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Title: Activities of daily living retraining and goal attainment during posttraumatic amnesia.
Authors: Trevena-Peters, Jessica
McKay, Adam
Ponsford, Jennie
Keywords: Post Traumatic Amnesia
Traumatic Brain Injury
Goal Attainment Scaling
Activities of Daily Living
Occupational Therapy
Functional Independence Measure
Therapeutic Alliance
Meaningful Occupation Without Agitation
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2017
Citation: Epworth Research Institute Research Week 2017; Poster 48: pp 72
Conference Name: Epworth Research Institute Research Week 2017
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: OBJECTIVE: It is uncertain whether therapy delivered during Post Traumatic Amnesia (PTA) following traumatic brain injury can be effective. This study used goal attainment scaling (GAS) to assess gains in activities of daily living (ADL) retraining during PTA and explored occupational therapists' perspectives on therapy delivery. METHOD: Forty-nine rehabilitation inpatients were provided with manualised ADL retraining during PTA. GAS goals were developed, scored at PTA emergence and their association with Functional Independence measure (FIM) examined. Four therapists were interviewed and thematic analysis conducted. RESULTS: From 104 GAS goals, 90% were achieved, T-scores changed significantly following intervention. Mean post-intervention T-score of 61.44 (SD=11.45) correlated significantly with FIM. Therapists highlighted benefits of therapy in PTA for therapeutic alliance, skill-building and meaningful occupation without agitation, noting fatigue as a challenge. CONCLUSION: GAS captured meaningful positive individual change following ADL retraining during PTA. Therapists indicated the intervention was generally beneficial and feasible.
Type: Conference Poster
Affiliated Organisations: Monash Institute of Cognitive & Clinical Neurosciences and School of Psychological Sciences, Monash University, Victoria, Australia
Type of Clinical Study or Trial: Clinical Trial
Appears in Collections:Neurosciences
Research Week

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