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轻度创伤性脑损伤的生物心理社会教育资源评估:一项混合方法探索性研究。

Evaluation of a biopsychosocial education resource for mild traumatic brain injury: a mixed method exploratory study.

作者信息

Faulkner Josh W, Callagher Elise, Snell Deborah, Nielsen Kristopher, Cairncross Molly, Theadom Alice

机构信息

Te Herenga Waka-Victoria University of Wellington, Wellington, New Zealand.

Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, Christchurch, New Zealand.

出版信息

Front Neurol. 2024 Aug 29;15:1429928. doi: 10.3389/fneur.2024.1429928. eCollection 2024.

Abstract

INTRODUCTION

Education is strongly advocated as a key component of treatment for mild traumatic brain injury (mTBI) in clinical guidelines. However, there is mixed evidence on the benefit of education. This study aimed to evaluate a new education resource for mTBI. CLARITY is a freely available animated video based on a biopsychosocial conceptualization of mTBI, explaining the complex psychological, environmental and biological mechanisms behind symptoms and recovery.

METHODS

24 adults with a history of mTBI participated in this mixed method study to examine prior experience of mTBI education and to evaluate CLARITY. Following viewing of the education video participants' were invited to engage in a semi-structured interview and to share their perceptions of it via an online anonymous questionnaire.

RESULTS

Thematic analysis of semi-structured interviews revealed one overarching theme: . Participants emphasised the critical role of coherent education in facilitating understanding, engagement in rehabilitation, and positive expectations during recovery. However, the first subtheme was that . Participants' previous education was often limited in scope, inconsistent, and delivered in inaccessible ways. The second subtheme was that . Participants responded positively to CLARITY, highlighting its explanatory biopsychosocial approach, focus on mental health factors and accessible delivery methods as key strengths. Questionnaire responses revealed favourable endorsement of CLARITY's utility, comprehensibility and accessibility.

DISCUSSION

Recommendations for minor refinements to CLARITY were provided and made, as well as for its use in health care services.

摘要

引言

在临床指南中,教育被大力倡导为轻度创伤性脑损伤(mTBI)治疗的关键组成部分。然而,关于教育益处的证据并不一致。本研究旨在评估一种针对mTBI的新教育资源。CLARITY是一个基于mTBI生物心理社会概念化的免费动画视频,解释了症状和恢复背后复杂的心理、环境和生物学机制。

方法

24名有mTBI病史的成年人参与了这项混合方法研究,以检查他们之前接受mTBI教育的经历,并评估CLARITY。观看教育视频后,邀请参与者进行半结构化访谈,并通过在线匿名问卷分享他们对该视频的看法。

结果

对半结构化访谈的主题分析揭示了一个总体主题: 。参与者强调连贯教育在促进理解、参与康复以及恢复期间的积极期望方面的关键作用。然而,第一个子主题是 。参与者之前接受的教育往往范围有限、不一致,且传递方式难以理解。第二个子主题是 。参与者对CLARITY的反应积极,强调其生物心理社会解释方法、对心理健康因素的关注以及易于理解的传递方式是关键优势。问卷回复显示对CLARITY的实用性、可理解性和可及性给予了积极认可。

讨论

针对CLARITY及其在医疗服务中的使用提出了一些细微改进的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca23/11390456/6038cc444d54/fneur-15-1429928-g001.jpg

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