Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK.
Division of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, UK.
Brain Inj. 2021 Mar 21;35(4):395-403. doi: 10.1080/02699052.2021.1877817. Epub 2021 Feb 17.
: Therapist competencies when delivering an intervention can impact clinical outcomes. However, the relationship between competence and outcome in the context of memory rehabilitation has not previously been investigated. We aimed to evaluate whether therapist competencies in delivering a group-based memory rehabilitation intervention, as part of a randomized-controlled trial, was associated with changes in clinical outcome in the participants with traumatic brain injury.: Outcome data on the Everyday Memory Questionnaire (EMQ) and Goal Attainment Scaling (GAS) were obtained for 24 participants of the memory rehabilitation trial. Video recordings of intervention sessions delivered by six therapists were coded using a checklist designed to evaluate therapist competence in group facilitation.: Therapists demonstrated consistently high levels of competency in facilitating the memory group. Correlational analyses showed that there was a non-significant weak association between EMQ and therapist competence ( = .28, = .18), and between GAS and therapist competence for short- and long-term goals ( = -.33, .12 and = -.24, .25, respectively).: We found no significant association between competence and outcome in this memory rehabilitation trial. This may reflect insufficient variability in therapist competence and/or the nature of the clinical outcome measures used. Further research is needed to understand competence-outcome relationships in cognitive rehabilitation.
治疗师在实施干预措施时的能力可能会影响临床结果。然而,记忆康复背景下的能力与结果之间的关系尚未得到研究。我们旨在评估作为随机对照试验的一部分,提供基于小组的记忆康复干预的治疗师能力是否与创伤性脑损伤患者的临床结果变化相关。
记忆康复试验的 24 名参与者的日常记忆问卷(EMQ)和目标实现量表(GAS)的结果数据。使用检查表对六名治疗师提供的干预课程的视频记录进行了编码,该检查表旨在评估小组促进治疗师的能力。
治疗师在促进记忆小组方面表现出一致的高水平能力。相关分析显示,EMQ 与治疗师能力之间存在非显著弱关联( =.28, =.18),短期和长期目标的 GAS 与治疗师能力之间存在弱关联( =.33,.12 和 =.24,.25,分别)。
我们在这个记忆康复试验中没有发现能力与结果之间的显著关联。这可能反映了治疗师能力的变化和/或使用的临床结果测量的性质。需要进一步的研究来理解认知康复中的能力-结果关系。
Health Technol Assess. 2019-4
Health Technol Assess. 2019-3