Walker Alexandra J, Onus Margaret, Doyle Margaret, Clare Jennifer, McCarthy Kathleen
Brain Injury Rehabilitation Service, Westmead Hospital, Sydney, NSW, Australia.
Brain Inj. 2005 Dec 20;19(14):1237-41. doi: 10.1080/02699050500309411.
To describe and evaluate a pilot community based rehabilitation programme for severe brain injury.
A prospective repeated-measures design with a single convenience sample was conducted.
Eleven participants with a history of severe brain injury completed the programme, which featured an outdoor adventure course, skill development and goal-based learning. In the first stage, practical activities facilitated the development of social skills, group cohesiveness and community integration. The second stage was a 9-day outdoor adventure course, which included physically challenging activities such as camping, bushwalking, abseiling, caving and high rope work. The third stage encouraged individuals to work on the personal goals they had developed.
Over 80% of stated goals were achieved; suggesting that such a programme may be effective in enabling clients to attain specified goals.
The programme shows promise as a form of community rehabilitation.
描述并评估一项针对重度脑损伤的试点社区康复计划。
采用前瞻性重复测量设计，选取单一便利样本。
11名有重度脑损伤病史的参与者完成了该计划，该计划包括户外探险课程、技能培养和基于目标的学习。在第一阶段，实践活动促进社交技能、团队凝聚力和社区融入的发展。第二阶段是为期9天的户外探险课程，包括露营、丛林徒步、速降、洞穴探险和高空绳索作业等具有身体挑战性的活动。第三阶段鼓励个人为自己设定的个人目标而努力。
超过80%的既定目标得以实现；这表明此类计划可能有效地使客户实现特定目标。
该计划有望成为一种社区康复形式。
