Koller Kathryn, Woods Lindsay, Engel Lisa, Bottari Carolina, Dawson Deirdre R, Nalder Emily
Kathryn Koller, MScOT, is Occupational Therapist, St. John's Rehabilitation Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Lindsay Woods, MScOT, is Occupational Therapist, West Park Healthcare Centre, Toronto, Ontario, Canada.
Am J Occup Ther. 2016 May-Jun;70(3):7003180070p1-8. doi: 10.5014/ajot.2016.020198.
This pilot study explored the experiences of brain injury survivors after a change in financial management (FM) independence.
Using a qualitative descriptive design, 6 participants with acquired brain injury were recruited from a community brain injury organization and participated in semistructured interviews. Data were analyzed using thematic analysis.
Three themes emerged from the interviews: (1) trajectory of FM change, involving family members as key change agents; (2) current FM situation, involving FM strategies such as automatic deposits and restricted budgets; and (3) the struggle for control, in which survivors desired control while also accepting supports for FM.
This study identifies some of the challenges brain injury survivors face in managing their finances and the adjustment associated with a loss of FM independence. Occupational therapists should be aware of clients' experiences when supporting them through a change in independence.
本试点研究探讨了财务管理(FM)独立性改变后脑损伤幸存者的经历。
采用定性描述性设计,从一个社区脑损伤组织招募了6名获得性脑损伤患者,并参与了半结构化访谈。采用主题分析法对数据进行分析。
访谈中出现了三个主题:(1)财务管理变化轨迹,其中家庭成员是关键的变化推动者;(2)当前财务管理状况,涉及自动存款和限制预算等财务管理策略;(3)控制权的争夺,幸存者在渴望控制权的同时,也接受对财务管理的支持。
本研究确定了脑损伤幸存者在管理财务方面面临的一些挑战,以及与财务管理独立性丧失相关的调整。职业治疗师在通过独立性改变为客户提供支持时,应了解客户的经历。