, & Fallowfield, 2008;Kelly, Brown, Todd, & Kremer, 2008;Salander, 1996;Salander, Bergenheim, Hamberg, & Henriksson, 1999). Challenging behaviors after acquired brain impairment have been defined as spanning verbal or physical aggression, sexually inappropriate behavior, wandering/absconding, perseveration (repetitive behaviors), socially inappropriate behavior (including illegal behaviors, noncompliant behaviors), and adynamia (lack of initiation; Sabaz et al, 2014).…”

Section: Information Provision In Primary Brain Tumormentioning

confidence: 99%

Development and Evaluation of Information Resources for Patients, Families, and Healthcare Providers Addressing Behavioral and Cognitive Sequelae Among Adults With a Primary Brain Tumor

Wright

Simpson

Koh

et al. 2015

Journal of Neuroscience Nursing

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Behavioral and cognitive changes in patients with primary brain tumor (PBT) are common and may be distressing to patients and their family members. Healthcare professionals report a strong need for information, practical strategies, and training to assist consumers and better address management issues. A literature review by the current project found that 53% of the information resources currently available to consumers and health professionals contained minimal or no information about cognitive/behavioral changes after PBT, and 71% of the resources contained minimal or no information on associated strategies to manage these changes. This project aimed to develop an information resource for patients, carers, and health professionals addressing the behavioral and cognitive sequelae of PBT, including strategies to minimize the disabling impact of such behaviors. In consultation with staff and patient groups, 16 key information topics were identified covering cognitive and communication changes and challenging behaviors including executive impairment, behavioral disturbance, and social/emotional dysfunction. Sixteen fact sheets and 11 additional resource sheets were developed and evaluated according to established consumer communication guidelines. Preliminary data show that these resources have been positively received and well utilized. These sheets are the first of their kind addressing challenging behaviors in the neuro-oncology patient group and are a practical and useful information resource for health professionals working with these patients and their families. The new resource assists in reinforcing interventions provided to individual patients and their relatives who are experiencing difficulties in managing challenging behaviors after PBT.

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Prevalence, Comorbidities, and Correlates of Challenging Behavior Among Community-Dwelling Adults With Severe Traumatic Brain Injury

Abstract: Challenging behaviors are widespread among community-dwelling adults with severe traumatic brain injury. Services need to deliver integrated anger management, social skills, and motivational treatments.

Cited by 126 publications

References 45 publications

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Family involvement in behaviour management following acquired brain injury (ABI) in community settings: A systematic review

Development and Evaluation of Information Resources for Patients, Families, and Healthcare Providers Addressing Behavioral and Cognitive Sequelae Among Adults With a Primary Brain Tumor

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