Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series
Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series
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DOI：
10.5014/ajot.2014.010785
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发表时间：
2014-09-01
影响因子：
2.9
通讯作者：
Fleming, Jennifer
中科院分区：
文献类型：
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作者：
Doig, Emmah;Kuipers, Pim;Fleming, Jennifer
OBJECTIVE.我们研究了参与目标规划和发展的自我意识的人。创伤性脑损伤后自我意识受损。我们对8名最近从住院康复出院的参与者进行了混合方法研究。自我意识通过在四个时间点使用马约波特兰适应性指数（MPAI-4）上自我和显著其他评分之间的差异来测量。我们计算了效应量来评估MPAI-4差异随时间的变化。七个参与者确定了自己的目标。我们发现，在干预的前6周，平均MPAI-4差异大幅降低（M = 8.57，SD = 6.59，N = 7，d = 1.08），在干预的后6周，进一步小幅降低（M = 5.33，SD = 9.09，N = 6，d = 0.45）。案例数据表明，7名参与者的自我意识有所提高。结论。参与以职业为基础，目标导向的康复似乎在不同程度上促进了对伤害相关变化的认识。
OBJECTIVE. We examined participation in goal planning and development of self-awareness for people. with impaired self-awareness after traumatic brain injury.METHOD. We performed a mixed-methods study of 8 participants recently discharged from inpatient rehabilitation. Self,awareness via measured using discrepancy between self and significant other ratings on the Mayo Portland Adaptability Index (MPAI-4) at four time points. We calculated effect size to evaluate the change in MPAI-4 discrepancy over time.RESULTS. Seven participants identified their own goals. We found a large reduction in mean MPAI-4 discrepancy (M = 8.57, SD = 6.59, N = 7, d = 1.08) in the,first 6 wk and a further small reduction (M = 5.33, SD = 9,09, N = 6, d = 0.45) in the second 6 wk of intervention. Case data indicated that 7 participants demonstrated some growth in self-awareness.CONCLUSION. Engagement in occupation-based, goal-directed rehabilitation appeared to foster awareness of injury-related changes to varying extents.