Sohlberg McKay Moore, Todis Bonnie, Fickas Stephen, Hung Pei-Fang, Lemoncello Rik
Communication Disorders & Sciences, University of Oregon, Eugene, OR 97403, USA.
Brain Inj. 2005 Dec 20;19(14):1249-59. doi: 10.1080/02699050500309510.
This study sought to identify navigation patterns and illuminate the barriers to and possible solutions for independent community travel in people with chronic cognitive impairments as a result of acquired brain injury.
Two investigative methods were used to explore navigation in the population of interest: Study 1 was a field study and study 2 convened a series of focus groups with relevant stakeholders.
For study 1, each week during a 4 month period, researchers administered a navigational survey and structured interview to a typical case sample of six participants in order to catalogue all trips taken outside the assistive living facility. Study 2 convened six focus groups to access perspectives on navigational issues for individuals with cognitive impairments (CI) from a number of stakeholder groups including individuals with CI, care providers for this population and public transportation workers.
The results of both studies were consistent and indicated that community access is severely restricted for individuals with CI. The majority of trips that were taken tended to be routine and assisted. The variety of travel was limited; participants ventured to the same set places with the same people. Participants described barriers accounting for these problems and suggested a number of strategies to minimize problems.
本研究旨在识别出行模式，阐明因后天性脑损伤导致慢性认知障碍的人群在社区独立出行时所面临的障碍及可能的解决办法。
采用两种调查方法来探究目标人群的出行情况：研究1为实地研究，研究2召集了一系列与相关利益攸关方的焦点小组。
对于研究1，在4个月的时间里，研究人员每周对6名参与者的典型案例样本进行一次出行调查和结构化访谈，以便记录在辅助生活设施之外进行的所有出行。研究2召集了6个焦点小组，以获取包括认知障碍者、该人群的护理人员和公共交通工作者在内的多个利益相关者群体对认知障碍者出行问题的看法。
两项研究的结果一致，表明认知障碍者的社区出行受到严重限制。所进行的出行大多是常规的且有人协助。出行种类有限；参与者总是和同样的人前往同样的固定地点。参与者描述了导致这些问题的障碍，并提出了一些将问题最小化的策略。
