Patterson Freyr, Doig Emmah, Marshall Kathryn, Fleming Jennifer
The School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Occupational Therapy Department, The Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Br J Occup Ther. 2022 Feb;85(2):144-152. doi: 10.1177/03080226211008723. Epub 2021 Jun 5.
An advantage of using groups in rehabilitation is the opportunity for peer learning and support. This study aimed to describe and understand the nature of interactions occurring in inpatient occupational therapy brain injury rehabilitation groups, using video-recorded group interactions, to inform recommendations for group facilitation.
Video recordings of four occupational therapy rehabilitation groups were taken. Twelve adults with brain injury who participated in the groups and four facilitators consented to the study. The data were analysed using a qualitative descriptive approach.
Interactions were predominantly facilitated by facilitators and shaped by the nature of the group activities. Facilitators used a number of strategies to encourage interaction including knowledge of group participants, activity choice and physical positioning of group members.
Group facilitators utilise a number of strategies to encourage peer interactions. However, during structured activity-based rehabilitation groups, participants with a brain injury may focus predominantly on achieving the goal of the group rather than initiating peer interactions.
在康复治疗中采用小组形式的一个优势是为同伴学习和支持提供了机会。本研究旨在通过对小组互动进行视频记录，描述并理解住院脑损伤患者职业治疗康复小组中互动的本质，从而为小组引导提供建议。
对四个职业治疗康复小组进行了视频记录。十二名参与小组的脑损伤成人患者和四名引导者同意参与该研究。采用定性描述方法对数据进行分析。
互动主要由引导者推动，并受小组活动性质的影响。引导者运用多种策略鼓励互动，包括了解小组成员、选择活动以及安排小组成员的身体位置。
小组引导者运用多种策略鼓励同伴互动。然而，在基于结构化活动的康复小组中，脑损伤患者可能主要专注于实现小组目标，而非发起同伴互动。
