Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia.
Monash Epworth Rehabilitation Research Centre, Epworth Healthcare, Richmond, Australia.
Neuropsychol Rehabil. 2022 Oct;32(9):2392-2410. doi: 10.1080/09602011.2021.1947325. Epub 2021 Jul 13.
Challenging behaviours after acquired brain injury (ABI) cause distress and reduce community participation. Evidence-based and effective interventions are needed. Positive Behaviour Support (PBS) interventions, such as PBS + PLUS, are person-driven and context-sensitive approaches which aim to improve quality of life and enhance behavioural self-regulation. This study aimed to expand the empirical outcomes of a recent waitlist-controlled trial of PBS + PLUS by examining individualized goal attainment.
Participants were 44 adults with severe ABI sustained on average nine years previously (Range = 0.6-26) from the combined trial cohort who completed the intervention. Using Goal Attainment Scaling, trial therapists developed and reviewed goals collaboratively with the person with ABI and their natural supports.
The 182 goals in the sample focussed on psychological wellbeing, interpersonal relationships, routines and self-care. By the end of 12-month intervention, 84.6% of goals were achieved and 53.3% exceeded their expected outcome.
These findings indicate high levels of personally meaningful outcomes in a broad range of life-domains can be obtained for participants with severe ABI using PBS + PLUS. Whilst these results should be considered in combination with the findings of the waitlist-controlled trial, they contribute to the growing literature regarding benefits of PBS in enhancing quality of life post-ABI.
Australian New Zealand Clinical Trials Registry identifier: ACTRN12616001704482.
后天性脑损伤（ABI）后的挑战性行为会引起痛苦，并减少社区参与。需要有循证且有效的干预措施。以正面行为支持（PBS）为干预手段，如 PBS+PLUS，是一种以人为本且对环境敏感的方法，旨在提高生活质量和增强行为自我调节。本研究旨在通过检查个体化目标实现，扩展最近 PBS+PLUS 候补对照试验的实证结果。
参与者是来自联合试验队列的 44 名严重 ABI 成年人，他们平均在 9 年前（范围 0.6-26 年）受伤，且均完成了干预。试验治疗师使用目标实现量表，与 ABI 患者及其自然支持人员共同制定和审查目标。
样本中的 182 个目标集中在心理幸福感、人际关系、日常生活和自我护理方面。在 12 个月干预结束时，84.6%的目标得以实现，53.3%的目标超出预期。
这些发现表明，对于严重 ABI 患者，使用 PBS+PLUS 可以获得广泛生活领域的个人有意义的高水准结果。尽管这些结果应结合候补对照试验的结果进行考虑，但它们有助于增加关于 PBS 在增强 ABI 后生活质量方面的益处的文献。
澳大利亚新西兰临床试验注册中心标识符：ACTRN12616001704482。
