Boulos Mary E, Colella Brenda, Meusel Liesel-Ann, Sharma Bhanu, Peter Marika K, Worthington Thomas, Green Robin E A
Cognitive Neurorehabilitation Sciences Lab, KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Canada.
Disabil Rehabil. 2024 Feb;46(4):750-762. doi: 10.1080/09638288.2023.2177357. Epub 2023 Feb 28.
Acquired brain injury (ABI) is a leading cause of lifelong disability, but access to treatment in the chronic stages has significant barriers. Group-based, remotely delivered neurorehabilitation reduces costs, travel barriers, and infection risk; however, its feasibility for patients with ABI is not well-established.
To investigate the feasibility of remotely group-based cognitive and mood therapies for persons with chronic ABI.
Three hundred and eighty-eight adults with chronic ABI participated in group tele-neurorehabilitation modules comprising Cognitive Behavioral Therapy, Goal Management Training, Relaxation and Mindfulness Skills Training, and/or a novel Concussion Education & Symptom Management program. Assessments comprised quantitative metrics, surveys, as well as qualitative semi-structured interviews in a subset of participants.
High retention, adherence, and satisfaction were observed. Facilitators of treatment included accessibility, cost-effectiveness, and convenience. Adoption of technology was high, but other people's technological interruptions were a barrier. Self-reported benefits specific to group-based format included improved mood, stress management, coping, interpersonal relationships, cognitive functioning, and present-mindedness.
The present study examined chronic ABI patients' perceptions of telerehabilitation. Patients found remotely delivered, group-based mood, and cognitive interventions feasible with easy technology adoption. Group format was considered a benefit. Recommendations are provided to inform design of remotely delivered ABI programs.
获得性脑损伤（ABI）是导致终身残疾的主要原因，但在慢性阶段获得治疗存在重大障碍。基于小组的远程神经康复可降低成本、消除出行障碍并降低感染风险；然而，其对ABI患者的可行性尚未得到充分证实。
探讨针对慢性ABI患者进行远程小组认知和情绪治疗的可行性。
388名慢性ABI成年人参加了包括认知行为疗法、目标管理训练、放松和正念技能训练及/或一项新型脑震荡教育与症状管理项目的小组远程神经康复模块。评估包括定量指标、调查以及对部分参与者进行的定性半结构式访谈。
观察到高留存率、依从性和满意度。治疗的促进因素包括可及性、成本效益和便利性。技术采用率很高，但他人的技术干扰是一个障碍。自我报告的基于小组形式的特定益处包括情绪改善、压力管理、应对能力、人际关系、认知功能和专注力。
本研究考察了慢性ABI患者对远程康复的看法。患者认为远程提供的基于小组的情绪和认知干预可行，且易于采用技术。小组形式被认为是一种益处。提供了相关建议以指导远程ABI项目的设计。
