Kendrick Denise, Silverberg Noah D, Barlow Susan, Miller William C, Moffat Jacqui
Vancouver General Hospital , Vancouver, BC , Canada.
Brain Inj. 2012;26(10):1243-9. doi: 10.3109/02699052.2012.672787. Epub 2012 Jun 1.
Traditional rehabilitation is not well suited to individuals with chronic mild symptoms following an acquired brain injury. To address this, this study adapted a supported self-management programme (SMP) for this population. The aim of this study was to evaluate the potential effectiveness of this novel SMP.
Retrospective case series with repeated measures.
Fifty-three participants with chronic mild symptoms following an acquired brain injury (primarily mild traumatic brain injury) completed an SMP. The intervention involved eight coaching sessions with each an occupational therapist and psychologist, carried out in the community and based on SMP principles. The Canadian Occupational Performance Measure was administered at baseline, discharge and 3- and 9-month follow-up. This measure yielded scores for performance and satisfaction with daily functioning, covering the domains of self-care, productivity and leisure.
A complete case analysis of programme completers revealed that participants' ratings of their occupational performance and satisfaction improved markedly between baseline and discharge from the SMP. This set of outcome measures remained stable between discharge and the two follow-up points.
This pilot study suggests that SMPs may improve daily functioning in individuals with chronic mild ABI symptoms. More methodologically robust clinical trials are warranted.
传统康复方法不太适合后天性脑损伤后有慢性轻微症状的个体。为解决这一问题，本研究为该人群改编了一项支持性自我管理计划（SMP）。本研究的目的是评估这一新型SMP的潜在效果。
采用重复测量的回顾性病例系列研究。
53名后天性脑损伤（主要为轻度创伤性脑损伤）后有慢性轻微症状的参与者完成了一项SMP。干预措施包括与职业治疗师和心理学家各进行8次指导课程，在社区开展并基于SMP原则。在基线、出院时以及3个月和9个月随访时进行加拿大职业表现测量。该测量得出了日常功能表现和满意度的分数，涵盖自我护理、生产力和休闲等领域。
对完成计划者的完整病例分析显示，参与者对其职业表现和满意度的评分在基线至SMP出院期间有显著改善。这组结果测量在出院至两次随访点之间保持稳定。
这项初步研究表明，SMP可能改善有慢性轻微后天性脑损伤症状个体的日常功能。需要开展方法学上更严谨的临床试验。
