What do kids with Acquired Brain Injury want? Mapping neuropsychological rehabilitation goals to the International Classification of Functioning, Disability and Health

McCarron, Robyn, Watson, Suzanna and Gracey, Fergus (2019) What do kids with Acquired Brain Injury want? Mapping neuropsychological rehabilitation goals to the International Classification of Functioning, Disability and Health. Journal of the International Neuropsychological Society, 25 (4). pp. 403-412. ISSN 1355-6177

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Abstract

Objective: To increase understanding of the community neuropsychological rehabilitation goals of young people with Acquired Brain Injury (ABI), and to identify associative factors for the types of goals a young person may have. Method: 326 neuropsychological rehabilitation goals were extracted from the clinical records of 98 young people with ABI who had attended a UK specialist community neurorehabilitation service. The goals were coded according to the ICF-CY. Statistical analysis was performed to assess the distribution of goals across the ICF-CY, and to identify demographic and injury-related associations of goal type. Results: The distribution of goals was 52% Activities and Participation, 28% Body Functions, 20% Environmental Factors and less than 1% Body Structures. The number of Environmental Factors goals increased significantly with age at assessment (p=0.032), and the period of 5-10 years post-injury was associated with significantly more Activities and Participation goals (p=0.021). There was no association between gender or the type of brain injury and the distribution of goals across the ICF-CY. Conclusions: The process of setting neuropsychological rehabilitation goals for young people with ABI in the community identifies a wide range of needs that require an individualised, context sensitive and interdisciplinary approach. Community neuropsychological rehabilitation services may wish to ensure they are resourced to focus intervention on Activities and Participation, with increasing consideration for Environmental Factors as a young person progresses through adolescence. The findings of this research support models of community neuropsychological rehabilitation that combine direct rehabilitative interventions with attention to social context and systemic working across agencies.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: LivePure Connector
Date Deposited: 20 Mar 2019 16:30
Last Modified: 11 Oct 2019 01:01
URI: https://ueaeprints.uea.ac.uk/id/eprint/70283
DOI: 10.1017/S1355617719000213

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