Department of Applied Disability Studies, Brock University, St. Catharines, Canada.
Acquired Brain Injury Behaviour Services, West Park Healthcare Centre, Toronto, Canada.
Brain Inj. 2022 Feb 23;36(3):321-331. doi: 10.1080/02699052.2022.2033840. Epub 2022 Feb 5.
As acquired brain injury rates continue to increase, the ongoing need for efficient and effective treatment within neurobehavioral rehabilitation settings is clear. Some evidence suggests certain treatment components may be very important to incorporate into service delivery models (e.g., multidisciplinary). However, program evaluation literature and the uptake of complementary intervention strategies, like applied behavior analysis (ABA), in existing neurobehavioral settings remains largely unexplored.
The purpose of this project was to: (1) develop and implement a simple, systematic program evaluation informed by best-practices (i.e., research) to assess service delivery models of several neurobehavioral rehabilitation settings, and (2) survey the current use of ABA by participating neurobehavioral agencies.
The program evaluation tool was applied to the charts of randomly selected past and current clients (referred to as participants). A secondary research assistant independently reviewed 29% of the charts to conduct interobserver agreement, which s. was 80% (range, 53%-100%).
Average program evaluation total percentage score was 33% (range, 4% - 63%), and program evaluation items describing ABA-uptake suggested the incorporation of ABA was low.
We discuss service model areas of strengths and areas for improvement as specified by tool outcomes, as well as in relation to quality improvement implications.
随着获得性脑损伤率持续上升，神经行为康复环境中对高效、有效的治疗的持续需求是显而易见的。有证据表明，某些治疗成分可能非常重要，需要纳入服务提供模式（例如，多学科）。然而，计划评估文献以及补充干预策略（如应用行为分析（ABA））在现有的神经行为环境中的应用仍在很大程度上未被探索。
本项目的目的是：（1）开发并实施一种简单、系统的基于最佳实践（即研究）的计划评估，以评估几个神经行为康复环境的服务提供模式，（2）调查参与神经行为机构目前对 ABA 的使用情况。
该计划评估工具应用于随机选择的过去和当前客户（称为参与者）的图表中。第二位研究助理独立审查了 29%的图表，以进行观察者间一致性，其一致性为 80%（范围，53%-100%）。
平均计划评估总分百分比为 33%（范围，4%-63%），描述 ABA 采用情况的计划评估项目表明 ABA 的采用率较低。
我们讨论了工具结果指定的服务模型领域的优势和改进领域，以及与质量改进的关系。
